Report #2867482

Received Oct 21, 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: 84 yrs
State: KS
Recovered: Unknown
Vaccinated: Oct 16, 2025
Onset: Oct 18, 2025
Days to onset: 2
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052581 (Privat	IM / RA

Symptoms (1)

Death

Symptom narrative

Death reported 2 days after vaccination

Current illness

unknown

Medical history

unknown

Other medications

unknown

Allergies

nkda

Lab data

unknown