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Report #2854532

Received Aug 18, 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
77 yrs
State
IA
Recovered
Not recovered
Vaccinated
Apr 24, 2025
Onset
Aug 17, 2025
Days to onset
115
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA23046731IM / RA

Symptoms (1)

Death

Symptom narrative

resident expired

Medical history

SCHIZOPHRENIA, UNSPECIFIED, NEOPLASM OF UNSPECIFIED BEHAVIOR OF BONE, SOFT TISSUE, AND SKIN, PERSONAL HISTORY OF TRAUMATIC BRAIN INJURY, PERSONALITY DISORDER, UNSPECIFIED, ESSENTIAL (PRIMARY) HYPERTENSION, HYPERLIPIDEMIA, UNSPECIFIED, EPILEPSY, UNSPECIFIED, NOT INTRACTABLE, WITHOUT STATUS EPILEPTICUS, BENIGN PROSTATIC HYPERPLASIA WITH LOWER URINARY TRACT SYMPTOMS, GENERALIZED ANXIETY DISORDER, DEPRESSION, UNSPECIFIED, VITAMIN D DEFICIENCY, UNSPECIFIED

Other medications

Aspirin, Atorvastatin, Carbamazepin, Cetirizine, Clonazepam, finasteride, Lasix, Lisinopril, Risperidone, Senexon-S, Sodium chloride, Terazosin, Vitamin D3, Metoprol,

Allergies

Betalactams, Carbapenems, Cephalosporins, Penicillins