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Data source: VAERS (Vaccine Adverse Event Reporting System)

Data through 2026 · Updated quarterly

Built by TheDataProject.ai · © 2026 VaccineWatch

Important: VAERS accepts reports of adverse events following vaccination. For any given report, there is no certainty that the reported event was caused by the vaccine. Reports may contain information that is incomplete, inaccurate, coincidental, or unverifiable. Most reports to VAERS are voluntary, which means they are subject to biases. This data cannot be used to determine if vaccines cause or contribute to adverse events.

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Important: VAERS reports alone cannot determine if a vaccine caused an adverse event. Reports may contain incomplete, inaccurate, or unverified information. Correlation does not equal causation.

  1. Home
  2. Analysis
  3. The 65+ Age Group
7 min read
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The 65+ Age Group in VAERS

Adults 65 and older represent 20.1% of all VAERS reports but account for a disproportionate 56% of death reports. Understanding why requires context.

56%
of all death reports come from the 65+ age group, despite being only 20.1% of total reports

Why the Elderly Are Different

The 65+ age group has 398,940 VAERS reports with a mortality rate of 3.9% — significantly higher than the overall rate of 1.4%. Several factors explain this disparity:

  • Higher baseline mortality: Older adults have higher rates of death from all causes. Events that coincide temporally with vaccination are more common.
  • Comorbidities: Chronic conditions like heart disease, diabetes, and cancer are more prevalent, increasing vulnerability to any health event.
  • Flu and COVID-19 campaigns: Annual influenza vaccination and COVID-19 boosters mean elderly adults receive more doses, creating more opportunities for temporal associations.
  • Nursing home reporting: Deaths in long-term care facilities are more systematically reported to VAERS, especially during COVID-19.

Hospitalization Patterns

57,201 reports for the 65+ group involved hospitalization, a rate of 14.3% compared to the overall rate of 7.2%. Again, this reflects the higher baseline hospitalization rate for older adults, not necessarily vaccine-caused events.

The Denominator Problem

Without knowing how many doses were administered to people 65+, we cannot calculate true adverse event rates. The elderly receive a disproportionate share of certain vaccines (influenza, pneumococcal, shingles, COVID-19 boosters), which inflates their raw report numbers.

Key Takeaways

  • 1.Adults 65+ account for 56% of death reports despite being 20.1% of total reports
  • 2.Higher baseline mortality and comorbidities drive higher serious outcome rates
  • 3.Systematic reporting from nursing homes inflates elderly report counts
  • 4.Per-dose rates (which VAERS cannot provide) are essential for meaningful safety comparisons

2026 Data Context

As VAERS reporting normalizes following the COVID-19 pandemic surge, the data landscape for elderly adverse event patterns is shifting. Annual VAERS reports in 2025-2026 have returned to the 35,000-45,000 range typical of the pre-pandemic era (2015-2019), making year-over-year comparisons more meaningful again.

The HHS administration has signaled increased focus on vaccine safety data analysis, including the development of AI-powered tools for pattern detection in VAERS reports. While these tools are still under development, they represent a potential evolution in how adverse event data is analyzed and interpreted.

New vaccines entering the market — including RSV vaccines for older adults and pregnant women, updated COVID-19 formulations, and potential H5N1 avian flu vaccines — continue to add new data streams to VAERS. Each new vaccine type provides additional context for understanding elderly adverse event patterns across the full spectrum of vaccine safety surveillance.

Limitations of This Analysis

This analysis is based entirely on VAERS passive surveillance data, which carries important limitations that must be understood:

  • Underreporting: Studies estimate that only 1-10% of adverse events are reported to VAERS. This means the true number of events is likely much higher than what appears in the data.
  • Stimulated reporting: Media coverage and public awareness can temporarily increase reporting rates for specific vaccines, independent of any change in actual safety.
  • No control group: VAERS does not include a comparison group of unvaccinated individuals, making it impossible to determine whether reported events occurred at a higher rate than expected.
  • Variable data quality: VAERS reports range from detailed medical records submitted by healthcare providers to brief descriptions from patients. Not all reports are verified for medical accuracy.
  • Duplicate reports: The same event may be reported by multiple people (patient, doctor, manufacturer), and some duplicates may remain in the data.

For these reasons, VAERS data is best used for signal detection — identifying potential safety concerns that warrant further investigation — rather than for definitive risk assessment. When VAERS surfaces a potential signal, it is investigated using more rigorous systems like the Vaccine Safety Datalink (VSD) and controlled epidemiological studies.

About This Data

All data on VaccineWatch comes from the official VAERS public-use datasets published by the CDC and FDA. Our current dataset covers reports from 1990 through early 2026. We process the raw data without filtering or editorializing — every metric is a transparent aggregation of official government data.

