Report #2842279

Received May 22, 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: 82 yrs
State: IA
Recovered: Unknown
Vaccinated: Dec 1, 2023
Onset: May 21, 2025
Days to onset: 537
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	—	IM / UN

Symptoms (1)

Death

Symptom narrative

Passed away while receiving hospice care.

Current illness

Unknown

Medical history

Parkinson's Disease, TIA, Dementia, COPD, Basal Cell Carcinoma, Malignant Neoplasm of Bladder, Glaucoma, Multinodular Goiter, Heart Failure