When you get this card in a reading it's always a call for profound transformation. It makes people uneasy. Some decks show The Reaper on their Death card. I like how she's removing her mask in this one, as if to say "Look. It's not so bad".
I've pulled the Death card for clients who were about to be married, have a child or realize a long-awaited dream. No, it wasn't a comment on how bitterly they were going to be dissapointed. It was a description of how completely their life was about to change, for the better. The more entrenched you are in a certain way of being, the bigger change is when you let go. And that can be a beautiful thing.
Enjoy the Full Moon tomorrow and don't be afraid to dive in.