Report #2852991

Received Aug 6, 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: 79 yrs
State: IA
Recovered: Unknown
Vaccinated: May 23, 2023
Onset: Aug 6, 2025
Days to onset: 806
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	6H9702	IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

PARKINSON'S DISEASE WITHOUT DYSKINESIA, WITHOUT MENTION OF FLUCTUATIONS, HYPOMAGNESEMIA, VITAMIN B12 DEFICIENCY ANEMIA, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS, TYPE 2 DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHY, CHRONIC ATRIAL FIBRILLATION, UNSPECIFIED, PERIPHERAL VASCULAR DISEASE, UNSPECIFIED, BENIGN PROSTATIC HYPERPLASIA WITHOUT LOWER URINARY TRACT SYMPTOMS, ACUTE ON CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE

Other medications

Diclofenac gel, Rosuvastatin, Vitamin D3, Duloxetine, Levemir, Cetirizine, Famotidine, Metoprolol, Ferrous Gluconate, Senexon-S, Finasteride, Eliquis, Ezetimibe, Vitamin B12, Alfuzosin, Alogliptin, Mag Oxide, Digoxin, Metformin, Losartan, T

Allergies

Atorvastatin, Empagliflozin, Gabapentin, Semaglutide, Spironolactone, Testosterone, Novolog, Sulfa Antibiotics, Covid Vaccine