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Report #2882608

Received Jan 21, 2026

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
80 yrs
State
PA
Recovered
Not recovered
Vaccinated
Oct 31, 2025
Onset
Nov 1, 2025
Days to onset
1
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAN/A3052733IM / RA
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.N/A407257IM / LA

Symptoms (1)

Death

Symptom narrative

Patient received vaccines on 10/31/2025 and expired 11/01/2025. Patient's spouse who reported the occurrence today 01/21/2026 said the patient was in otherwise good health.

Current illness

None reported on screening form

Medical history

None reported

Other medications

Not reported

Allergies

Penicillin

Lab data

Patient's spouse reported no autopsy pr analysis was performed.