Report #2885113

Received Feb 11, 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: 93 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 29, 2025
Onset: Feb 10, 2026
Days to onset: 104
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052668	IM / LA

Symptoms (1)

Death

Symptom narrative

resident passed away

Medical history

UNSPECIFIED DEMENTIA, SEVERE, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY, PERMANENT ATRIAL FIBRILLATION, PERSONALITY DISORDER, UNSPECIFIED, SCHIZOPHRENIA, UNSPECIFIED,

Other medications

Metoprolol, Olanzapine, Senna, Docusate sodium, Aspirin, PreserVision AREDS, Citalopram, Acetaminophen,

Allergies

NKA