Report #2883270

Received Jan 27, 2026

DiedLife-threateningHospitalized

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: 77 yrs
State: CA
Recovered: Not recovered
Vaccinated: Jan 20, 2021
Onset: Jan 31, 2021
Days to onset: 11
Hospital days: 1

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	04L20A	SYR / UN

Symptoms (2)

Cerebrovascular accidentDeath

Symptom narrative

My husband died of a stroke at 9 pm

Current illness

Covid 12 December 23 2020 t0 January 5,2021

Medical history

was in good heath better then most at his age.

Other medications

Paroxetine 45mg. Losartan 100 mg. Finasteride 5mg. 1 aspirin 35 mg. Daily

Allergies

none