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Report #2892824

Received Apr 15, 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
Male
Age
74 yrs
State
IA
Recovered
Unknown
Vaccinated
Apr 8, 2026
Onset
Apr 14, 2026
Days to onset
6
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052786IM / LA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY, UNSPECIFIED ATRIAL FIBRILLATION, CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE, CHRONIC KIDNEY DISEASE, STAGE 3A, NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED, TRANSIENT CEREBRAL ISCHEMIC ATTACK, UNSPECIFIED, HYPOTHYROIDISM, UNSPECIFIED, CHRONIC TOTAL OCCLUSION OF ARTERY OF THE EXTREMITIES, ALCOHOLIC CIRRHOSIS OF LIVER WITHOUT ASCITES,

Other medications

Lorazepam, Miralax, hydrocodone- acetaminophen, Morphine, Potassium Chloride, Amiodarone, Metoprolol, Bumetanide, Pantoprazole, Atorvastatin, Gabapentin, Trazadone, Primidone, Lidocaine patch, Buspirone, Mi-Acid, Nitroglycerin, Isosorbide

Allergies

Bees