Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Respiratory arrest, Resuscitation, Rib fracture, Snoring, Sternal fracture
Clinical narrative: This is a spontaneous case reported by other non-health professional on 27-Nov-2018, concerning a 67-year-old, elderly female patient of weight: 213 lbs, height: 68.5 inches and body mass index (BMI): 31.92. The patient's historical condition included dysphagia, constipation, oesophageal spasm, urinary retention and presbyesophagus. The current conditions included weakness, gastroesophageal reflux disease, hypertensive cardiovascular disease, atherosclerotic cardiovascular disease, diabetes mellitus, obesity, colonic diverticulosis and leiomyoma uteri. The patient was allergic to sumatriptan and Ciprofloxacin. The concomitant medications included aspirin, gabapentin, lactobacillus acidophilus, Linaclotide, lorazepam, metformin, Vitamins, omeprazole, pramipexole, simvastatin and warfarin for unknown indications. On 23-Oct-2018, the patient was scheduled to drink the preparation prior to her colonoscopy. Around 2:30 pm on the same day, patient began drinking the preparation and began to experience weakness and syncope around 4:30 pm. The patient went to the emergency room and was treated for hypotension. The patient was admitted in the emergency room overnight. On 24-Oct-2018, the physician performed the colonoscopy within the hospital without any issues and at 4 pm, patient was ready to be discharged. On 24-Oct 2018, the patient was administered AFLURIA QUADRIVALENT (dose, route of administration, anatomical location, batch number and expiry date: not reported). On the same day, about 3 hours after vaccination, the patient felt extremely cold, tired and had a fever of 100.3. The patient was given TYLENOL to treat the fever and chills. The patient took some of her medications (warfarin, gabapentin, simvastatin, and metformin) and went to bed. On 25-Oct-2018, around 5 am in the morning, the husband of the patient found her snoring. When he returned to the patient about 30 minutes later, he found that the patient was not breathing and had no pulse. CPR was performed but later, the patient was pronounced dead. On an unspecified date, autopsy was performed, and revealed an anterior fracture of the second through eight ribs and the sternum at the level of the fourth ribs. The purple contusions of the left forearm measuring 4x 3 cm in greatest dimension was noted. The final diagnosis was reported as hypertensive and atherosclerotic cardiovascular disease (cardiac hypertrophy: 600 grams, left ventricular hypertrophy: 1.5 cm, slight coronary atherosclerosis, moderate aortic atherosclerosis, slight cerebral atherosclerosis and nephrosclerosis were noted), diabetes mellitus (glucose: 436 mg/dl), obesity (BMI: 31.92), colonic diverticulosis and leiomyomata uteri. The cause of death was reported as hypertensive and atherosclerotic cardiovascular disease and the contributing factor was diabetes mellitus and obesity. The outcome of the events feeling cold, fever, chills, fatigue was fatal and the outcome of the events rib fracture, sternum fracture and contusion was not reported. The reporter assessed the serious (death).