Report #2832189

Received Mar 19, 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: 91 yrs
State: IA
Recovered: Not recovered
Vaccinated: Oct 17, 2024
Onset: Mar 18, 2025
Days to onset: 152
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	7+	3043159	IM / LA

Symptoms (1)

Death

Symptom narrative

Deceased, anticipated and on hospice care.

Current illness

Hospice care

Medical history

paroxysmal atrial fibrillation, pruritus, prosthetic heart valve, atherosclerotic heart disease of native coronary artery, BPH, erectile dysfunction, obstructive sleep apnea, pacemaker, osteoarthritis, hypertension, vit d deficiency, macular degeneration, ischemic optic neuropathy, aneurysm of the ascending aorta.

Other medications

Triamcinolone topical to scalp, ketoconazole shampoo, refresh eye drops, aspirin, atorvastatin, cetirizine hcl, escitalopram oxalate, furosemide, metoprolol, miralax, tramadol, vitamin D3, warfarin, acetaminophen, preserVision AREDS 2 (mult

Allergies

Simvastatin