The Real Reason Many People Have a Scar on Their Upper Left Arm

Smallpox, once a deadly and highly contagious virus, killed 3 in 10 infected people and left many survivors with permanent scars. Caused by the variola virus, the disease was eventually defeated through a groundbreaking vaccine made from a related virus, vaccinia.

The vaccine, which triggered a strong immune response, left a distinct scar—usually a small, round mark on the upper left arm. This resulted from a special two-pronged needle that repeatedly punctured the skin, causing a scab and, ultimately, a scar.

Routine U.S. vaccinations ended in 1972 after smallpox was eradicated. Today, only high-risk professionals still receive the vaccine. While most side effects were mild, rare complications did occur.

These scars are now rare, but they remain a powerful symbol of one of medicine’s greatest victories and the life-saving power of vaccines.

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