Report #2826065

Received Feb 13, 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: 78 yrs
State: CA
Recovered: Not recovered
Vaccinated: Feb 3, 2025
Onset: Feb 6, 2025
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3043823	IM / LA

Symptoms (4)

Blood pressure immeasurableDeathDyspnoeaPulse abnormal

Symptom narrative

on 02/06/2025 At around 620, routine rounds made and shortness of breath noted. LN tried to obtain BP but unable to obtain. Pulse very faint and respiration at 12. Within minutes, resident was gasping for air. RN in the building called to assess resident and no vitals signs observed. Resident Expired. Son arrived and Hospice was called to send RN.

Medical history

Acute and chronic respiratory failure with hypoxia, Type 2 diabetes mellitus without complications, Rheumatoid arthritis, unspecified, Unspecified diastolic (congestive) heart failure, Bronchiectasis with (acute) exacerbation, Muscle weakness (generalized), Dependence on supplemental oxygen, Unspecified asthma, uncomplicated.

Lab data

None