Report #2830368

Received Mar 10, 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: 77 yrs
State: FL
Recovered: Unknown
Vaccinated: Nov 21, 2024
Onset: Nov 22, 2024
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	IM / LA

Symptoms (1)

Dermatitis

Symptom narrative

Reported Systems: 10012431:DERMATITIS; 10037844:RASH; Narrative: Other Relevant HX: Covid-19 booster vaccine; no previous reactions reported Other: DERMATITIS