Report #2851474

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: 93 yrs
State: IA
Recovered: Not recovered
Vaccinated: Jun 24, 2025
Onset: Jul 26, 2025
Days to onset: 32
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	—	IM / LA

Symptoms (1)

Death

Symptom narrative

Resident expired

Medical history

Parkinsons, anxiety, dementia, TIA, AORTIC ANEURYSM OF UNSPECIFIED SITE, WITHOUT RUPTURE, MULTI-SYSTEM DEGENERATION OF THE AUTONOMIC NERVOUS SYSTEM, SQUAMOUS CELL CARCINOMA OF SKIN OF SCALP AND NECK, ANEMIA, UNSPECIFIED, UNSPECIFIED PSYCHOSIS NOT DUE TO A SUBSTANCE OR KNOWN PHYSIOLOGICAL CONDITION, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS

Other medications

Alfuzosin, Lidocaine, Lorazepam, Morphine Sulfate,

Allergies

NKA