Report #2889823

Received Mar 18, 2026

DiedHospitalized

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: 53 yrs
State: WA
Recovered: Not recovered
Vaccinated: Oct 23, 2024
Onset: Jan 27, 2026
Days to onset: 461
Hospital days: 11

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	8080797	IM / LA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Positive SARS-CoV-2 antigen test result on 1/26/2026. Hospitalized on 1/27/2026.

Current illness

no acute illnesses

Medical history

MELAS syndrome, malnutrition, mitochondrial myopathy, dysphasia, anxiety, ophthalmoplegia, insomnia, foot drop, personality disorder, hearing loss, failure to thrive, muscle weakness

Other medications

amitriptyline, L-arginine, mirtazapine, omeprazole, polyethylene glycol, vitamin D3, CoQ-10, oxybutynin, senna, levocarnitine, metoclopramide, carboxymethylcellulose sodium ophthalmic soln., lactulose, acetaminophen, fluzone (flu vaccine re

Allergies

amoxicillin, statins, depakote, diphenhydramine

Lab data

Positive SARS-CoV-2 antigen test result on 1/26/2026.