Report #2836688

Received Apr 17, 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: Male
Age: 23 yrs
State: VA
Recovered: Not recovered
Vaccinated: Dec 26, 2021
Onset: Jan 10, 2022
Days to onset: 15
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	066H21A	SYR

Symptoms (3)

AsthmaMechanical urticariaUrticaria

Symptom narrative

Delayed allergic reaction occuring (2 weeks) after injection. Dermatographia, hives, and asthma lasting for two years after injection. Treated symptoms with antihistamines, and steroids.

Report #2836688

Overview

Vaccines (1)

Symptoms (3)

Symptom narrative

Current illness

Medical history

Other medications

Allergies