Programmer with peanut allergy ‘asked if he was going to die after eating pizza’

A computer programmer with a peanut allergy, who ate a slice of pizza he ordered via Deliveroo, asked paramedics if he was going to die before passing out, an inquest has been told.

James Atkinson, 23, ordered a chicken tikka masala pizza, chips and other Indian dishes with a flatmate, having searched the internet for likely ingredients in certain foods, the inquest in Newcastle was told.

The former Newcastle University student, originally from Leeds, is said to have eaten less than a slice of the pizza before realising something was wrong as he became rapidly unwell.

While his flatmate unsuccessfully looked for an EpiPen, Mr Atkinson called an ambulance.

The inquest was read a statement from Stephen Gillespie, a paramedic with the North East Ambulance Service, who said he was urgently diverted to Mr Atkinson’s home in Jesmond with two colleagues.

They found Mr Atkinson in his bathroom “in the tripod position” and breathing extremely quickly, and he was given adrenalin.

The paramedic said: “James was scared throughout.”

He asked “Am I going to die?” Mr Gillespie said.

Dr Jennifer Bolton, a Home Office pathologist, outlined the background to her inquiry into Mr Atkinson’s death and said he was “gasping for air” when the ambulance crew arrived.

By the time he was taken downstairs, he was assessed to have a Glasgow coma score of three, Dr Bolton said, and was “profoundly unconscious”.

Mr Atkinson was taken to Newcastle’s Royal Victoria Infirmary at 8.40pm on July 10 2020 and, despite the efforts of medics to resuscitate him, his death was confirmed at 9.21pm.

Toxicology tests showed he had no alcohol or drugs in his system and so his decision-making ability was not impaired, the inquest was told.

Dr Bolton said Mr Atkinson was known to be “usually very good” at monitoring his allergies, having been diagnosed with a peanut allergy 10 years before.

The contents of his stomach were examined by an expert after his death and what were possibly nuts were found.

Examination of the uneaten takeaway food also detected the presence of peanuts, as did analysis of a “nut mix” at the Dadyal restaurant that supplied it, Dr Bolton said.

She gave the cause of death as anaphylaxis following peanut ingestion.

Coroner Karen Dilks asked Dr Bolton if the outcome would have been different had an EpiPen been found.

The pathologist said: “Even with the appropriate use of an EpiPen, there’s no guarantee that an individual will survive, but it certainly increases your chances.”

Craig Hassall KC, for the family, asked Dr Bolton about Mr Atkinson’s fears about dying, which he expressed to paramedics.

She said: “He experienced his difficulty in breathing and he was becoming aware it was getting worse. Individuals do sometimes say, ‘I am going to die’.

“Medically, that is taken very seriously. Everybody is still doing everything they can to stop that being the case and, in fact, to prove the individual wrong.”

At the start of the hearing, Mr Atkinson’s parents Jill and Stuart came forward together to read out a pen portrait of their son.

On behalf of the family, Stuart said: “James had a gift of making others happy, checking in on friends and offering support when needed.

“To be in his company with his amazing sense of humour and infectious laugh was a privilege.

“First on the dance floor and last to leave, James lived life to its fullest but also had a sensitive and thoughtful side.

“His whole family meant the world to him. He was loving, kind and caring.

“James’s sudden death has left an insurmountable hole in our hearts.

“He had his whole life ahead of him full of future plans and dreams that will not be realised or witnessed by his family.

“No more memories to make.

“We were blessed to have him for the 23 years that we did. He is irreplaceable. However, to honour him we hold a forever space in our hearts and carry him with us always – our beautiful boy James.”

The inquest was adjourned until 10am on Tuesday.