South Carolina medical examiner says ‘no signs of trauma’ and ‘the manner of death has been ruled accident’

Hayden Panettiere died from a fentanyl overdose, according to the Greenville county coroner’s office.

Medical examiners in South Carolina confirmed the 36-year old actress’s cause of death on Tuesday, saying: “The cause of death has been ruled as toxic effects of fentanyl, 4-ANPP, Alprazolam, Methocarbamol and Quetiapine.”