Report #2831428

Received Mar 14, 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: 76 yrs
State: IA
Recovered: Not recovered
Vaccinated: Oct 10, 2024
Onset: Mar 14, 2025
Days to onset: 155
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3043159	IM / LA

Symptoms (3)

Cerebrovascular accidentDeathDysphagia

Symptom narrative

Passed away while on hospice care for diagnosis: Dyphasia following CVA

Medical history

IBS, Benign neoplasm of the colon, hearing loss, hypothyroidism, varicose veins, dysthymic disorder

Other medications

TUMS ultra chew 1000mg, soothe ophthalmic solution 0.6%, levothyroxin 50 mcg, polyethylene glycol 17 gm

Allergies

Chlorpheniramine, Bentyl, Cipro

Lab data

N/A