Report #2854538

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: Female
Age: 85 yrs
State: IA
Recovered: Not recovered
Vaccinated: Jun 30, 2015
Onset: Aug 17, 2025
Days to onset: 3701
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC13	PNEUMO (PREVNAR13)	PFIZER\WYETH	1	—	UN / UN

Symptoms (1)

Death

Symptom narrative

Expired

Current illness

Unknown

Medical history

HYPERTENSIVE HEART DISEASE WITH HEART FAILURE, ESSENTIAL (PRIMARY) HYPERTENSION,ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSPECIFIED ANGINA PECTORIS,PRESENCE OF PROSTHETIC HEART VALVE,HYPERLIPIDEMIA, UNSPECIFIED, HYPOTHYROIDISM, UNSPECIFIED, MODERATE PROTEIN-CALORIE MALNUTRITION diagnosis upon admission or while in facility.

Other medications

Vaccine administered prior to admission, unknown prescriptions

Allergies

Acyclovir, Azithromycin, Penicillins, Sulfanilamide