Report #2832380

Received Mar 20, 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: 85 yrs
State: IA
Recovered: Not recovered
Vaccinated: Jan 9, 2025
Onset: Mar 20, 2025
Days to onset: 70
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3044202	IM / RA

Symptoms (1)

Death

Symptom narrative

Hospice care, passed away

Medical history

alcohol induced persisting dementia, benign hypertensive heart disease, GERD, intestinal disaccharidase deficiency and disaccharide malabsorption, graves disease, bph, depression, anxiety

Other medications

Donepezil, melatonin, methimazole, mirtazapine, miralax, risperidone, vit D3, lactulose, potassium chloride solution, senexon, acetaminophen, trazadone, nasal decongestant spray

Allergies

NKA