Report #2895566

Received May 6, 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: 65 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 31, 2025
Onset: May 6, 2026
Days to onset: 187
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

HEMIPLEGIA AND HEMIPARESIS FOLLOWING CEREBRAL INFARCTION AFFECTING LEFT NON-DOMINANT SIDE, CHRONIC KIDNEY DISEASE, STAGE 4 (SEVERE), HYPERTENSIVE CHRONIC KIDNEY DISEASE WITH STAGE 1 THROUGH STAGE 4 CHRONIC KIDNEY DISEASE, OR UNSPECIFIED CHRONIC KIDNEY DISEASE, PRESENCE OF AORTOCORONARY BYPASS GRAFT, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, TYPE 2 DIABETES MELLITUS WITH DIABETIC CHRONIC KIDNEY DISEASE, UNSPECIFIED MOOD [AFFECTIVE] DISORDER, MAJOR DEPRESSIVE DISORDER, RECURRENT, UNSPECIFIED

Other medications

Lantus, Cefpodoxime Proxetil, Propranolol, oxycodone, lorazepam, Lisinopril, Humalog insulin, Gabapentin, Acetaminophen, Amlodipine, hydralazine, refresh eye drop, Senna, Miralax, Olanzapine, lamotrigine, famotidine, Clopidogrel bisulfate,

Allergies

Codeine, Iodine 131, Monosodium Glutamate, Morphine, Shellfish Allergy, Tetracycline, Tositumomab, Iodinated Contrast Media, Sulfa Antibiotics, Berries, Poppy Seed, Shell Fish, Bee venom