Between the first of June and mid August 1864 private Sims was in a North Carolina hospital suffering from malarial fever. He was given sick leave and went home to Bryan County, Ga. in November.
On December 6, 1864 he was captured at his home by Gnl. William B. Hazen which was part of Sherman's massive force.
Sims was sent to Hilton Head, S.C. and then in February to Pt. Lookout, Md.
Elbert C. Sims died on February, 17, 1865 due to his weakened condition compounded by adverse weather and lack of food while in prison at Hilton Head and Point Lookout.
Pvt. Sims was buried at Point Lookout in grave, # 1809, identified by a wooden marker.
These markers eventually decayed and today there is a single monument dedicated to the memory of the 3,384 Confederate prisoners who died while in prison at Point Lookout, Md.
Pvt. Elbert C. Sims is listed as E.C. Sims