Adverse Event
Description |
Resident had
body aches, a low O2 sat and had
chills starting on 12/30/20. He had stated that they had slightly improved. On
1/1/21 he sustained a fall with a diagnosis of a displaced hip fracture. On
1/2/21 during the NOC shift his O2 sat dropped again. He later went
unresponsive and passed away. |
No adverse
effects noted after vaccination.
Patient with cardiac history was found unresponsive at 16:45 on
1/6/21. Abnormal breathing patterns, eyes partially closed SPO2 was 41%, pulseless with no cardiac
sounds upon auscultation. CPR and
pulse was regained and patient was breathing.
Patient sent to Hospital ER
were she remained in an unstable condition had multiple cardiac arrest
and severe bradycardia and in the end the hospital was unable to bring her
back. |
Patient
received vaccine on 1/4/2021. He was
in Hospice for CHF and renal failure, but was able to get up in his wheelchair
and eat and take medications and talk.
On 1/5/2021 am, he was noted to be very lethargic an could only
mumble, could not swallow. No
localizing neurologic findings. He was
too lethargic to get up in chair. |
Resident
found unresponsive and without pulse at 05:45am. |
On 1/15/2021
at 1800, resident noted to be lethargic and shaking, stating ""I
don't care."" repeatedly. C/O head and neck pain. T100.6. Given
Tylenol with no relief of pain. Order received for Aleve and administered..
Assisted to bed as usual in evening. Monitored during night shift and noted
to be resting comfortably/sleeping.. Noted agonal breathing at 4:10 AM
1/16/2021 , T 99.4, Absence of vital
signs at 4:15AM 1/16/21 and death pronounced at 4:40AM 1/16/21."" |
Pt received
second dose of COVID vaccine on 01/20/2021 at 1430. At 1600 Pt developed a
wet productive cough with coarse crackles. Pt ate dinner at 5 pm cough
persisted. At 18:30 the nurse went to Pt's room to give him his medications.
Pt still had a cough, denied shortness of breath. Pt was in a good mood and
joking with staff. Pt asked to be shaved. At 19:45 Pt was sitting in the
lounge and a CNA noticed that Pt was pale/white in color and clammy. 02 Sat
was 85%. Respirations were labored. Pt was placed on 4 L of 02. Increased to
5 L via face mask and 02 sat was 89-90%. Ambulance was called at unknown
time. Pt arrived at Medical Center at 2120 and was pronounced dead at 2127. |
on 1/13/2021
at 3:40am Cliff called for assistance. He lost his balance and had fallen.
Cliff refused vitals, refused emergency department, denied hitting his
head. As the day progressed patient
developed a headache, diarrhea, and vomiting. He again declined the offer for
the emergency room. At supper time wife and staff found Cliff unresponsive,
911 was called and he was taken to the emergency department. The ER did a CT
scan and found an acute subdural hematoma. Patient was placed on comfort
cares and expired at 3pm on 01/14/2021.
Cliff did not have a history of falls. |
Rapid decline
in health status, Elevated BP&P, posturing, loss of consciousness,
Glasgow coma Scale 4 starting
2/1/2021, Deceased 2/3/21 |
Resident
passed away in her sleep. No s/s of adverse events leading up to the
residents death. Resident was previously declining- MD stated the vaccine had
nothing to do with the death. |
Resident
reviewed for incident. Resident received the second dose of the Moderna
Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through
pharmacy. Resident had her temp/O2
taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours
later noted that resident to have chills and was shaking RN assessment
completed and vitals taken resident noted to have temp of 102.2, oxygen 95%,
pulse 110. Resident alert and oriented at that time and talking to staff.
Reported findings to APNP with order to send to ER. 911 called, residents
brother updated. Upon EMT arrival RN went down to residents room with EMT and
resident had an emesis as resident was getting cleaned up resident went
unresponsive. Pulse noted to still be present at that time, resident did
briefly respond to sternal rub and then went unresponsive again. Resident
full code and EMT transferred to gurney and said that if they lost a pulse in
route that they would transfer to hospital B instead of hospital A being the
closest facility. RN called brother and gave update. Facility notified from
Hospital that resident had passed away. |
Patient was
given vaccine the following day he died , |
Patient had
COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he
reported to the RN that he had fallen on thursday 2/4 due to
""getting up fast""
did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive
- code was called and pt expired after 30 minute resuscitation efforts."" |
We were
informed by EMS that the patient was found deceased on 2/11/2021 at her
home. EMS states she was dead for some
time, no medical care given. |
Gentleman
received his 1st Moderna dose on Thu. 2/11 at 0849. Vaccination protocol was completed. Pt
reported feeling fine, no fever, and that he had no allergies which would
prevent him from getting the vaccine.
