VAERS Explorer
Back to explore

Report #2824889

Received Feb 6, 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
Male
Age
70 yrs
State
IA
Recovered
Not recovered
Vaccinated
Mar 30, 2023
Onset
Feb 6, 2025
Days to onset
679
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA3AS7173B—

Symptoms (1)

Death

Symptom narrative

Death

Medical history

F20.9 SCHIZOPHRENIA, UNSPECIFIED Medical Management 8/17/2023 Primary Diagnosis (#67) Admitting Dx (#69) 8/17/2023 update C B97.4 RESPIRATORY SYNCYTIAL VIRUS AS THE CAUSE OF DISEASES CLASSIFIED ELSEWHERE N/A, not an acceptable Primary Diagnosis 1/29/2025 Diagnosis Rank Insignificant 1/29/2025 update C J18.9 PNEUMONIA, UNSPECIFIED ORGANISM Pulmonary 1/17/2024 Diagnosis Rank Insignificant 1/17/2024 update C Z00.00 ENCOUNTER FOR GENERAL ADULT MEDICAL EXAMINATION WITHOUT ABNORMAL FINDINGS N/A, not an acceptable Primary Diagnosis 1/10/2024 Diagnosis Rank Insignificant 1/10/2024 update C E87.0 HYPEROSMOLALITY AND HYPERNATREMIA Medical Management 12/26/2023 Diagnosis Rank Insignificant 12/26/2023 update C G20.C PARKINSONISM, UNSPECIFIED Acute Neurologic 10/1/2023 Diagnosis Rank Insignificant Admitting Dx (#69) 4/5/2024 update C E55.9 VITAMIN D DEFICIENCY, UNSPECIFIED Medical Management 8/25/2023 Diagnosis Rank Insignificant 8/25/2023 update C F01.518 VASCULAR DEMENTIA, UNSPECIFIED SEVERITY, WITH OTHER BEHAVIORAL DISTURBANCE Medical Management 8/17/2023 Diagnosis Rank Insignificant Admitting Dx (#69) 8/28/2023 update C F41.9 ANXIETY DISORDER, UNSPECIFIED Medical Management 8/17/2023 Diagnosis Rank Insignificant Admitting Dx (#69) 4/5/2024 update C C34.92 MALIGNANT NEOPLASM OF UNSPECIFIED PART OF LEFT BRONCHUS OR LUNG Cancer 8/17/2023 Diagnosis Rank Insignificant Admitting Dx (#69) 4/5/2024 update C I74.5 EMBOLISM AND THROMBOSIS OF ILIAC ARTERY Cardiovascular and Coagulations 8/17/2023 Diagnosis Rank Insignificant Admitting Dx (#69) 4/5/2024 update C I10 ESSENTIAL (PRIMARY) HYPERTENSION N/A, not an acceptable Primary Diagnosis 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C E78.5 HYPERLIPIDEMIA, UNSPECIFIED Medical Management 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C G47.00 INSOMNIA, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C E43 UNSPECIFIED SEVERE PROTEIN-CALORIE MALNUTRITION NTA (1 pts) Medical Management 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C G31.84 MILD COGNITIVE IMPAIRMENT OF UNCERTAIN OR UNKNOWN ETIOLOGY N/A, not an acceptable Primary Diagnosis 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C I73.9 PERIPHERAL VASCULAR DISEASE, UNSPECIFIED Cardiovascular and Coagulations 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C K21.9 GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS N/A, not an acceptable Primary Diagnosis 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C K59.00 CONSTIPATION, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C G31.1 SENILE DEGENERATION OF BRAIN, NOT ELSEWHERE CLASSIFIED Medical Management 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C R13.10 DYSPHAGIA, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 8/17/2023 Diagnosis Rank Insignificant 8/17/2023 update C R73.03 PREDIABETES

Allergies

Pravastatin