Report #2900043

Received Jun 13, 2026

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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: 44 yrs
State: GA
Recovered: Not recovered
Vaccinated: Sep 23, 2022
Onset: Oct 9, 2022
Days to onset: 16
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	4	—	LA

Symptoms (3)

Mechanical urticariaTinnitusUrticaria

Symptom narrative

Dermatographism, Hive, Tinnitus

Current illness

Acid reflux, abdominal discomfort

Medical history

diabetes type 2