Report #2862231

Received Sep 29, 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: 73 yrs
State: NY
Recovered: Not recovered
Vaccinated: Oct 3, 2023
Onset: —
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	80777-0102-96	LA

Symptoms (6)

AcneBiopsy skin abnormalBurning sensationRashRash pruriticTransient acantholytic dermatosis

Symptom narrative

10/3/23 Spikevax 12+ (Covid) 23-24 PFS 0.5ML vaccine 10/13/23 RSV ABRYSVO inj 00069-03405 .5mL Left arm 11/27/23 Dermatology Tissue exam not bacteria Clobetasol .05% solution 50mL for rash and ozone lotion Itch + Burning Rash lasting approx 2 years Full Body rash trunk legs arms 2/14/24 Tad - Grovers Disease#4 11/5/24 Acne iform folliculotis

Current illness

none

Medical history

none at the time of vaccine

Other medications

none

Allergies

none

Lab data

Dermatology Biopsy Collected 2/14/24 date received 2/16/24 date reported 2/18/24 Results Transient asantholytic dermatosis Gravers Disease betamethasone 2/21/24 follow up diagnosis Telemed erythematous papule acne form folliculitis rash persists skin check rash persists