Report #2835989

Received Apr 14, 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: 81 yrs
State: WI
Recovered: Not recovered
Vaccinated: Jan 20, 2021
Onset: Oct 1, 2024
Days to onset: 1350
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	EJ1685	IM / RA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	EL1284	IM / RA

Symptoms (2)

Lichen planusPathology test

Symptom narrative

Lichen Planus of perineum and labia

Current illness

none

Medical history

arthritis, hypertenson

Other medications

metopolol, multivitamins, tylenol

Allergies

Internal iodine

Lab data

Pathology report confirms diagnosis