Pt played cards with friends later that day 2/11, but left at 1930
(normally plays late into evening) telling his companions he didn't feel well
and his neck hurt. A welfare call was
completed on Sat. 2/13, and the patient was found deceased in the bathroom by
his son. It appears patient fell off
toilet and hit his head on the tub. Pressure ulcer present under injection
site. The presumed time of death was Thur. evening. |
Death |
Patient was
found at 6 AM on 01/21/2021 - he passed away during his sleep |
Patient
passed away within 60 days of receiving a COVID vaccine |
Resident was
having back pain but did have previous back pain prior too. |
Resident started
have chest pain on 3/02 and on 03/03 he was lethargic and wasn't eating or
drinking Resident was on Hospice |
Patient was
admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with
Acute respiratory failure with hypoxia and acute heart failure and Metabolic
encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04. |
Moderna
COVID-19 Vaccine EUA Heart attack
Death |
According to
his daughter, patient did not appear to have any ill effects from his second
COVID-19 vaccine on 03/09/2021. However, on 03/11/2021, he suffered what is
suspected to be a fatal arrhythmia/myocardial infarction. It is unknown if
there is any correlation to the vaccine. |
Patient seen and evaluated by PA-C. with
myself. We agreed on the clinical
findings and implemented our plan together.
Please see PA's note for details.
All relevant procedures supervised. Patient arrived to the emergency
department due to respiratory symptoms, hypoxic, reported that Wednesday he
received his 2nd dose of COVID vaccine.
His initial workup was concern for NSTEMI with elevated troponin and
peaked T-waves, his chest x-ray
concerning for COVID/pneumonia.
Patient initially tolerated oxygen by nasal cannula and sepsis
protocol was started including IV fluid resuscitation that was done
cautiously due to the concern of COVID with respiratory failure. The biotics were given. PA-C readdressed code status with patient
who confirmed that his DNR DNI, she so contacted his daughter. Patient had multiorgan failure including
acute kidney injury, and pneumonia with respiratory failure +/- respiratory
failure. Due to the concern of NSTEMI
patient was initially going to be transfer to was hospital and transfer was
started. Patient respiratory status
started deteriorating and his blood pressure dropped slightly but improved
after 500 cubic centimeters of IV fluid and he was also placed on a NIPPV.
Around 6:00 p.m. patient has significantly desaturation and he discontinued
himself NIPPV. Due to inability to
intubate patient, he was ventilated with BVM, patient is slowly improved
saturation levels and was opening his eyes, he was placed on a
non-rebreather. At this point there is
high concern of ARDS and due to inability to intubate or give for the
respiratory support His daughter was at bedside and updated of current
medical status and poor prognosis.
Patient continued deteriorating and at this point he had agonal
breathing. His daughter was at bedside
and she was made aware of the futile prognosis of patient due to his respiratory
failure. Patient rapidly became
bradycardic and went into cardiac arrest.
No CPR was done due to the DNI DNR status of the patient. á Critical Care Procedure Note Authorized
and Performed by: MD Total critical
care time: Approximately 30 minutes Due to a high probability of clinically
significant, life threatening deterioration, the patient required my highest
level of preparedness to intervene emergently and I personally spent this
critical care time directly and personally managing the patient. This
critical care time included obtaining a history; examining the patient; pulse
oximetry; ordering and review of studies; arranging urgent treatment with
development of a management plan; evaluation of patient's response to
treatment; frequent reassessment; and, discussions with other providers. This
critical care time was performed to assess and manage the high probability of
imminent, life-threatening deterioration that could result in multi-organ
failure. It was exclusive of separately billable procedures and treating
other patients and teaching time. Please see MDM section and the rest of the
note for further information on patient assessment and treatment. á PE: VITAL SIGNS: BP: 126/75 Pulse: (!) 122 Resp: (!) 40 SpO2: (!) 82 % Temp: 98.1 ¦F (36.7 ¦C) Height: 5' 8"" (172.7 cm) Weight: 152 lb (68.9 kg) General: Alert, nontoxic, in no acute distress.
Lungs: Clear to auscultation
bilaterally. á CLINICAL IMPRESSION: 1.
Sepsis with acute hypoxic respiratory failure and septic shock, due to
unspecified organism (HCC) 2.
Suspected COVID-19 virus infection 3.
