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Report #2839735

Received May 6, 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
88 yrs
State
MN
Recovered
Not recovered
Vaccinated
May 1, 2025
Onset
May 3, 2025
Days to onset
2
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA7+3044069IM / RA

Symptoms (2)

DeathUnresponsive to stimuli

Symptom narrative

Resident became non-responsive and died within 72 hours.

Current illness

Resident having increased nonresponsive episodes related to probable TIAs.

Medical history

TRANSIENT CEREBRAL ISCHEMIC ATTACK, UNSPECIFIED; Diabetes MELLITUS WITH DIABETIC NEPHROPATHY; Alzheimer's Disease, late onset; NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION; OTHER GIANT CELL ARTERITIS; ESSENTIAL (PRIMARY) HYPERTENSION; PERSONAL HISTORY OF COVID-19; OTHER PULMONARY EMBOLISM WITHOUT ACUTE COR PULMONALE; CHRONIC KIDNEY DISEASE, STAGE 3B; GOUT

Other medications

Morphine Sulfate (Concentrate) Oral Solution 20 MG/ML (Morphine Sulfate) 0.3 ml PO Q 1 Hour PRN; SEROquel Oral Tablet 12.5 mg PO Q PM; Sennosides-Docusate Sodium Oral Tablet 8.6-50 MG one tab PO Daily; Lantus SoloStar Subcutaneous Solution

Allergies

Azithromycin