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Report #2901559

Received Jun 26, 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
77 yrs
State
IA
Recovered
Not recovered
Vaccinated
Oct 29, 2025
Onset
Jun 25, 2026
Days to onset
239
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052668IM / LA

Symptoms (1)

Death

Symptom narrative

Expired

Current illness

N/A

Medical history

PARKINSON'S DISEASE WITHOUT DYSKINESIA, WITHOUT MENTION OF FLUCTUATIONS, DEMENTIA IN OTHER DISEASES CLASSIFIED ELSEWHERE, UNSPECIFIED SEVERITY, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY, EPILEPSY,DYSPHAGIA, OROPHARYNGEAL PHASE,PSYCHOTIC DISORDER WITH HALLUCINATIONS DUE TO KNOWN PHYSIOLOGICAL CONDITION,ESSENTIAL (PRIMARY) HYPERTENSION, HYPERLIPIDEMIA, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS, LOW BACK PAIN,PREDIABETES, VITAMIN D DEFICIENCY, DEPRESSION,BENIGN PROSTATIC HYPERPLASIA WITHOUT LOWER URINARY TRACT SYMPTOMS,CALCULUS OF KIDNEY, UNILATERAL INGUINAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE, NOT SPECIFIED AS RECURRENT, UNSPECIFIED CATARACT

Other medications

Acetaminophen, carbidopa- levodopa, donepezil hcl, ketoconazole, lidocaine, sertraline, trazodone, trospium chloride, docusate sodium, levetiracetam, lorazepam, polyethylene glycol, propranolol hcl, senna, tramadol, morphine sulfate,

Allergies

haloperidol

Lab data

N/A