Report #2824383

Received Feb 4, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 69 yrs
State: NV
Recovered: Unknown
Vaccinated: Aug 16, 2021
Onset: Aug 26, 2024
Days to onset: 1106
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	009C21A	IM / LA

Symptoms (2)

Lip swellingRash

Symptom narrative

Reported Symptoms: 10024570:LIP SWELLING; 10037844:RASH; Narrative: Other Relevant HX: Other: LIP SWELLING