Report #2863991

Received Oct 7, 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: 65 yrs
State: OK
Recovered: Not recovered
Vaccinated: Oct 2, 2025
Onset: Oct 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3051997	IM / LA

Symptoms (1)

Rash

Symptom narrative

PATIEN HAS DEVELOPED A FULL BODY RASH AFFECTING BACK, TORSO, UNDERARMS, LEGS AND ARMS

Medical history

HYPERTENSION, HYPERLIPIDEMIA, CHRONIC ALLERGIES

Other medications

FLONASE NASAL SPRAY, AZELASTINE NASAL SPRAY, XARELTO 20MG, PANTOPRAZOLE 40MG, ZETIA 10MG, CLARITIN 10MG

Allergies

ACE INHIBITORS- SWELLING