Received Nov 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | 025B21A | IM / LA |
Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; 10046735:URTICARIA; Narrative: Seen in PCP clinic. Complained of rash after receiving his second dose of the Moderna COVID vaccine on 4/9/2021. Patient states that he developed the rash 2 days later on his L arm near the injection site; over the next few days the rash spread from his left arm to his chest/abdomen and to his right arm, then to legs. He states that the rash is itchy, painful with a burning sensation and noticed mild swelling. Clear vesicles that burn/itch. Per provider, felt that could be erysipelas vs impetigo vs shingles. Saw PCP at a follow up visit with improvement. Remains unclear whether reaction truly due to injection or not, did receive subsequent COVID vaccines without apparent issues. Other Relevant HX: Other: URTICARIA