Report #2872783

Received Nov 14, 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: 79 yrs
State: IA
Recovered: Not recovered
Vaccinated: Apr 24, 2025
Onset: Nov 14, 2025
Days to onset: 204
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	3046731	IM / RA

Symptoms (1)

Death

Symptom narrative

Expired

Current illness

Medical history

ANOSMIA,OTHER DISORDERS OF NERVOUS SYSTEM, UNSPECIFIED MENTAL DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITION, IRRITABLE BOWEL SYNDROME, UNSPECIFIED, UNSPECIFIED HEARING LOSS, TINNITUS, UNSPECIFIED OSTEOARTHRITIS, RETENTION OF URINE, DEPRESSION, DEMENTIA IN OTHER DISEASES CLASSIFIED ELSEWHERE, SEVERE, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY, FULL INCONTINENCE OF FECES, CONTACT WITH AND (SUSPECTED) EXPOSURE TO OTHER HAZARDOUS, CHIEFLY NONMEDICINAL, CHEMICALS, PARKINSON'S DISEASE WITHOUT DYSKINESIA, WITHOUT MENTION OF FLUCTUATIONS,