Report #2831714

Received Mar 17, 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: 81 yrs
State: IA
Recovered: Not recovered
Vaccinated: Oct 29, 2024
Onset: Mar 14, 2025
Days to onset: 136
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3043332	IM / LA

Symptoms (2)

Chronic obstructive pulmonary diseaseCondition aggravated

Symptom narrative

Hospice for dx COPD

Current illness

Hospice

Medical history

Other frontotemporal neurocognitive disorder, atherosclerotic heart disease of native coronary artery without angina pectoris, chronic kidney disease, BPH, centrilobular emphysema, COPD