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Report #2851472

Received Jul 28, 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
Male
Age
65 yrs
State
—
Recovered
Not recovered
Vaccinated
Jun 12, 2025
Onset
Jul 26, 2025
Days to onset
44
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2—IM / LA

Symptoms (1)

Death

Symptom narrative

Resident expired on 7/26/2025

Medical history

CVA, Anxiety, Severe protein calorie malnutrition, COPD, Diab, Schizoaffective disorder, HTN. Fatty liver, infrarenal abdominal aortic aneurysm.

Other medications

Aspirin, Atorvastatin, Cetirizine, Docusate Sodium, Famotidine, Mirtazapine, Olanzapine, Clonazepam, Lithium, MiraLAX, Tylenol, Tramadol,

Allergies

Penicillin, Cephalosporins, Carbapenems, Niacin