Report #2886430

Received Feb 23, 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: 95 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 15, 2025
Onset: Feb 22, 2026
Days to onset: 130
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052669	IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY , CHRONIC KIDNEY DISEASE, STAGE 4 (SEVERE), HYPOTHYROIDISM, ALZHEIMER'S DISEASE WITH LATE ONSET, TYPE 2 DIABETES MELLITUS WITH DIABETIC CHRONIC KIDNEY DISEASE, PERSONAL HISTORY OF OTHER VENOUS THROMBOSIS AND EMBOLISM,

Other medications

Prednisone, Clobetasol cream, Lokelma, Polyethylene powder, Jardiance, Cetirizine, aspirin, Docusate, Acetaminophen, Triamcinolon ointment, sodium chloride solution, Diclofenac sodium gel, Levothyroxine, Ondansetron, Oxymetazoline solution,

Allergies

NKA