Report #2898495

Received Jun 1, 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: 73 yrs
State: IA
Recovered: Unknown
Vaccinated: Sep 15, 2022
Onset: May 29, 2026
Days to onset: 1352
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	GJ5342	IM / RA

Symptoms (1)

Death

Symptom narrative

Resident passed away

Medical history

PARKINSON'S DISEASE WITHOUT DYSKINESIA, WITHOUT MENTION OF FLUCTUATIONS, QUADRIPLEGIA, UNSPECIFIED, HYDROCEPHALUS, UNSPECIFIED, VASCULAR DEMENTIA, UNSPECIFIED SEVERITY, WITH MOOD DISTURBANCE, PANIC DISORDER [EPISODIC PAROXYSMAL ANXIETY], PERSONALITY DISORDER, UNSPECIFIED

Allergies

Haloperidol, Keppra