Report #2835908

Received Apr 12, 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: 84 yrs
State: TX
Recovered: Not recovered
Vaccinated: Jan 13, 2021
Onset: Jan 26, 2021
Days to onset: 13
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	IM / RA

Symptoms (2)

DeathMyocardial infarction

Symptom narrative

Death from heart attack.

Current illness

None

Medical history

A fib

Other medications

None

Allergies

None