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Report #2841823

Received May 20, 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
Female
Age
83 yrs
State
WV
Recovered
Not recovered
Vaccinated
May 18, 2025
Onset
May 18, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEURN/AU8366AAIM / RA

Symptoms (6)

Agonal respirationCardiac arrestChest discomfortChest painDeathRespiratory arrest

Symptom narrative

Patient called out "help me" and patient tech responded to patient. Patient stated that she was having chest pain that was heavy like she had never had. Physician was notified of the complaint and ordered nitroglycerin, stat troponin, stat EKG, repeat EKG with morning labs. Patient continued having conversation about her chest pain to another RN that responded. At 0238, patient was noted to have agonal breathing and NRP mask was placed on patient. Patient noted to be without respirations and heart rate at 0245 (patient was a DNR). Patient subsequently pronounced at 0250 as the ED doctor responded from the ED as the hospitalist does not remain in house at night.

Current illness

fall with comminuted left proximal humeral fracture and facial abrasion, hypertension, emesis, lower thoracic compression fracture,

Medical history

coronary artery disease, colonic cancer, hyperlipidemia, skin cancer, osteopenia/osteoporosis, allergic rhinitis, peripheral neuropathy, myocardial infarction, TIA, irregular heart rhythm, severe hearing loss, migraine, transient global amnesia, cerebral vasculitis, seborrheic keratosis, CKD stage 3, depression, dysarthria,

Other medications

ASA 81 mg daily, Atorvastatin 80mg at bedtime, Bystolic 2.5g daily, furosemide 20mg daily, losartan 100mg daily, multivitamin daily, nitroglycerin 0.4mg SL as needed, pepcid 20mg daily, potassium chloride meq daily, protonix mg daily, ranex

Allergies

morphine, adhesive