Report #2849446

Received Jul 11, 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: 55 yrs
State: IA
Recovered: Unknown
Vaccinated: Sep 14, 2021
Onset: Jul 10, 2025
Days to onset: 1395
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (JANSSEN))	JANSSEN	1	201a21a	IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away on 7/10/2025

Medical history

PARKINSON'S DISEASE WITHOUT DYSKINESIA, WITHOUT MENTION OF FLUCTUATIONS, OBSTRUCTIVE SLEEP APNEA , MALIGNANT NEOPLASM OF TONGUE, UNSPECIFIED, SECONDARY HYPERTENSION, DIFFUSE TRAUMATIC BRAIN INJURY WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION, SEQUELA, VITAMIN D DEFICIENCY, UNSPECIFIED, CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Other medications

Resident was admitted on 10/17/2025. These are the medications at this time: Vitamin D, Carbidopa-Levodopa, Duloxetine, Rivastigmine patch, Lactobacillus, Striverdi Respimat Inhaler, Famotidine, Methenamine Hippurate, Melatonin, Nuplazid,

Allergies

Amoxicillin, Bupropion, Haloperidol, Penicillin, Prednisone, Ranitidine