Report #2855492

Received Aug 25, 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: 70 yrs
State: IA
Recovered: Not recovered
Vaccinated: Jan 7, 2023
Onset: Aug 23, 2025
Days to onset: 959
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	IM / UN

Symptoms (1)

Death

Symptom narrative

Resident expired

Medical history

INTERSTITIAL LUNG DISEASE WITH PROGRESSIVE FIBROTIC PHENOTYPE IN DISEASES CLASSIFIED ELSEWHERE, PULMONARY HYPERTENSION DUE TO LUNG DISEASES AND HYPOXIA, PERSONAL HISTORY OF PULMONARY EMBOLISM, ESSENTIAL (PRIMARY) HYPERTENSION, MIXED HYPERLIPIDEMIA, CHRONIC RESPIRATORY FAILURE WITH HYPOXIA, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, LEFT BUNDLE-BRANCH BLOCK, UNSPECIFIED, TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS, MILD INTERMITTENT ASTHMA, UNCOMPLICATED, PAROXYSMAL ATRIAL FIBRILLATION,

Other medications

Unknown due to vaccine given prior to admission to facility.

Allergies

NKA