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Report #2873116

Received Nov 17, 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
89 yrs
State
MI
Recovered
Unknown
Vaccinated
Nov 14, 2025
Onset
Nov 17, 2025
Days to onset
3
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA13053777IM / LA

Symptoms (2)

PruritusRash

Symptom narrative

Patient reported wide spread itching feeling throughout body and some rash on body