Report #2868313

Received Oct 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: 76 yrs
State: CA
Recovered: Not recovered
Vaccinated: Oct 23, 2025
Onset: Oct 24, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052733	IM / LA

Symptoms (3)

DeathPyrexiaVomiting

Symptom narrative

Vomited at 0700 hours on 10/24/2025 - 20 hours after receiving the vaccine, also had a fever at that time, died at 0912 hours on 10/24/2025

Current illness

none

Medical history

hypertension, congestive heart failure, chronic kidney disease, previous stroke

Other medications

furosemide, losartan, carvedilol, atorvastatin

Allergies

unknonw

Lab data

autopsy will be performed 10/27/2025 or 10/28/2025