Report #2893809

Received Apr 23, 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: 65 yrs
State: IA
Recovered: Not recovered
Vaccinated: Oct 29, 2025
Onset: Apr 22, 2026
Days to onset: 175
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	Unknown	UN / UN

Symptoms (1)

Death

Symptom narrative

resident expired

Current illness

Unknown, vaccine administered prior to admission

Medical history

UNSPECIFIED SYMPTOMS AND SIGNS INVOLVING COGNITIVE FUNCTIONS AND AWARENESS,INSOMNIA,MUCOPURULENT CHRONIC BRONCHITIS,EPIDERMAL THICKENING,NEUROMUSCULAR DYSFUNCTION OF BLADDER, UNSPECIFIED SEVERE PROTEIN-CALORIE MALNUTRITION, ADULT FAILURE TO THRIVE,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,GENERALIZED ENLARGED LYMPH NODES,LONG TERM (CURRENT) USE OF OPIATE ANALGESIC,OCCLUSION AND STENOSIS OF UNSPECIFIED CAROTID ARTERY, SPINA BIFIDA,TACHYCARDIA, CHRONIC PAIN SYNDROME, OCCLUSION AND STENOSIS OF BILATERAL CAROTID ARTERIES, ESSENTIAL (PRIMARY) HYPERTENSION, MIXED HYPERLIPIDEMIA, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS, SPONDYLOSIS WITHOUT MYELOPATHY OR RADICULOPATHY, CERVICAL REGION, TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS,VITAMIN D DEFICIENCY, MAJOR DEPRESSIVE DISORDER, RECURRENT, MODERATE, UNSPECIFIED PSYCHOSIS NOT DUE TO A SUBSTANCE OR KNOWN PHYSIOLOGICAL CONDITION,POST-TRAUMATIC STRESS DISORDER, UNSPECIFIED MENTAL DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITION, SCHIZOPHRENIA, ALCOHOL DEPENDENCE, IN REMISSION, CARDIAC MURMUR