Report #2886296

Received Feb 20, 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: 81 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 1, 2025
Onset: Feb 19, 2026
Days to onset: 141
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3053940	IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

ALZHEIMER'S DISEASE, UNSPECIFIED, PSYCHOTIC DISORDER WITH HALLUCINATIONS DUE TO KNOWN PHYSIOLOGICAL CONDITION, TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS, CHRONIC EMBOLISM AND THROMBOSIS OF OTHER SPECIFIED VEINS, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, CHRONIC KIDNEY DISEASE, STAGE 3B, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS,

Other medications

Resident admitted to facility on 1/6/2026 these are the medications with admission: Senna, MiraLAX, Milk of Magnesia, Guaifenesin, Bisacodyl, Bisacodyl suppository, Tums, Antacid suspension, Acetaminophen, Estradiol Vaginal cream, Multi Vi

Allergies

Codeine, Fentanyl, Gabapentin, Hydrocodone, Isopropyl Alcohol, Morphine, NSAIDs, Tramadol, Tape