BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE USE ONLY

OFFICE OF THE CHIEF MEDICAL EXAMINER Re Co

I hereby certify that this is a true

Central Office Eastern Division
and correct copy of the original
921 N.E. 23rd St 1115 West 17th Street document. Valid only when copy
Oklahoma City, OK 73105 Tulsa, Oklahoma 74107 bears imprint of the office seal.
(405) 239-7141 Phone - (405) 239-2430 Fax (918) 295-3400 Phone - (918) 585-1549 Fax
By

REPORT OF INVESTIGATION BY MEDICAL EXAMINER Date

DECEDENT First-Middle-Last Names (Please avoid use of initials) Age Birth Date Race Sex
DONALD ANTHONY GRANT 46 12/17/1975 BLACK M

HOME ADDRESS - No. - Street, City, State

1301 NORTH WEST STREET, MCALESTER, OK

EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS) DATE TIME

OK DEPT. OF CORRECTIONS - OIG 1/27/2022 10:35

INJURED OR BECAME ILL AT (ADDRESS) CITY COUNTY TYPE OF PREMISES DATE TIME
1301 NORTH WEST STREET MCALESTER PITTSBURG PRISON 1/27/2022
Unknown
LOCATION OF DEATH CITY COUNTY TYPE OF PREMISES DATE TIME
OKLAHOMA STATE PENITENTIARY - H UNIT MCALESTER PITTSBURG PRISON 1/27/2022 10:16

BODY VIEWED BY MEDICAL EXAMINER CITY COUNTY TYPE OF PREMISES DATE TIME
1115 WEST 17TH STREET TULSA TULSA AUTOPSY SUITE 1/27/2022 13:23

TRANSPORTATION INJURY DRIVER PASSENGER PEDESTRIAN

TYPE OF VEHICLE: AUTOMOBILE LIGHT TRUCK HEAVY TRUCK BICYCLE MOTORCYCLE OTHER:

DESCRIPTION OF BODY RIGOR LIVOR EXTERNAL OBSERVATION NOSE MOUTH EARS

Jaw Complete Color PURPLE Beard BLK-GRY Hair BALD BLOOD

EXTERNAL
PHYSICAL Neck Absent Lateral Eyes: Color BRN Mustache BLK-GRY OTHER
EXAMINATION Arms Passing Posterior
Opacities
Legs Passed Anterior Pupils: R 4 MM L 4 MM
Decomposed Regional Body Length 71 IN Body Weight 207 LBS

Significant observations and injury documentations - (Please use space below)

JUDICIAL EXECUTION BY LETHAL INJECTION

Probable Cause of Death: Manner of Death: Case disposition:

JUDICIAL EXECUTION BY LETHAL INJECTION Autopsy YES
Natural Accident
Authorized by JEREMY SHELTON M.D.
Suicide Homicide
Pathologist JEREMY SHELTON M.D.
Unknown Pending
Not a medical examiner case
Other significant conditions contributing to death (but not resulting in the underlying cause given) Not Assigned

I hereby state that, after receiving notice of the death described herein, I
MEDICAL EXAMINER:
Name, and Address:
conducted an investigation as to the cause and manner of death, as required by
law, and that the facts contained herein regarding such death are true and correct
JEREMY SHELTON M.D. to the best of my knowledge.

1115 W 17th Street 1/27/2022

Tulsa, OK 74107 Date Case Initiated

Signature of Medical Examiner JEREMY SHELTON M.D.

3/3/2022
Computer generated report
Date Case Finalize
CME-1 (REV 7-19)

Case Number: 2200668 Page 1 of 1

 Board of Medicolegal Investigations CERTIFICATION
I hereby certify that this document is a
Office of the Chief Medical Examiner true and correct copy of the original
1115 West 17th Street document. Valid only when copy
bears imprint of the office seal.
Tulsa, Oklahoma 74107
By____________________________
(918) 295-3400 Phone
(918) 585-1549 Fax Date__________________________

REPORT OF AUTOPSY
Decedent Age Birth Date Race Sex Case No
DONALD ANTHONY GRANT 46 12/17/1975 BL M 2200668
ID By Authority for Autopsy
FINGERPRINT COMPARISON JEREMY SHELTON, M.D.
Present at Autopsy
SARAH CAMPBELL, BARBARA BASTIAANSE, JEREMY SHELTON, M.D.

