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Report #2874577

Received Nov 24, 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
80 yrs
State
IA
Recovered
Unknown
Vaccinated
Nov 4, 2025
Onset
Nov 23, 2025
Days to onset
19
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA18146751IM / RA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

COMPLETE LESION AT C5 LEVEL OF CERVICAL SPINAL CORD, INITIAL ENCOUNTER, HEMIPLEGIA AND HEMIPARESIS FOLLOWING CEREBRAL INFARCTION AFFECTING LEFT NON-DOMINANT SIDE, MALIGNANT NEOPLASM OF LATERAL WALL OF BLADDER, PRESSURE ULCER OF LEFT HEEL, STAGE 2, IRON DEFICIENCY, VITAMIN D DEFICIENCY, UNSPECIFIED, PERIPHERAL VASCULAR DISEASE, UNSPECIFIED, UNSPECIFIED ATRIAL FIBRILLATION, PERSONAL HISTORY OF TRANSIENT ISCHEMIC ATTACK (TIA), AND CEREBRAL INFARCTION WITHOUT RESIDUAL DEFICITS, TYPE 2 DIABETES MELLITUS WITH DIABETIC CHRONIC KIDNEY DISEASE, HYPERLIPIDEMIA

Other medications

Lactobacillus, Hemorrhoidal rectal ointment, Guaifenesin, Atorvastatin, Ketoconazole shampoo, Refresh eye drops, Lidocaine patch, Duloxetine, Baclofen, Milk of Magnesia, Senna, Pantoprazole, Methenamine Hippurate, Vitamin C, Gabapentin, Vi

Allergies

No known allergies