The gunman who carried out a deadly mass shooting in Dayton, Ohio, this month had cocaine and other drugs in his system at the time, a according to a coroner’s report.

In a news conference on Thursday the Montgomery County coroner, Dr. Kent Harshbarger, said cocaine, antidepressants and alcohol were found in Connor Betts’ system when he opened fire with an AR-15 style gun in the city’s historic Oregon District on Aug. 4, killing nine people before police shot and killed him. That shooting came just hours after another deadly gun rampage, this time in El Paso, Texas.

Harshbarger added that investigators also found a pipe device and a clear bag containing cocaine on the 24-year-old Betts.

The coroner also told reporters that two people shot by Betts also were shot by police, but none fatally. He said all the deadly gunshot wounds to the nine victims came from Betts’ weapon.

Harshbarger said police shot Betts about 24 times in all, mostly striking his upper torso and lower extremities.

Dayton Police Chief Richard Biehl said the officers’ goal at the time was to “immediately stop the killing.”

On Tuesday, Biehl said Betts shot 26 people in the span of 32 seconds before responding officers fatally shot him.

Surveillance footage released this week, which was pieced together from several local businesses, showed Betts spending nearly two hours in the area before his spree began.

Betts was first caught on camera in the area at 11:04 p.m. when he parked his car and walked to a bar, Blind Bob’s, with his sister Megan and another companion.

The mass shooting — one of the worst in modern United States’ history — unfolded at a Walmart around 11 a.m. Saturday, as 21-year-old suspect Patrick Crusius, allegedly opened fire in the store, initially killing at least 20 and injuring another 26.

Police and hospital officials announced that two additional people who were wounded in the attack died Monday.

The Walmart was almost full at the time of the shooting, with hundreds of shoppers inside along with 100 employees during the busy back-to-school shopping season.

Crusius was booked on capital murder charges. Authorities said on Sunday that the crimes he’s accused of are being investigated as domestic terrorism. Officials were also looking into whether hate crime charges against Crusius are appropriate.

El Paso District Attorney Jaime Esparza said his office will seek the death penalty against the suspect.

“The loss of life is so great, we certainly have never seen this in our community. We are a very safe community,” he told reporters at a news conference on Sunday. “We pride ourselves on the fact that we’re so safe, and certainly this community is rocked, shocked and saddened by what has happened here yesterday.”

Also, a few hours later, a gunman wearing a mask, bulletproof vest, earplugs and carrying a rifle capable of holding at least 100 rounds also opened fire, outside a bar in Dayton, Ohio. At least nine people were killed and 27 others were wounded.

Some victims of the El Paso mass shooting have been identified. Among those killed was a 60-year-old man at the self-checkout line while his wife was in the bathroom, a 15-year-old who was weeks away from starting 10th grade and six Mexican citizens. A mother-of-three, who was shielding her 2-year-old son from gunfire, was fatally shot — her husband was, too.

Dayton Police Chief Richard Biehl told reporters at a news conference that 24-year-old Connor Betts, who was armed with a .223-caliber rifle, had a gun that was modified in a way he felt was “fundamentally problematic.”

Biehl also added that if all of the magazines that Betts had were full  — which has yet to be confirmed as police have not had a chance to examine them fully — he would have had a max of 250 rounds, not excluding loose rounds found on the ground near him as well as in a backpack the 24-year-old was carrying at the time. Investigators have so far recovered at least 41 spent shell casings that are believed to have been from Betts.

“You can well understand in a very dynamic and chaotic scene as this was, with people running through the crime scene, with first responders running through the crime scene, with EMS traveling through the crime scene, evidence can be lost,” the police chief told reporters.

Adding shell casings that was recovered from Betts’ weapon, investigators have collected 48 45-caliber casings, 16 .233 casings and one shotgun shell casing that are believed to have been fired from the weapons of the six police officers who “neutralized” the gunman within 30 seconds after the first of “dozens of rounds.”

The police chief said that it’s not known if Betts solely targeted any of his victims in the popular entertainment district early Sunday. However, found it very hard to believe he didn’t recognize his sister, 22-year-old Megan Betts, when he opened fire and killed her and eight others.

“It seems to just defy believability he would shoot his own sister, but it’s also hard to believe that he didn’t recognize it was his sister, so we just don’t know,” Biehl said.

While the gunman was white and six of the nine killed were black, police said the quickness of the rampage made any discrimination factor in the shooting seem unlikely.

McConnell hurt his shoulder right after he tripped and fell while on the outside patio of his Louisville home. The specifics of his injury, such as which shoulder was injured, was not revealed.

“This morning, Leader McConnell tripped at home on his outside patio and suffered a fractured shoulder,” David Popp, McConnell’s communications director, said in a statement.

The 77-year-old was treated and released and is working from his home, Popp said.

McConnell returned to Kentucky after the Senate began a five-week recess Thursday, hailing the chamber for a hard-won budget deal that staves off a possible government shutdown.

The statement said the senator had expressed his sympathies to the people of El Paso, Texas, and Dayton, Ohio, following the recent mass shootings in those communities and that he had been in touch with Republican Sens. John Cornyn of Texas and Rob Portman of Ohio to “express his deepest sympathies for the people of El Paso and Dayton and discuss the senseless tragedies of this weekend.”

Mass shootings within hours of each other in both cities killed a combined 29 people and injured dozens more.

Several Democrats including Senate Minority Leader Chuck Schumer, D-N.Y., called on McConnell to call the Senate back Capitol Hill for an emergency session to debate and vote on universal background checks legislation.