VAERS Explorer
Back to explore

Report #2851839

Received Jul 30, 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
78 yrs
State
IA
Recovered
Not recovered
Vaccinated
Jan 9, 2025
Onset
Jul 29, 2025
Days to onset
201
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13044202IM / RA

Symptoms (1)

Death

Symptom narrative

Resident expired

Current illness

N/A

Medical history

PARKINSONISM, UNSPECIFIED, OTHER PSYCHOACTIVE SUBSTANCE USE, UNSPECIFIED, IN REMISSION, VITAMIN D DEFICIENCY, UNSPECIFIED ,ANEMIA, UNSPECIFIED, UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WITH OTHER BEHAVIORAL DISTURBANCE, CONTACT WITH AND (SUSPECTED) EXPOSURE TO OTHER HAZARDOUS SUBSTANCES, MYELODYSPLASTIC DISEASE, NOT ELSEWHERE CLASSIFIED, POLYCYTHEMIA VERA, CHRONIC MYELOPROLIFERATIVE DISEASE, TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, GENERALIZED ANXIETY DISORDER , POST-TRAUMATIC STRESS DISORDER, UNSPECIFIED, ESSENTIAL (PRIMARY) HYPERTENSION, CYSTIC KIDNEY DISEASE, UNSPECIFIED, TACHYCARDIA, UNSPECIFIED

Other medications

Amlodipine, Aspirin, Jardiance, Memantine HCL, Venlafaxine, Vitamin D3, Acetaminophen, Metformin, Hydroxyurea, Humalog,

Allergies

Haloperidol

Lab data

N/A