VAERS Explorer
Back to explore

Report #2879798

Received Dec 27, 2025

ER / ED visitOffice 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
63 yrs
State
MN
Recovered
Not recovered
Vaccinated
Dec 19, 2025
Onset
Dec 21, 2025
Days to onset
2
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK—IM / RA
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.UNK—IM / LA

Symptoms (11)

Aphthous ulcerBlood pH increasedC-reactive protein increasedHaemoglobin decreasedLiver function test normalLocal reactionMetabolic function testRashRed blood cell sedimentation rate increasedVasculitic rashWhite blood cell count normal

Symptom narrative

Initial large local reaction (R) arm followed by vasculitic rash (B) LE, palms, soles. Associated with aphthous ulcers in mouth.

Current illness

none

Medical history

Hypertension, Hyperlipidemia

Other medications

Lisinopril

Allergies

Penicillin

Lab data

Dec 27, 2025: WBC 3.0, hgb 13.3, pH 165 sed rate increased 34, CRP increased 1.7 normal LFT, BMP