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Report #2892602

Received Apr 13, 2026

Died

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

Overview

Sex
Male
Age
95 yrs
State
MA
Recovered
Not recovered
Vaccinated
Apr 9, 2026
Onset
Apr 11, 2026
Days to onset
2
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK3052030IM / RA

Symptoms (4)

DeathDysphagiaGeneral physical health deteriorationHypophagia

Symptom narrative

04/09/26: received COVID vaccine to RD. 04/10/26: resident at baseline. 04/11/26: resident noted with decline in status; poor po intake, unable to swallow, holding meds in mouth. 04/11/26: continue with decline, end of life signs noted , start roxanol. 04/11/26: resident expired.

Current illness

N/A

Medical history

DEMENTIA, WEAKNESS, REPEATED FALLS, ATHEROSCLEROTIC HEART DISEASE, CHF, HYPERLIPIDEMIA, HYPOTHYRODISM, TYPE 2 DIABETES, VITAMIN D DEFICIENCY, ANEMIA, CROHN'S DISEASE, DYSPHAGIA, OTHER SYMPTOMS AND SIGNS INVOLVING THE MUSCULOKSKELETAL SYSTEM.

Other medications

PRN APAP, ASPIRIN 81MG DAILY, PRN BISACODYL SUPPOSITORY, BUDESONIDE 9MG DAILY, VITAMIN B12 1,000 MCG/ML ONCE MONTHLY, VITAMIN B12 500MCG DAILY, FERROUS SULFATE 325MG DAILY, FUROSEMIDE 20MG DAILY, LEVOTHYROXINE 50MCG DAILY, LEXAPRO 7.5MG DAI

Allergies

ARICEPT, LEVOFLOXACIN, METRONIDAZOLE, ZOCOR.

Lab data

N/A