PATHOLOGICAL DIAGNOSIS
I. Judicial execution by lethal injection
A. Right and left antecubital fossae venipuncture sites demonstrate intraluminal catheter
placement
1. Empty drug syringes and infusion equipment retained and submitted as evidence
B. Midazolam (1900 ng/mL) present in femoral blood
C. The presence of vecuronium bromide and potassium chloride cannot be reliably detected
and/or quantitated by routine toxicological analysis
II. Mild pulmonary edema and congestion (combined lung weight, 880 grams)
III. Atypical adenomatous hyperplasia of left lower lung lobe (0.3 cm in greatest dimension)
IV. Atherosclerotic coronary artery disease: 60-70% stenosis of left anterior descending coronary
artery; 30-40% stenosis of right coronary artery and left circumflex coronary artery
V. Lymphocytic thyroiditis
VI. No evidence of recent trauma
VII. Remote projectile recovered from the left foot
VIII. Human Adenovirus detected (postmortem respiratory pathogen panel)

CAUSE OF DEATH: JUDICIAL EXECUTION BY LETHAL INJECTION

MANNER OF DEATH: HOMICIDE

The facts stated herein are true and correct to the best of my knowledge and belief.

OCME Eastern Division 1/27/2022 1:23 PM

JEREMY SHELTON, M.D. Pathologist Location of Autopsy Date and Time of Autopsy
CASE NO. 2200668 PAGE |2

MEDICOLEGAL INVESTIGATION
CIRCUMSTANCES OF DEATH:
Received for autopsy examination is the body of a 46-year-old man who was pronounced deceased
following judicial execution by lethal drug injection.

AUTHORIZATION:
The postmortem examination is performed under the authorization of the Office of the Chief Medical
Examiner, Eastern Division, Tulsa, Oklahoma.

IDENTIFICATION:
The body is identified scientifically through fingerprint comparison.

POSTMORTEM EXAMINATION
The postmortem examination of Donald A. Grant is performed at the Office of the Chief Medical
Examiner, Eastern Division, Tulsa, Oklahoma. Blue seal #1806818 is removed on 01/27/2022 at 1323
hours and the body bag is opened.

Received for autopsy examination is the body of a well-developed, well-nourished adult male, weighing
207 pounds, measuring 71 inches, and appearing to be consistent with the stated age.

CLOTHING AND PERSONAL EFFECTS:

The decedent is clad in:
• Gray shirt
• Gray pants
• Sandals

EXTERNAL EXAMINATION:
The temperature of the body is warm to the touch. Rigor mortis is absent. Blanching purple livor mortis is
evident over the posterior parts of the body, except in areas exposed to pressure, where it is absent.

The skin is of normal pliability and texture.

The scalp is bald. The face shows a black-white mustache with beard. The irides are brown and the
conjunctivae are congested and free of petechial hemorrhages. The corneas are transparent. The pupils are
unremarkable and measure 4 mm, bilaterally. The ears, nose, and mouth are free of lesions. The lingual
and orolabial frenulae are intact. The teeth are natural and in a fair state of dental repair.

The neck is symmetrical. No increased mobility on manipulation is detected.

The chest is symmetrical. The breasts are of normal adult male configuration with no palpable masses.

The abdomen is soft and free of significant distension.

The back is symmetrical and unremarkable.

