Report #2904833

Received Jul 27, 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: 88 yrs
State: IA
Recovered: Unknown
Vaccinated: Apr 23, 2026
Onset: Jul 26, 2026
Days to onset: 94
Hospital days: —

Vaccines (1)

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

Symptoms (1)

Death

Symptom narrative

resident passed away

Medical history

DIABETES MELLITUS DUE TO UNDERLYING CONDITION WITH DIABETIC POLYNEUROPATHY, TYPE 2 DIABETES MELLITUS WITH DIABETIC NEPHROPATHY, ESSENTIAL (PRIMARY) HYPERTENSION, HYPOTHYROIDISM, UNSPECIFIED, OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC), NEUROMUSCULAR DYSFUNCTION OF BLADDER, UNSPECIFIED, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS

Other medications

Tramadol, Lidocaine patch, Diclofenac sodium gel, Pregabalin, Hydrocodone- Acetaminophen, Fiasp insulin, Capsaicin external cream, Acetaminophen, Lantus insulin, Loratadine, Duloxetine, Pantoprazole Sodium, Lactobacillus, Allopurinol, cough

Allergies

Pain cream, theragesic