Report #2871561

Received Nov 9, 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: 34 yrs
State: NY
Recovered: Not recovered
Vaccinated: Nov 3, 2025
Onset: Nov 6, 2025
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	8146545	IM / RA

Symptoms (2)

Mouth ulcerationOral pain

Symptom narrative

mouth sensitivity 3 days after vaccine and then mouth ulcers 5 days out

Current illness

tinea cruris

Medical history

latent TB, HLD

Other medications

itraconazole, cetirizine

Allergies

NKDA

Lab data

n/a