Sex: M
Vaccine: COVID19, COVID19
Symptoms: Drug ineffective, Heart rate, Heart sounds, Laboratory test, Oxygen saturation
Clinical narrative: tested positive for covid on 12Aug2022; tested positive for covid on 12Aug2022; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP).  A 79-year-old male patient received BNT162b2 (BNT162B2), as dose 3 (booster), single (Lot number: FF2593) for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 23Feb2021 as dose 1, single (Lot number: 006M20A) and as dose 2, single (Lot number: 040A21A) for covid-19 immunisation. The patient's relevant medical history included: "Dementia" (unspecified if ongoing), notes: Patient has Dementia. The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (death, hospitalization, medically significant), COVID-19 (death, hospitalization, medically significant) all with onset 12Aug2022, outcome "fatal" and all described as "tested positive for covid on 12Aug2022". The patient was hospitalized for drug ineffective, covid-19 (start date: Aug2022, discharge date: Aug2022, hospitalization duration: 7 day(s)). The event "tested positive for covid on 12aug2022" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood creatinine: (Aug2022) 3.07, notes: Increased; Blood pressure measurement: (Aug2022) 168/104; Blood sodium: (Aug2022) 162, notes: Increased; Body temperature: (Aug2022) 102 Fahrenheit, notes: Increased; Heart rate: (Aug2022) 134; (Aug2022) Pulseless, notes: Absent; Heart sounds: (Aug2022) Absent; Laboratory test: (Aug2022) Abnormal; Oxygen saturation: (Aug2022) 89 %, notes: On 6L nasal canula; Pupillary light reflex tests: (Aug2022) Dilated, notes: Fixed and unresponsive to light; Respiratory rate: (Aug2022) 36; SARS-CoV-2 test: (12Aug2022) Positive; (23Aug2022) Detected, notes: 23Aug2022: SARS-COV-2 (COVID-19) by NAA MIcro: Detected; Troponin: (Aug2022) 0.11; White blood cell count: (Aug2022) 19.6, notes: Increased. The patient date of death was 31Aug2022. Reported cause of death: "tested positive for covid on 12Aug2022". It was not reported if an autopsy was performed.  Clinical course: 79-year male who presents with altered mental status. Patient was a poor withheld; majority of history was taken from wife over the phone. Patient tested positive for COVID on 12Aug2022 at his nursing home. Patient has advanced dementia, not conversational at baseline. He was living with his wife at home until 01Aug2022 when he moved into a nursing home. A few weeks ago, he started having poor oral intake and worsening confusion. In the EC, temp 102 degF, blood pressure 168/104, heart rate 134, respiratory rate 36, pulse ox 89% on 6L nasal canula. Labs significant for sodium 162, creatinine 3.07, troponin 0.11, WBC 19.6. COVID test positive. Patient found to be in acute hypoxic respiratory failure due to COVID, MSSA bacteremia, VTE, AKI and hypernatremia. Family including wife and daughter, decided to transition patient to hospice care. Patient assessed and unresponsive to verbal and tactile stimuli, pulseless, respirations and heart sounds absent. Pupils dilated, fixed, and unresponsive to light. Date and time of death pronounced on 31Aug2022 at 1600.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: tested positive for covid on 12Aug2022