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Report #2851475

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
Female
Age
94 yrs
State
IA
Recovered
Not recovered
Vaccinated
Apr 24, 2025
Onset
Jul 26, 2025
Days to onset
93
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK—IM / RA

Symptoms (1)

Death

Symptom narrative

Resident expired

Medical history

CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE, MALIGNANT NEOPLASM OF THYROID GLAND, MALIGNANT NEOPLASM OF UNSPECIFIED SITE OF UNSPECIFIED FEMALE BREAST, SICK SINUS SYNDROME, PAROXYSMAL ATRIAL FIBRILLATION, VENTRICULAR PREMATURE DEPOLARIZATION, ESSENTIAL (PRIMARY) HYPERTENSION

Other medications

Acidophilus Probiotic, Alendronate sodium, Amiodarone HCL, Armour Thyroid, Bumetanide, Losartan, Melatonin, Oxybutynin Chloride, Pantoprazole Sodium, Ropinirole HCL, Spironolactone, Eliquis, Gabapentin, Oyster Shell Calcium, Potassium Chl

Allergies

Betadine, Povidone iodine, Lisinopril, Naproxen, Penicillin, Pregabalin, Sulfa Antibiotics