Report #2886676

Received Feb 24, 2026

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: 86 yrs
State: NH
Recovered: Unknown
Vaccinated: Feb 2, 2024
Onset: Feb 14, 2025
Days to onset: 378
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	6	3032680	IM / LA

Symptoms (2)

Dermatitis atopicRash

Symptom narrative

rash resembling erythema multiforme. diganosed as atopic dermatitis. pathology suggested spongiotic dermatitis or eczema

Medical history

type 2 diabetes. CAD, hyperlipidemia. HTN, BPH

Other medications

lisinopril, metoprolol, simvastatin, cholecalciferol, aspirin, triamcinolone

Allergies

gadolinium rash/airway restriction, iodides, centrum silver, combigan, crestor, levocetirizine, losartan, plavix (rash), simbrinza,

Prior vaccinations

Flu shot hospitalized him in 1951