Report #2874121

Received Nov 21, 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: 39 yrs
State: MI
Recovered: Unknown
Vaccinated: Nov 21, 2025
Onset: Nov 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA4459	IM / LA

Symptoms (4)

Immediate post-injection reactionInjection site erythemaInjection site rashInjection site warmth

Symptom narrative

pt broke out in a histamine response - red, hot, rash, immediately after injection on same arm that injection was given around the elbow area - pt used hydrocortisone cream and was advised by doctor in clinic to take 25mg Benadryl.

Other medications

Metoprolol, Lexapro, Omeprazole

Allergies

None