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Report #2859118

Received Sep 16, 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
64 yrs
State
MO
Recovered
Not recovered
Vaccinated
Jul 30, 2021
Onset
Aug 27, 2021
Days to onset
28
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1006d21aSYR / UN
COVID19COVID19 (COVID19 (MODERNA))MODERNA2052E21ASYR / UN

Symptoms (10)

AstheniaBlood pressure abnormalBrain fogDeathDizzinessHead injuryLoss of consciousnessPyrexiaRoad traffic accidentSyncope

Symptom narrative

After first and second shot my father was ill with fever, loss of energy and mental clarity on both occasions for more than three days. He developed blood pressure issues over time and had fainting episodes. He died September 30th 2025 after loosing consciousness while driving a vehicle. There was a medical examination due to the accident and it was determined that he had lost consciousness and then suffered a head injury which ultimately caused is death.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

I have a daily written log of his at home blood pressure which he would often take multiple times per day and after suffering an episode of dizziness and loss of consciousness.