Adverse Event Reporting

VAERS ID 2547784
Gender Female
Age 76
StateCode NJ
Pharmaceutical Company MODERNA
Lot Number 052D22A
Number of vaccinations 4
Vaccinated 2022-11-28
Onset 2022-12-10
Condition
Symptoms
  • Rash
  • Rash pruritic
  • Pityriasis rosea
  • Exfoliative rash

Current Illness

Preexisting Conditions

High blood pressure, high cholesterol, hypothyroidism

Other Medications

Previous Vaccinations

Headache

Allergies

Sulfa

Laboratory Data

Write-up

Small scaly rash on left shoulder which is very itchy! Rash continues to spread to chest also very itchy! Researched rash as pityriasis rosea because it has all the characteristics of what has been occurring! The herald Patch continue to be the itchiest!