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Report #2860782

Received Sep 23, 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
67 yrs
State
OH
Recovered
Unknown
Vaccinated
Sep 9, 2025
Onset
Sep 11, 2025
Days to onset
2
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURUNKU8764CBIM / RA

Symptoms (7)

Erythema multiformeFull blood count normalHerpes zosterIncreased tendency to bruiseInjection site reactionRashSkin lesion

Symptom narrative

Erythema multiforme Rash Noted to injection site with 7 lesions, painful to light touch, pt was seen on the Sept 18th- Differential: Shingles- Mupirocin and Triamcinolone ordered. Pt returned to office on Sept 22nd, with rash spread throughout the body- Medrol Dose pack ordered

Current illness

GERD symptoms

Medical history

CAD, HTN, Hx STEMI

Other medications

aspirin 81 mg tablet,delayed release ezetimibe 10 mg tablet metoprolol tartrate 25 mg tablet nitroglycerin 0.3 mg sublingual tablet losartan 50 mg tablet Colace 100 mg capsule trazodone 50 mg tablet atorvastatin 40 mg tablet CoQ-10 100 mg c

Allergies

PPD Black Rubber Mix

Lab data

CBC's ordered: WNL