Report #2858419

Received Sep 12, 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: 80 yrs
State: WA
Recovered: Not recovered
Vaccinated: Sep 9, 2025
Onset: Sep 11, 2025
Days to onset: 2
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	unknown	SYR / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	unknown	SYR / LA

Symptoms (2)

PruritusUrticaria

Symptom narrative

hives upper inner leg both sides ( bright red area slightly raised itchy both sides) noticed while going to the bathroom but I think it actually started sometime before the time listed as I remember the area being itchy earlier in the day but thought nothing of it until noticed the red areas and at that time realized it was hives

Current illness

walderstrom's, PMR

Medical history

waldensrom's, PMR, high blood pressure, narrowing of artery, nonrecurrent unilateral inguinal hernia without obstruction

Other medications

omeprazole 20mg, prednisone 9mg, rosuvastatin 5mg, amlodipine 10mg, calcium silver tablet, cetirizine 10mg, and dicylomine 10mg.

Allergies

diclofenac, nabumetone, and reglan (metoclopramide0

Lab data

none