The external genitalia are of normal adult male conformation with no external lesions.
CASE NO. 2200668 PAGE |3

The extremities are symmetrical and each display five digits. There is a healing vertical linear
discontinuous red-brown abrasion of the anteromedial right ankle. There is a symmetric decrease in hair of
the distal bilateral lower legs. Percutaneous blood samples are obtained from the right and left femoral
vasculature on 01/27/2022 at 1333 hours and 1336 hours, respectively.

POSTMORTEM RADIOGRAPHY:
Postmortem radiography shows a radiopaque object retained within the left foot. There is no evidence of
acute fracture.

IDENTIFYING MARKS AND SCARS:

Tattoos:
• Right upper chest: Monochromatic lettering, 15 x 3 cm
• Left upper chest: Monochromatic design, 6 x 6 cm

Scars:
• Anteromedial right upper arm: Oblique curvilinear scar, 10 cm in length
• Right mid abdomen: Two ovolinear scars, 1 x 0.5 cm each
• Umbilicus: Ovolinear scar, 2 x 1 cm
• Left mid abdomen: Two ovolinear scars, 1 x 0.5 cm each

EVIDENCE OF LETHAL INJECTION:

There is a pulse oximetry sensor on the right index finger. Electrodes are seen on the right chest, left chest,
and left abdomen. Examination of right and left antecubital venipuncture sites is described below.

Right upper extremity:

There is a percutaneous catheter of the right antecubital fossa that is held in place with a transparent
adhesive dressing and strips of medical tape. Attached to the catheter is a segment of tubing that displays
red intraluminal fluid. There is a piece of yellow tape affixed to the external surface of the tubing.

With the percutaneous catheter still secured in place, dissection of the adjacent skin and subcutaneous fat
demonstrates that the catheter is within the lumen of the right cephalic vein. There is scant hemorrhage of
the adventitial tissue at the deep aspect of the right cephalic vein.

Left upper extremity:

There is a percutaneous catheter of the left antecubital fossa that is held in place with a transparent
adhesive dressing and strips of medical tape. Attached to the catheter is a segment of tubing that displays
intraluminal foci of red fluid. There is a piece of green tape affixed to the external surface of the tubing.

With the percutaneous catheter still secured in place, dissection of the adjacent skin and subcutaneous fat
demonstrates that the catheter is within the lumen of the left cephalic vein. There is scant hemorrhage of
the adventitial tissue at the deep aspect of the right cephalic vein.

EVIDENCE SUBMITTED AT AUTOPSY:

• Facial and pubic hair
• Swabs of the oral cavity and rectum
• Fingernail swabs of the right and left hands
• Blood DNA card
• Pants
CASE NO. 2200668 PAGE |4

• Shirt
• Shoes
• NaCl IV bag, tubing with infusion manifold, and bag
• Pulse oximetry sensor
• Nine syringes, as follows:
o Plastic syringe, green label 1A, 250 mg midazolam
o Plastic syringe, green label 2A, 250 mg midazolam
o Plastic syringe, black label 3A, 60 mL heparin/saline
o Plastic syringe, yellow label 4A, 50 mg vecuronium
o Plastic syringe, yellow label 5A, 50 mg vecuronium
o Plastic syringe, black label 6A, 60 mL heparin/saline
o Plastic syringe, red label 7A, 120 mEq potassium chloride
o Plastic syringe, red label 8A, 120 mEq potassium chloride
o Plastic syringe, black label 9A, 250 mg 60 mL heparin/saline
• Catheter with green tape from left arm
• Catheter with yellow tape from right arm
• Electrodes (three) from anterior torso
• Cardiorespiratory tracing strip

EVIDENCE OF RECENT INJURY:

There is no evidence of recent physical injury.

INTERNAL EXAMINATION:
The body is returned to the body bag for overnight refrigeration. At 0822 hours on 01/28/2022, the body
bag is opened for commencement of the internal examination.

