Report #2832535

Received Mar 21, 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: 80 yrs
State: IA
Recovered: Not recovered
Vaccinated: Sep 1, 2024
Onset: Mar 20, 2025
Days to onset: 200
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	—	IM / UN
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	IM / UN
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	1	—	IM

Symptoms (1)

Death

Symptom narrative

Passed away while on Hospice care

Medical history

Dementia, parkinson's disease

Allergies

empagliflozin, haloperidol