Received Feb 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | 019B21A | IM / LA |
Reported Symptoms: 10011906:DEATH; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: Patient who lives in an assisted living facility received two COVID-19 immunizations (05/06/2021 & 06/10/2021). Patient has a medical history significant for COPD, OSA, pulmonary hypertension, and hypoxia requiring 3-4L of oxygen at baseline. While at home, patient developed a cough and shortness of breath. Caregiver administered an at-home COVID test on 09/24/2021. His condition worsened, and was escorted the emergency department on 10/01/2021 where diagnosis of COVID was confirmed with a PCR test. Patient was admitted to floor with hypoxemic respiratory failure and started on IV dexamethasone and CA-pneumonia antibiotics. Remdesivir and baricitinib were added to his treatment regimen as well. Patient returned to baseline oxygen needs and was discharged back to the assisted living home. Primary care notes indicate continued worsening condition over the next weeks. Patient presented back to the ED 10/22/2021 for increasing hypoxia (oxygen requirements up to 6L/min), weakness and dyspnea. Patient was admitted to the floor, and expired a few hours after admission. Other Relevant HX: Lives in assisted living facility on 3-4L oxygen at baseline Problem list significant for: COPD, hypoxia, pulmonary hypertension, OSA Other: Breakthrough COVID-19 infection
At-home rapid COVID-19 test positive (09/24/2021) COVID-19 PCR test positive (10/01/2021)