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Report #2882502

Received Jan 20, 2026

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Overview

Sex
Male
Age
68 yrs
State
AZ
Recovered
Not recovered
Vaccinated
Jan 14, 2026
Onset
Jan 16, 2026
Days to onset
2
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK3053115IM / LA
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.1z013052IM / LA

Symptoms (3)

Brain deathComaDeath

Symptom narrative

We received a call from Rehab facility that the patient had passed away.

Current illness

Comatose, tracheotomy, kidney failure (on dialysis)

Medical history

Pt was comatose and had no brain activity, patient had tracheotomy, and was on dialysis.