The body is opened by a “Y” shaped incision. The viscera of the thoracic and abdominal cavities occupy
their normal sites. The serous surfaces are smooth and glistening. Each pleural cavity is moist. The
peritoneal cavity is moist. The domes of the diaphragm are normally positioned. The margins of the liver
and spleen are in proper relationship to their costal margins. There is foreign mesh material adherent to the
central anterior peritoneal lining.

CARDIOVASCULAR SYSTEM:
The heart weighs 370 grams. The pericardium is smooth and contains 5 mL of serous fluid. The epicardial
surface is smooth. There is a normal amount of epicardial fat. The external configuration of the heart is
unremarkable. The right ventricular chamber is dilated and the left ventricular chamber is of normal size.
The right ventricle is 0.3 cm thick, the left ventricle is 1.3 cm thick, and the interventricular septum is 1.3
cm thick. The endocardium and valve leaflets are smooth, thin, pliable, and unremarkable. The
circumferences of the valves are as follows: tricuspid valve = 11 cm; pulmonic valve = 7 cm; mitral valve
= 9 cm; and aortic valve = 7 cm. The coronary arteries have a normal distribution with a right
predominance. The right and left coronary ostia are normal in patency. Multiple cross-sections of the
coronary arteries display scattered foci of atheromatous narrowing with up to 60-70% stenosis of the
proximal to mid left anterior descending coronary artery, and up to 30-40% stenosis of both the mid right
coronary artery and mid left circumflex coronary artery. The myocardium is of the usual consistency, red-
brown, and unremarkable.

The aorta is lined by tan-yellow endothelium with scattered lipid streaks.

The venae cavae are unremarkable.

CASE NO. 2200668 PAGE |5

RESPIRATORY SYSTEM:
The tracheal mucosa is smooth, tan, and glistening. The major bronchi are free of obstruction. The right
lung weighs 450 grams and the left lung weighs 430 grams. The pleurae are smooth, delicate, glistening,
and free of anthracotic pigment. The lungs are not distended and show pink coloration, anteriorly, with
maroon posterior congestion. The lung tissue displays edema and congestion without evidence of
consolidation. The pulmonary arteries and veins exhibit no pathological change.

HEPATOBILIARY SYSTEM:
The liver weighs 2110 grams. The capsule is smooth and glistening. The external surface is glistening and
brown. The parenchyma is tan-brown and shows a 6 x 5 x 4 cm region of tan to red-brown discoloration
and softening at the superior subcapsular aspect of the liver. The usual lobular architecture is retained.

The gallbladder has a smooth mucosa and contains 5 mL of bile. The wall is thin and the mucosa is bile-
stained. No stones are present.

HEMOLYMPHATIC SYSTEM:
The spleen weighs 200 grams and is of usual consistency. The capsule is intact and smooth. The internal
architecture is unremarkable.

There are no enlarged lymph nodes identified.

GASTROINTESTINAL SYSTEM:
The esophagus is smooth, tan, glistening, and free of lesion. The stomach contains 50 mL of brown liquid.
The stomach mucosa shows the usual rugal folds with foci of congestion. The remainder of the
gastrointestinal system is unremarkable. The appendix is identified and is unremarkable.

PANCREAS:
The pancreas is normally lobulated and weighs 180 grams. The parenchyma is soft, tan-maroon, and
congested.

GENITOURINARY SYSTEM:
The kidneys are in the usual position and without malformation. The right kidney weighs 150 grams and
the left kidney weighs 150 grams. The capsules strip easily, revealing red-brown cortical surfaces with
mild granular scarring. The cortico-medullary junctions are well-defined. The medullae are unremarkable.
The calyceal and collection systems are unremarkable. The ureters, renal arteries, and veins are
unremarkable.

The bladder contains 130 mL of clear yellow urine. The mucosa is pink-tan and unremarkable. The
ureteral orifices are patent.

The prostate is not enlarged and does not impinge upon the urethra. The tissue of the prostate is lobulated,
tan, and rubbery. The seminal vesicles are unremarkable.

