VAERS Explorer
Back to explore

Report #2824236

Received Feb 3, 2025

Died
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
93 yrs
State
IA
Recovered
Not recovered
Vaccinated
Oct 24, 2024
Onset
Feb 1, 2025
Days to onset
100
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA7+3043159IM / LA

Symptoms (1)

Death

Symptom narrative

Death

Medical history

G30.9 ALZHEIMER'S DISEASE, UNSPECIFIED Medical Management 2/9/2022 Primary Diagnosis (#67) 5/13/2022 update C E55.9 VITAMIN D DEFICIENCY, UNSPECIFIED Medical Management 2/9/2022 Diagnosis Q 5/13/2022 SINC7337 update C K59.00 CONSTIPATION, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 7/29/2024 Diagnosis Rank Insignificant 7/29/2024 update C B00.89 OTHER HERPESVIRAL INFECTION Acute Infections 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C K29.71 GASTRITIS, UNSPECIFIED, WITH BLEEDING N/A, not an acceptable Primary Diagnosis 4/26/2023 Diagnosis Rank Insignificant 4/26/2023 update C F03.C3 UNSPECIFIED DEMENTIA, SEVERE, WITH MOOD DISTURBANCE Medical Management 2/22/2023 Diagnosis Rank Insignificant 2/22/2023 update C N18.32 CHRONIC KIDNEY DISEASE, STAGE 3B Medical Management 12/16/2022 Diagnosis Rank Insignificant 12/16/2022 update C L82.1 OTHER SEBORRHEIC KERATOSIS N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C I50.32 CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE Cardiovascular and Coagulations 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C M81.0 AGE-RELATED OSTEOPOROSIS WITHOUT CURRENT PATHOLOGICAL FRACTURE N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C D64.9 ANEMIA, UNSPECIFIED Medical Management 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C F41.9 ANXIETY DISORDER, UNSPECIFIED Medical Management 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C M54.9 DORSALGIA, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C F32.A DEPRESSION, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C M48.50XA COLLAPSED VERTEBRA, NOT ELSEWHERE CLASSIFIED, SITE UNSPECIFIED, INITIAL ENCOUNTER FOR FRACTURE Non-Surgical Orthopedic/Musculoskeletal 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C E78.5 HYPERLIPIDEMIA, UNSPECIFIED Medical Management 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C R60.9 EDEMA, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C G25.0 ESSENTIAL TREMOR N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C K44.9 DIAPHRAGMATIC HERNIA WITHOUT OBSTRUCTION OR GANGRENE N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C E03.9 HYPOTHYROIDISM, UNSPECIFIED Medical Management 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C Z95.2 PRESENCE OF PROSTHETIC HEART VALVE N/A, not an acceptable Primary Diagnosis 2/9/2022 Diagnosis Rank Insignificant 5/13/2022 update C G47.69 OTHER SLEEP RELATED MOVEMENT DISORDERS

Allergies

Quetiapine, tramadol