Report #2828833

Received Feb 28, 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: 93 yrs
State: PA
Recovered: Not recovered
Vaccinated: Feb 27, 2025
Onset: Feb 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	8081260	IM / RA

Symptoms (3)

Antimicrobial susceptibility test resistantDeathSeptic shock

Symptom narrative

Nursing home facility communicated to the Pharmacy about death of the patient due to Septic shock and ESBL present in urine on 02/27/2025. The findings were shared with the pharmacy on 02/28/2025.