Report #2876385

Received Dec 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: 72 yrs
State: ID
Recovered: Not recovered
Vaccinated: Dec 2, 2025
Onset: Dec 3, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	7+	3053777	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8829AA	IM / RA

Symptoms (1)

Death

Symptom narrative

BOTH VACCINES GIVEN IN RIGHT DELTOID, NO REACTIONS IN STORE AND PATIENT LEFT STORE IN GOOD SPIRITS