NSTEMI (non-ST elevated myocardial infarction) (HCC) 4. Multifocal pneumonia 5. ARDS (adult respiratory distress
syndrome) (HCC) 6. Acute kidney injury
(HCC) á á Further care and disposition
otherwise as outlined by PA. á
á ED on 2/14/2021 Revision & Routing History Detailed Report Note filed date Mon Feb 15, 2021 á8:46
AM"" |
Patient had
no known ill effects or complaints directly after receiving his first COVID-19
vaccine on 02/19/2021. However, on 03/21/2021, he was found deceased on his
bedroom floor due to a suspected cardiac arrhythmia. It is unknown if there
is any correlation. |
Pt called son
to let him know he couldn't breath around 2 AM. Pts son showed up at his house 10 minutes
later and ambulance arrived with in 20 minutes at 2:15 |
Patient
received first dose of the COVID-19 Moderna vaccine on 1/19/2021 at an
outside facility (no lot #, route, or site available to me in electronic
charting). Pt began having hypoxia,
SOB, and a dusky appearance of extremities on 1/29/2021 and was brought by
EMS to our hospital. PT is a DNR and
family had been looking into a hospice sign up due to dementia and general
decline in the weeks prior to hospitalization. Pt tested positive on admission for
COVID-19 via PCR test on 1/29/2021. Pt
continued to have respiratory decline, was put on comfort care per wishes of
family/advanced directives, and he passed away the evening of 1/30. |
death-
unexplained cause |
Client was
administered the vaccine while symptomatic (01/25/21) although client did not
know he was symptomatic for COVID-19. He had been exposed to a family member
who had tested positive and should have been in quarantine but wasn't either
because it was not felt he was considered a close contact by his family opinion or his family member
never notified public health of this close contact...?. Clinet had presented
to the ED following day after vaccination for shortness of breath and fatigue
and an antigen test showed he was positive for COVID-19. He was sent home
that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms
and admitted to hospital and later placed on ventilator. He passed away on
02/09/2021 (date of death was per his wife). |
Pt suffered
Cardiac Arrest and respiratory arrest on 2/9/21 and passed away at a local
hospital. He had multiple health conditions likely contributing to this. he arrested at home and CPR was attempted
and unsuccessful. Pt received his Covid vaccine #1 on 1/27/21. No issues were
noted after vaccine and was due for his 2nd dose next week. However, we were
notified he passed away on 2/9/21.
Very likely death not at all related to vaccine but wanted to document
as patient was in the middle of the covid vaccine series. |
At 10:33 am
Patient pushed her pendant for staff, staff arrived to her apartment and
Patient was found unresponsive in her bathroom. Patient received her second
COVID-19 Pfizer vaccine about 75 minuets prior to this, she had no adverse
reaction's within the first hour of receiving the second dose. CPR was
started until paramedics arrived, they took over and tried to resuscitate.
Patient was pronounced dead at 11:33 am at scene. |
Resident had
slight/slow decline in health prior to vaccine but continued to be able to
walk around with walker at community. The day of the vaccine she had a fever.
2 days after vaccine resident did not get out of bed all day and refused to
eat. She had small amounts of orange juice as her blood sugar level was low
due to not eating. Resident was diagnosed with a UTI and began an oral
antibiotic. 3 days after and on day 5 after vaccine resident began feeling
weak and had a fall on each day. The following day again resident spent the
day in bed. The next day she was quite restless, was on the edge of her bed
attempting to self transfer often throughout the day. Resident continued to
be restless on the 10th of Feb, had further decline on the 11th of Feb. Resident
passed away early the AM of Feb. 12th. |
L hand edema,
hematoma which burst and caused bleeding sending pt to the ER for pressure
dressing and 2 stitches. L hand and
arm progressively got more edematous and bruised looking (severely
black/blue/purple) and the hand continued to bleed and swell on 2/6/21. Severe arterial and venous issues and
apparent blood clots. On 2/7/21 there
were also lumps noted on left inner thigh.
Pt. stopped eating or drinking on 2/8/21 and expired on 2/12/21. |
On the 25th
he was home alone, he called 911 and let them know he thought he was having a
stroke. EMS arrived and transported him to Hospital. It was massive stroke,
he was not able to comprehend anything, he was put into Hospice the following
day and passed away on the 27th. There was no autopsy preformed. |
Patient
passed away on 2/1/21 at the Health System. She was there for congestive
heart failure (CHF) which had been a problem for her since contracting
COVID-19 (symptoms began 10/29/20 and tested positive 10/30/20). She had been
to see her medical provider several times after her isolation period as well
as a few trips to the hospital for, what they called ""CHF
flare-ups"". Her last hospitalization began on January 30, 2021.
Her social worker reported on t1/31/21 that ""she would likely be
returning in another day or two""."" |
Pt tested
Covid positive 2/8/2021. |
2/182021:
Witnessed cardiorespiratory arrest with PEA arrest upon EMS arrival |
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Monday, April 12, 2021
These are all deaths correlated to COVID Jab In Wisconsin
These are all deaths correlated to COVID Jab In Wisconsin
Estimates that only 0.8% to 2% of Adverse Events gets reported to VAERS
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