Our Methodology →FAQ →Disclaimer →

2026 Data Context

As VAERS reporting normalizes following the COVID-19 pandemic surge, the data landscape for elderly adverse event patterns is shifting. Annual VAERS reports in 2025-2026 have returned to the 35,000-45,000 range typical of the pre-pandemic era (2015-2019), making year-over-year comparisons more meaningful again.

The HHS administration has signaled increased focus on vaccine safety data analysis, including the development of AI-powered tools for pattern detection in VAERS reports. While these tools are still under development, they represent a potential evolution in how adverse event data is analyzed and interpreted.

New vaccines entering the market — including RSV vaccines for older adults and pregnant women, updated COVID-19 formulations, and potential H5N1 avian flu vaccines — continue to add new data streams to VAERS. Each new vaccine type provides additional context for understanding elderly adverse event patterns across the full spectrum of vaccine safety surveillance.

Limitations of This Analysis

This analysis is based entirely on VAERS passive surveillance data, which carries important limitations that must be understood:

  • Underreporting: Studies estimate that only 1-10% of adverse events are reported to VAERS. This means the true number of events is likely much higher than what appears in the data.
  • Stimulated reporting: Media coverage and public awareness can temporarily increase reporting rates for specific vaccines, independent of any change in actual safety.
  • No control group: VAERS does not include a comparison group of unvaccinated individuals, making it impossible to determine whether reported events occurred at a higher rate than expected.
  • Variable data quality: VAERS reports range from detailed medical records submitted by healthcare providers to brief descriptions from patients. Not all reports are verified for medical accuracy.
  • Duplicate reports: The same event may be reported by multiple people (patient, doctor, manufacturer), and some duplicates may remain in the data.

For these reasons, VAERS data is best used for signal detection — identifying potential safety concerns that warrant further investigation — rather than for definitive risk assessment. When VAERS surfaces a potential signal, it is investigated using more rigorous systems like the Vaccine Safety Datalink (VSD) and controlled epidemiological studies.

About This Data

All data on VaccineWatch comes from the official VAERS public-use datasets published by the CDC and FDA. Our current dataset covers reports from 1990 through early 2026. We process the raw data without filtering or editorializing — every metric is a transparent aggregation of official government data.

Our Methodology →FAQ →Disclaimer →

2026 Data Context

As VAERS reporting normalizes following the COVID-19 pandemic surge, the data landscape for elderly adverse event patterns is shifting. Annual VAERS reports in 2025-2026 have returned to the 35,000-45,000 range typical of the pre-pandemic era (2015-2019), making year-over-year comparisons more meaningful again.

The HHS administration has signaled increased focus on vaccine safety data analysis, including the development of AI-powered tools for pattern detection in VAERS reports. While these tools are still under development, they represent a potential evolution in how adverse event data is analyzed and interpreted.

New vaccines entering the market — including RSV vaccines for older adults and pregnant women, updated COVID-19 formulations, and potential H5N1 avian flu vaccines — continue to add new data streams to VAERS. Each new vaccine type provides additional context for understanding elderly adverse event patterns across the full spectrum of vaccine safety surveillance.

Limitations of This Analysis

This analysis is based entirely on VAERS passive surveillance data, which carries important limitations that must be understood:

  • Underreporting: Studies estimate that only 1-10% of adverse events are reported to VAERS. This means the true number of events is likely much higher than what appears in the data.
  • Stimulated reporting: Media coverage and public awareness can temporarily increase reporting rates for specific vaccines, independent of any change in actual safety.
  • No control group: VAERS does not include a comparison group of unvaccinated individuals, making it impossible to determine whether reported events occurred at a higher rate than expected.
  • Variable data quality: VAERS reports range from detailed medical records submitted by healthcare providers to brief descriptions from patients. Not all reports are verified for medical accuracy.
  • Duplicate reports: The same event may be reported by multiple people (patient, doctor, manufacturer), and some duplicates may remain in the data.

For these reasons, VAERS data is best used for signal detection — identifying potential safety concerns that warrant further investigation — rather than for definitive risk assessment. When VAERS surfaces a potential signal, it is investigated using more rigorous systems like the Vaccine Safety Datalink (VSD) and controlled epidemiological studies.

About This Data

All data on VaccineWatch comes from the official VAERS public-use datasets published by the CDC and FDA. Our current dataset covers reports from 1990 through early 2026. We process the raw data without filtering or editorializing — every metric is a transparent aggregation of official government data.

Our Methodology →FAQ →Disclaimer →

Related Analysis

Age Patterns in VAERS
Full age group analysis
Understanding Death Reports
What death reports mean
2026 Vaccine Schedule
Recommended vaccines for older adults