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Report #2824399

Received Feb 4, 2025

Died
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
60 yrs
State
NV
Recovered
Not recovered
Vaccinated
May 14, 2021
Onset
Aug 25, 2021
Days to onset
103
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (JANSSEN))JANSSEN1042A21AIM / LA

Symptoms (12)

Acute respiratory failureAnaphylactic reactionCOVID-19 pneumoniaCoughDeathDehydrationDyspnoeaGeneral physical health deteriorationHypophagiaPyrexiaRespiratory tract congestionSyncope

Symptom narrative

Reported Symptoms: 10011906:DEATH; 10021143:HYPOXIA; 10084380:COVID-19 PNEUMONIA; Narrative: Patient received J+J vaccine in May 2021. Was seen in ED for syncope likely to dehydration; was also short of breath. Marked as anaphylaxis in chart. Later presented to ED 08/16/2021 with fever, increasing cough, congestion, shortness of breath, decreased oral intake, admitted to COVID-19 Unit. PMH significant for CLL, colon cancer, dementia. Patient DNR/DNI code status, wishes were to transition to comfort care in the setting of rapid deterioration or suffering. Acute worsening of respiratory status despite non-invasive ventilatory support occured on 08/25/2021 AM, based on his wishes he was transitioned to comfort care and passed away at 10:02 AM on 08/25/021. Other Relevant HX: Other: Death - AHRF from COVID-19 Pneumonia