Report #2849681

Received Jul 14, 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: Female
Age: 53 yrs
State: CA
Recovered: Unknown
Vaccinated: Dec 26, 2020
Onset: Jul 14, 2025
Days to onset: 1661
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	025J20-2A	IM / AR
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	030L20	IM / AR
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	3	FK9896	IM / AR

Symptoms (8)

Acute febrile neutrophilic dermatosisBiopsy skinBlood testImmediate post-injection reactionParaesthesiaParaesthesia oralRashSwollen tongue

Symptom narrative

Immediate tongue tingling swelling and nose tingling for dose 1; dose 2 with skin rashes ; diode 3 with rashes like eczema and later diagnosis of Sweets syndrome

Current illness

None

Medical history

HTN

Allergies

PCN, Sulfa, Doxycycline

Lab data

First two Moderna, last was Pfizer. With seeets had numerous dermatology apts, ER, biopsy and several blood trsts

Prior vaccinations

Shingles 3 rd vaccine