Report #2872776

Received Nov 14, 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: 78 yrs
State: PA
Recovered: Not recovered
Vaccinated: Oct 9, 2025
Onset: Oct 19, 2025
Days to onset: 10
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	8146545	IM / LA

Symptoms (1)

Rash

Symptom narrative

patient stated to have rashes and bumps all over their body

Current illness

cold

Medical history

cabg

Other medications

doxycycline, flintstone multivitamins, metoprolol succinate, oxycodone, tizanidine, Repatha, clopidogrel

Allergies

penicillin, codeine

Lab data

N/A