Fillmore "could enjoy the music she so much loved, and the conversation of...cultivated society...."

Despite chronic poor health, Mrs. Fillmore stayed near her husband through the outdoor ceremonies of President Pierce's inauguration while a raw northeast wind whipped snow over the crowd. Returning chilled to the Willard Hotel, she developed pneumonia; she died there on March 30, 1853. The House of Representatives and the Senate adjourned, and public offices closed in respect, as her family took her body home to Buffalo for burial. .