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Report #2898417

Received May 30, 2026

DiedHospitalizedER / ED visitOffice visit
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
89 yrs
State
CA
Recovered
Not recovered
Vaccinated
Jan 17, 2021
Onset
Feb 1, 2021
Days to onset
15
Hospital days

Vaccines (6)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECHUNK
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECHUNK
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECHUNK
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUNK

Symptoms (2)

DeathMultiple organ dysfunction syndrome

Symptom narrative

Vital organ damage/failure resulting in death

Current illness

Adverse reactions to toxic prescription drugs

Medical history

Adverse reactions to toxic prescription drugs

Other medications

Too many to list and no longer have record since his death in August, 2025

Allergies

All prescription drugs

Prior vaccinations

many flu vaccines leading to decline