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Report #2848617

Received Jul 7, 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
87 yrs
State
IA
Recovered
Not recovered
Vaccinated
Oct 28, 2024
Onset
Jul 6, 2025
Days to onset
251
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13043332IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Current illness

VASCULAR DEMENTIA, UNSPECIFIED SEVERITY, WITH OTHER BEHAVIORAL DISTURBANCE, CHRONIC PAIN SYNDROME, ESSENTIAL (PRIMARY) HYPERTENSION, UNSPECIFIED ATHEROSCLEROSIS,

Other medications

Bisacodyl supp, Miralax, Vitamin D3 , Tramadol, Sertraline, Fentanyl patch, pain relieving cream, Levothyroxine, Senna, Acetaminophen,

Allergies

Aspirin, Carbapenems, NSAIDS, Penicillins, Sulfa Antibiotic, Betalactams,