Report #2888196

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: 74 yrs
State: PA
Recovered: Unknown
Vaccinated: Nov 10, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052835	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	UNK	407271	IM / RA

Symptoms (1)

Death

Symptom narrative

No symptoms Patient died 11-11-25.

Current illness

None

Other medications

Allergies

None

Lab data

None