Report #2845107

Received Jun 16, 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: 93 yrs
State: MA
Recovered: Not recovered
Vaccinated: Jun 13, 2025
Onset: Jun 15, 2025
Days to onset: 2
Hospital days: —

Vaccines (1)

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

Symptoms (1)

Death

Symptom narrative

06/15/25: EXPIRED AT 2030.

Current illness

N/A

Medical history

DEMENTIA, DYSPHAGIA, CONTRACTURE, ABNORMAL POSTURE, GOUT, OPEN WOUND, HYPERTROPHIC DISORDERS OF SKIN, ATRIAL FIRBRILLATION, LONG TERM USE OF ANTICOAGULANTS, CONSTIPATION, TIA, TYPE 2 DM, MUSCLE WEAKNESS GERD, IRON DEFICIENCY ANEMIA.

Other medications

APAP, ATORVASTATIN, CALCIUM CARBONATE-VITAMIN D, VITAMIN D, COMBIGAN, DAILY VITAMIN W/MINERALS, COLACE, ENEMA PRN, FLUTICASONE PRN, ATIVAN, METOPROLOL TARTRATE, MOM, ROXANOL, PRO-STAT SUGAR FREE.

Allergies

FOSAMAX

Lab data

N/A