Report #2832536

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: Female
Age: 93 yrs
State: IA
Recovered: Not recovered
Vaccinated: Oct 28, 2024
Onset: Mar 20, 2025
Days to onset: 143
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3043332	IM / RA

Symptoms (1)

Death

Symptom narrative

passed away on hospice care

Medical history

heart failure, asthma, hypertension, kyphosis, cerebral palsy, gout

Other medications

tylenol, allopurinol, aspirin, cetirizine, duloxetine, furosemide, levothyroxine, lorazepam, metoprolol, pantoprazole, miralax, spironolactone, hydroxyzine, senexon-s, baclofen, morphine,

Allergies

famotidine, valtrex, penicillins