The testes are both present within the scrotal sac. The parenchyma is unremarkable.

ADRENAL GLANDS:
Both adrenals are of the usual size and shape. The cut surface shows a thin yellow cortex and brown-gray
medulla.
CASE NO. 2200668 PAGE |6

MUSCULOSKELETAL SYSTEM:
Dissection of the left foot reveals an apparent black metal projectile embedded within the cuboid bone.
The apparent projectile is encased in fibrous tissue and bone, and there is no evidence of adjacent soft
tissue hemorrhage. The remaining axial and appendicular skeleton shows no abnormalities. The exposed
musculature is unremarkable.

NECK:
The soft tissues of the neck, thyroid and cricoid cartilages, and hyoid bone are unremarkable. The larynx
and trachea are free of obstruction. The laryngeal mucosa is smooth, tan-pink, and glistening. The thyroid
gland weighs 30 grams and shows lobulated tan-red-brown parenchyma. The neck is examined at the
conclusion of the autopsy, after the blood has drained and the tissues are dry. The paravertebral
musculature is unremarkable. The cervical spine is intact.

CENTRAL NERVOUS SYSTEM:

The scalp is reflected from mastoid process to mastoid process, revealing no subgaleal hemorrhages. The
calvarium is intact. The dura is white. There is no evidence of epidural or subdural hemorrhages. The
brain weighs 1310 grams. The convexities of the cerebral hemispheres are symmetrical. The
leptomeninges are thin and transparent. The subarachnoid space does not contain any hemorrhage. The
gyri occupy their usual position and the sulci exhibit a normal depth. There is no evidence of subfalcial,
uncal, or cerebellar tonsillar herniation present. The major cerebral arteries show no significant
atherosclerosis or congenital anomalies. The roots of the cranial nerves are unremarkable. Serial coronal
sections through the cerebral hemispheres show a grossly normal cortical ribbon and underlying white
matter. The basal ganglia and diencephalon show no gross abnormalities. Serial cross sections through the
brainstem and sagittal sections through the cerebellum fail to show any gross lesions or abnormalities. The
ventricular system is symmetrical and of normal size and configuration. After removal of the brain and
dura, the base of the skull does not demonstrate any fractures. The pituitary gland is unremarkable.

MICROSCOPIC EXAMINATION
Microscopic description:
• Left antecubital fossa venipuncture site: There are foci of erythrocyte extravasation within the deep
dermis and subcutaneous soft tissues. Occasional amorphous acellular translucent refractile and
polarizable debris is present in the subcutaneous soft tissues and displays no evidence of associated
inflammation.
• Right antecubital fossa venipuncture site: There are pooled extravasated erythrocytes within the
subcutaneous soft tissues. Rare amorphous acellular translucent refractile and polarizable debris is
present in the subcutaneous soft tissues and displays no evidence of associated inflammation.
• Heart: Coronary arterial cross sections demonstrate variable luminal narrowing by atheromatous
plaque without evidence of plaque rupture, thrombosis, or occlusion. The myocardium is free of
significant histopathologic change.
• Lungs: The left lower lung lobe demonstrates a 0.3 x 0.3 cm lesion comprised of atypical cells
lining alveolar spaces. The cells are cuboidal in a monolayer distribution and show rounded nuclei
with hyperchromasia, small nucleoli, and size variability, with moderate amounts of cytoplasm.
Significant mitotic activity is not appreciated. Remaining uninvolved sections of the right and left
lungs display alveolar spaces with sparsely distributed macrophages. The interstitium shows
vascular congestion, rare minute foci of carbonaceous pigment deposition, and few perivascular
loose lymphoid aggregates.
• Liver: There is a well-delineated region of marked sinusoidal congestion and apparent hepatocyte
degeneration without an accompanying inflammatory infiltrate. The adjacent uninvolved
CASE NO. 2200668 PAGE |7

