Nicole Ryan Graham, from Moyross and Meelick, passed away in a rehabilitation clinic in Gardner, Kansas, on June 6.
She had been cared for by a dedicated nursing team for the past two years.
After been in a coma for five months the โbubbly and fun lovingโ court clerk was left needing round-the-clock care.
Prior to the accident, Nicole lost her job, and couldnโt afford private health insurance.
Her family – who had moved to America in 1992, when she was nine – were left with a โฌ1m healthcare bill, which they raised along with other funds raised through charity events in Limerick and Clare.
Nicoleโs aunt, Leslie Ryan Dillon, told mourners at St. Munchinโs Church last Saturday: โNicole took everything in her stride and didnโt let anything bother her, as she was so easy going.
โShe livedโlife to the full even though it was such a short life. Nicole has left us three beautiful daughters, who each have a different part of their motherโs personalityโ.
A friend from America added: โI love you so much. You never deserved any of this. You were the strongest and most beautiful mother in the world. I love youโ.
Nicoleโs favourite bracelet, a comfort blanket, a Padre Pio prayer book, her favourite music CD, a picture of David Beckham, and her prized Irish teddy bear, were placed at her coffin.
Curate, Fr Pat Seaver said: โShe never forgot where she came from, and she talked about home all the timeโ.
Nicoleโs body was cremated in Kansas, where half her ashes are buried.
Her remaining ashes were brought to Mount St Lawrence Cemetery.