Report #2896687

Received May 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: 72 yrs
State: IA
Recovered: Not recovered
Vaccinated: Apr 14, 2026
Onset: May 14, 2026
Days to onset: 30
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	3052786	IM / RA

Symptoms (1)

Death

Symptom narrative

Expired

Current illness

Medical history

ALZHEIMER'S DISEASE,ANXIETY DISORDER,ALCOHOL USE,CANNABIS USE,CHRONIC PAIN,CHRONIC OBSTRUCTIVE PULMONARY DISEASE, HYPERLIPIDEMIA,BENIGN PROSTATIC HYPERPLASIA WITHOUT LOWER URINARY TRACT SYMPTOMS, DEPRESSIVE EPISODES,ULCERATIVE COLITIS,

Other medications

Acidophilus Probiotic, Doxazosin Mesylate, Duloxetine HCL, Olanzapine, Omeprazole, Polyethylene Glycol, Simvastatin, Spiriva Respimat, Trazodone, Baclofen, Docusate Sodium, quetiapine Fumarate, Senna, acetaminophen,

Allergies

Sertraline, gabapentin