Report #2888072

Received Mar 9, 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: 91 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 13, 2025
Onset: Mar 7, 2026
Days to onset: 145
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052671	IM

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

PERIPHERAL VASCULAR DISEASE, UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, VITAMIN D DEFICIENCY, UNSPECIFIED, MIXED HYPERLIPIDEMIA, IDIOPATHIC HYPOTENSION

Other medications

Refresh eye drops, Cephalexin, Miconazole powder, Midodrine, Potassium chloride, Vitamin D3, Diclofenac sodium gel

Allergies

Metronidazole, Morphine, ranitidine, Sulfamethoxazole/Sulfadiazine/Trimethoprim