Report #2859146

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: Female
Age: 88 yrs
State: NH
Recovered: Not recovered
Vaccinated: Sep 12, 2025
Onset: Sep 14, 2025
Days to onset: 2
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	MY9550	IM / RA

Symptoms (1)

Death

Symptom narrative

Deceased. No unusual symptoms noted. Passed peacefully.

Current illness

No concerns noted

Medical history

Dementia, systolic congestive heart failure, long-term use of anticoagulants, atrial fibrillation, presence of pacemaker & aortocoronary bypass graft, PVD, HTN, anemia, CKD, ATHEROSCLEROTIC HEART DISEASE, Allergic Rhinitis

Other medications

Mirtazapine, Norvasc, Lisinopril, Eliquis, Docusate, Senna, Acetaminophen

Allergies

Bactrim, Beth Adrenergic Blockers, Nickel, Metals, Bee Pollen, Bee Stings

Lab data

None