Report #2844780

Received Jun 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: Female
Age: 78 yrs
State: IA
Recovered: Not recovered
Vaccinated: May 9, 2025
Onset: Jun 11, 2025
Days to onset: 33
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3046731	IM / RA

Symptoms (1)

Death

Symptom narrative

passed away

Medical history

Diabetes, Chronic Pulmonary Edema, Diarrhea, Retention, Hypokalemia, Heart Disease with heart failure, Nicotine dependence, chronic pain, Cystocele, Insomnia, COPD,

Other medications

Tylenol, Anecream, Clopidogrel, desonide cream, Diltiazem, Debrox ear gtts, Eliquis, Famotidine, Fentanyl, Fiasp, Fiber lax, Lasix, Gabapentin, Gvoke, Duoneb, Ketoconazole, Lantus, Ativan, Metoclopramide, Metoprolol, Miralax, Nitro, Oxybu

Allergies

Cymbalta, Wellbutrin