Report #2893245

Received Apr 20, 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: 71 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 31, 2025
Onset: Apr 18, 2026
Days to onset: 169
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	8146751	IM / RA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

MULTIPLE SCLEROSIS, UNSPECIFIED, TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS, HEART FAILURE, UNSPECIFIED, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED, CHRONIC RESPIRATORY FAILURE WITH HYPOXIA, PAROXYSMAL ATRIAL FIBRILLATION, ESSENTIAL (PRIMARY) HYPERTENSION, HYPOTHYROIDISM, UNSPECIFIED, CHRONIC MIGRAINE WITHOUT AURA, NOT INTRACTABLE, WITHOUT STATUS MIGRAINOSUS, UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY, CHRONIC KIDNEY DISEASE, STAGE 3 UNSPECIFIED, EXCORIATION (SKIN-PICKING) DISORDER

Other medications

Ibuprofen, Tramadol, Metoclopramide, Potassium Chloride, Pantoprazole sodium, Miconazole powder, Lorazepam, NAC oral capsule, Acetaminophen, Pain reliever plus, Ondansetron, Mirtazapine, Melatonin, Loratadine, Fluticasone, Anti-diarrheal, L

Allergies

Meperidine, Zolpidem, Penicillin, Sulfa Antibiotics