Report #2857856

Received Sep 10, 2025

Office visitDisabled

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: 55 yrs
State: NY
Recovered: Not recovered
Vaccinated: Apr 27, 2021
Onset: May 3, 2021
Days to onset: 6
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	—	SYR / LA

Symptoms (3)

Laboratory test normalSkin hypopigmentationVitiligo

Symptom narrative

Within a few days of receiving my 2nd injection, I started to notice pigmentation changes in various locations on my body. I made an appointment for May 27, 2021 with a dermatologist who determined that the spots were Vitiligo, triggered by an overactive immune system. As time went on, the number white spots increased and grew larger. The doctor told me this was irreversible and permanent. I have checked the box on this form for "Disability or permanent damage" becauseI was told it is permanent, however I do not consider it a disability, although it is a cause for emotional discomfort because I have relatively dark skin.

Current illness

None

Medical history

Non

Other medications

Centrum daily vitamin

Allergies

None

Lab data

Dr. confirmed the results immediately and suggested I ask my primary doctor to test me for autoimmune diseases such as lupus. I went to my primary doctor on June 30th and he did not find any additional autoimmune causes.