Report #2844216

Received Jun 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: Female
Age: 52 yrs
State: MN
Recovered: Not recovered
Vaccinated: Nov 20, 2023
Onset: Jun 5, 2025
Days to onset: 563
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	037K204	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	061M20A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	003J212A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	AS7168B	IM / RA

Symptoms (1)

Death

Symptom narrative

Patient expired 6/5/2025.

Current illness

Unknown

Medical history

Breast cancer, inflammatory polyarthritis

Other medications

Unknown

Allergies

Carboplatin, paclitaxel, penicillin

Lab data

None