VAERS Explorer
Back to explore

Report #2905103

Received Jul 29, 2026

Office visitDisabled
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
64 yrs
State
MI
Recovered
Not recovered
Vaccinated
Mar 29, 2021
Onset
Apr 1, 2021
Days to onset
3
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1026B214IM

Symptoms (2)

Condition aggravatedScleroderma

Symptom narrative

Localized scleroderma had been in remission for over 20 years. Localized scleroderma reactivated after first dose of vaccine.

Current illness

Localized Scleroderma

Medical history

Localized Scleroderma

Other medications

Lisinopril 20 MG

Lab data

On file