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Report #2825435

Received Feb 10, 2025

Office visit
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
Female
Age
62 yrs
State
CA
Recovered
Not recovered
Vaccinated
Feb 1, 2021
Onset
Mar 15, 2021
Days to onset
42
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA11SYR / LA

Symptoms (3)

Biopsy skin abnormalCutaneous T-cell lymphomaRash

Symptom narrative

A skin rash started on the patient's torso a week after receiving vaccine. The rash persisted and never went away. It is now biopsied and the diagnosis is Mycosis Fungoides a form of Cutaneous Lymphoma

Current illness

Mild Asthma , nasal allergies

Other medications

Singulair, spironolacyone

Allergies

None

Lab data

Skin biopsy revealed mycosis fungoides