VAERS Explorer
Back to explore

Report #2870533

Received Nov 4, 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
75 yrs
State
IA
Recovered
Unknown
Vaccinated
Oct 15, 2025
Onset
Nov 4, 2025
Days to onset
20
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052669IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away.

Medical history

UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WITH MOOD DISTURBANCE, TYPE 2 DIABETES MELLITUS WITH DIABETIC NEUROPATHY, UNSPECIFIED, CHRONIC KIDNEY DISEASE, STAGE 4 (SEVERE), ESSENTIAL (PRIMARY) HYPERTENSION, PERIPHERAL VASCULAR DISEASE, UNSPECIFIED, TRIBUTARY (BRANCH) RETINAL VEIN OCCLUSION, RIGHT EYE, WITH MACULAR EDEMA, CARDIAC MURMUR, UNSPECIFIED, ATROPHY OF KIDNEY (TERMINAL), DIVERTICULOSIS OF INTESTINE, PART UNSPECIFIED, WITHOUT PERFORATION OR ABSCESS WITHOUT BLEEDING

Other medications

Melatonin, Memantine, Donepezil, Acetaminophen, Losartan, Tresiba insulin, Metoprolol, lorazepam, Docusate sodium, Sertraline, Trulicity

Allergies

Amlodipine