parenchyma shows hepatocytic macrovesicular steatosis involving 10-20% of hepatocytes and mild
sinusoidal congestion.
• Thyroid gland: There is a patchy diffuse lymphplasmacytic infiltrate showing extensive germinal
center formation and associated thyroid follicular atrophy, with occasional intervening bands of
fibrosis.
• Kidneys: There are occasional scattered globally sclerosed glomeruli, rare foci of interstitial fibrosis
with a chronic inflammatory infiltrate, and rare brown tubular casts.
• Adrenal glands: No significant histopathologic change.
• Pancreas: Autolytic change without evidence of significant histopathology.
• Spleen: No significant histopathologic change.
• Brain: No significant histopathologic change.

Cassette list:
1. Skin and vascular subcutaneous soft tissue, left antecubital fossa venipuncture site
2. Skin and vascular subcutaneous soft tissue, right antecubital fossa venipuncture site
3. Heart, left ventricular myocardium; left anterior descending coronary artery
4. Heart, interventricular septal myocardium and right ventricular myocardium
5. Right upper lung lobe; liver
6. Right middle lung lobe; right kidney; right adrenal gland
7. Right lower lung lobe; left kidney; left adrenal bland
8. Left upper lung lobe; spleen; pancreas
9. Left lower lung lobe; brain, right mesial temporal lobe
10. Thyroid gland

MICROBIOLOGY
• Nasopharyngeal swab, coronavirus (COVID-19) assay: SARS-CoV-2 not detected
• Nasopharyngeal swab, respiratory pathogen panel: Human Adenovirus detected

TOXICOLOGY
Representative samples obtained for toxicological examination include the following: right and left
ventricular heart blood, right and left femoral blood, right and left subclavian blood, vitreous humor, urine,
liver tissue, brain tissue, gastric contents, and psoas muscle. See separate toxicology report for further
description.
CASE NO. 2200668 PAGE |8

OPINION
Donald A. Grant, a 46-year-old male, died as a result of judicial execution by lethal injection.

MANNER OF DEATH: HOMICIDE

The opinion as to the cause and manner of death is based on the information available at the date of this
report. If additional objective, probative information becomes available, I reserve the right to consider such
information, and if appropriate, amend the report, including the cause and manner of death.

JEREMY SHELTON, M.D.

 OFFICE USE ONLY
BOARD OF MEDICOLEGAL INVESTIGATIONS
Re. _____ Co. _____
OFFICE OF THE CHIEF MEDICAL EXAMINER
I hereby certify that this is a true
921 N.E. 23rd St and correct copy of the original
Oklahoma City, OK 73105 document. Valid only when copy
bear im-print by the office seal.

REPORT OF LABORATORY ANALYSIS By ______________________

Date ____________________

ME CASE NUMBER: 2200668 LABORATORY NUMBER: 220573

DECEDENT'S NAME: DONALD ANTHONY GRANT DATE RECEIVED: 1/31/2022

MATERIAL SUBMITTED: BLOOD, VITREOUS, URINE, LIVER, BRAIN, HOLD STATUS: 5 YEARS
GASTRIC, MUSCLE

SUBMITTED BY: SARAH CAMPBELL MEDICAL EXAMINER: JEREMY SHELTON M.D.

NOTES:

ETHYL ALCOHOL:
Blood: Not Performed

Vitreous:

Other:

CARBON MONOXIDE
Blood:

TESTS PERFORMED:
ALKALINE DRUG SCREEN - (Femoral Blood)
BENZODIAZEPINES BY LCMS - (Femoral Blood)
EIA - (Femoral Blood) - Amphetamine, Methamphetamine, Fentanyl, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines
(The EIA panel does not detect Oxycodone, Methadone, or Clonazepam)

RESULTS:
MIDAZOLAM
1900 ng/mL - (Femoral Blood)

02/22/2022
DATE JESSE KEMP, Ph.D., D-ABFT-FT, Chief Forensic Toxicologist