Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Livedo reticularis, Musculoskeletal discomfort, Pulmonary embolism, Pulseless electrical activity, Pupil fixed
Clinical narrative: Patient was pronounced dead at the scene so hospital notes are not available.     However, per Medical Examiner:  "Today I did the autopsy of a 32-year-old male with massive pulmonary thromboemboli.  It is reported that the decedent had the J&J COVID vaccine on 4/10/21 at vaccine location. It is stated that he did not have an issue right after he had the vaccine but later complained of shortness of breath.  He had a sudden collapse and died on 4/19/2021. "Doctor submitted a VAERS as well 462051 (4/21/21)  Medical Examiner Case Notes from 4/19/21.   Case Brief (Non-identifiable data)  A 32 year old male that EMS responded to for ?difficulty breathing? went into a ?full arrest? while and scene and the male could not be resuscitated and it is an ?Undetermined Death? at this time.  Investigator Narrative CASE SUMMARY: A 32 year old male that EMS responded to for ?difficulty breathing? went into a ?full arrest? while and scene and the male could not be resuscitated and it is an ?Undetermined Death? at this time.  ANTEMORTEM EVENTS: Patient, DOB 3/31/1989, (Decedent?s name (hereafter referred to as decedent) is a employed never been married and no children that resided with an uncle, DOB 4/30/1963 and a cousin. I spoke with EMS Paramedic  on the phone and he states that they had a 32 year old male that when they arrived on scene was having a difficult breathing and it turned to a full arrest and the decedent was in ?PEA?. He states the decedent had vomited and had diarrhea prior to going into arrest. The decedent was worked for forty minutes and pronounced dead per doctor at 0747 hours. On scene I am met by the department and he states that the detective is coming to the scene. He states that the decedent collapsed while being worked. EMS Paramedic on scene state that when they were first on scene the decedent had difficulty breathing and had went into the bathroom, vomited and had diarrhea and said he wanted to be taken to the hospital. It is stated the decedent appeared to have a seizure, looked confused then had like a snoring respiration and arrested. He was in ?PEA?, worked for forty minutes and pronounced dead at 0747 hours per doctor at hospital/ER. Uncle of the decedent and cousin on scene states that yesterday the decedent reported having pressure to the back of his neck and was waiting to see if he felt better later because he did not have insurance. It is stated that the decedent had the J&J COVID vaccine on 4/10/21. It is stated that he did not have an issue right after he had the vaccine but later complained of shortness of breath. It is stated that on Saturday the decedent thought he had a heart attack. It is stated that the decedent had been taking Tramadol and stopped taking it yesterday. It is stated that the decedent recently hurt his left knee playing football and had a brace on the leg.  COVID Death Investigation checklist:  Within the 2 weeks prior to death, did the decedent experience: COVID positive contact: No (family states he was not going out) Fever (temperature greater than 100.4F or 38C): No Cough: Unknown Shortness of breath: Yes Upper respiratory symptoms: runny nose, nasal congestion or sore throat: Unknown Muscle aches: No Loss of smell: No Diarrhea: No COVID Vaccine reportedly J&J given on 4/10/21  MEDICAL/SOCIAL HISTORY: Family on scene reports that the decedent has no children and he was never married. It is stated he recently started a new full time job and he worked from home. It is reported the decedent used marijuana and he did not use alcohol or any illegal drugs. It was states he was not in the military. It is stated the decedent reportedly had shortness of breath later after receiving the J&J COVID vaccine and it was stated he started vomiting and had diarrhea about three to four days following the vaccine and thought maybe the decedent had food poisoning. It is stated the decedent had high blood pressure and was given Lisinopril. Medical records obtained from Urgent Care for a visit on 3/19/21:  SCENE DESCRIPTION: The scene is the back in the driveway of the residence. Originally the decedent was in the residence and the residence appears clean and well kempt. The temperature in the residence reads 68 degrees. Medications on scene are Tramadol and Lisinopril. A medical bill for the decedent is observed from Urgent Care.  BODY DESCRIPTION: The decedent is identified by Paramedics. The mother and uncle on scene also identified the decedent.  The decedent is observed by Det.  The decedent is strapped to a gurney and covered with a white sheet. The sheet had been removed by Det. The body is that of a  male supine on a gurney and the arms are out at the sides hanging over the sides of the gurney and he is wearing orange shorts. He is cool to the touch, and rigor is not observed. He appears cyanotic upper chest to the face and the decedent appears mottled at the arms and face. The decedent is intubated and an I/O is observed at the right tibia. A leg brace is observed at the left leg and it is reported the decedent had a recent injury to the knee. The decedent has a brown beard and brown hair. There are obvious signs of resuscitative efforts at the sternum; EKG leads are observed to the upper right and left chest and at the sides of the abdomen and a tattoo is observed at the upper left arm. His pupils are fixed and the pupils appear dilated. He is rolled and outward trauma to the back is not observed.  IDENTIFICATION/NEXT OF KIN: The decedent is identified by Paramedics. The mother and uncle on scene also identified the decedent and the family is on scene. The family is told the decedent will be taken for examination at the university.  PRIMARY CARE PHYSICIAN: It is reported the decedent did not have insurance and he use urgent care. A medical bill from Urgent Care was found and medical records have been requested.  NEEDED FOLLOW UP: EMS and medical records from urgent care have been uploaded. Police report has been requested. DISPOSITION: Death investigator authorized the body be taken for autopsy because of the age of the decedent, little medical history, recent injury to leg and recent COVID vaccine given. A funeral home is not determined at this time. My card and number is left for the mother of the decedent.  MEI transports the decedent to Medicine.  Medical History Information Sources None indicated Diseases/Disorders Hypertension Cancer None indicated Cardiac/Cardiovascular None indicated GI/GU None indicated Hepatic None indicated Neurological None indicated Psychiatric Illness None indicated Tobacco Use / Smoking Use Current Type Cigarettes Describe (include daily use): Alcohol Use None Drinks per day Drug Use None indicated Drug description Marijuana    Medications Medication 1 Tramadol hydrochloride  Medication 2 Lisinopril