I have been passively searching this for years but need your help. When I was in High School in the early 2000s I recall reading a young adult novel which had a plot that stuck with me, though Ive forgotten the title.
This story was told from the perspective of a teen male raised in a small town where they mandated everyone to take a un-named shot regularly. On this occasion he chose to skip a dose for whatever reason I cantered recall, which soon caused him to begin growing blue hair patches across his body.
Spoiler
Ultimately, it was revealed that the town inhabitants were aliens from the darkside of the moon, and the shots necessary to suppress their inhuman features allowing them to blend in on earth.
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