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Report #2892387

Received Apr 10, 2026

Died

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
66 yrs
State
IA
Recovered
Unknown
Vaccinated
Oct 14, 2025
Onset
Apr 10, 2026
Days to onset
178
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052671IM / LA

Symptoms (1)

Death

Symptom narrative

resident passed away

Medical history

MALIGNANT NEOPLASM OF BLADDER, UNSPECIFIED, ACUTE KIDNEY FAILURE, UNSPECUNSPECIFIED DEMENTIA, SEVERE, WITH MOOD DISTURBANCEIFIED, TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS, CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE, ACUTE POSTHEMORRHAGIC ANEMIA

Other medications

Escitalopram, Tamsulosin, Potassium chloride, Famotidine, Quetiapine fumarate, Valproic acid, Fluticasone Propionate nasal spray, Metformin, Polyethylene powder, amlodipine, Alprazolam, Furosemide, Senexon-S , Acetaminophen, Atorvastatin,

Allergies

Codeine, Iodinated Contrast Media, Shell Fish