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Report #2869903

Received Oct 31, 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
47 yrs
State
MA
Recovered
Recovered
Vaccinated
Dec 21, 2021
Onset
Dec 1, 2021
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK068H21AIM

Symptoms (2)

Mechanical urticariaUrticaria

Symptom narrative

dermatagraphia; hives; This spontaneous case was reported by a consumer and describes the occurrence of MECHANICAL URTICARIA (dermatagraphia) and URTICARIA (hives) in a 47-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 068H21A) for COVID-19 prophylaxis. No Medical History information was reported. On 21-Dec-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) 1 dosage form. In December 2021, the patient experienced MECHANICAL URTICARIA (dermatagraphia) and URTICARIA (hives). In March 2022, MECHANICAL URTICARIA (dermatagraphia) and URTICARIA (hives) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) was unknown. No concomitant medication was reported. It was reported that patient had roughly 3 months of hives and dermatagraphia post administration. It was unknown if the patient experienced any additional symptoms/events. No treatment information was reported.