Vandetanib is a multi-kinase inhibitor of epidermal growth factor receptor (EGFR), vascular endothelial growth factor (VEGFR). Most common dermatological side effects induced by vandetanib include papulopustular eruption, hand-foot syndrome, and hyperpigmentation. In this report, we present a case with metastatic medullar thyroid carcinoma who developed vandetanib-induced photoallergic dermatitis.