Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Urticaria
Clinical narrative: His whole arm broke out in hives, was red, some of it from scratching/It's a burning, like they're lighting his arm on fire /It's a burning, intense itch/massive itching; killing his ability to do anything; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (His whole arm broke out in hives, was red, some of it from scratching/It's a burning, like they're lighting his arm on fire /It's a burning, intense itch/massive itching) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (killing his ability to do anything) in a 71-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis.     The patient's past medical history included Shingles (he had shingles on his face) in 2019, Bronchitis (He was sensitivities to certain things - can't take the flu vaccine, twice after getting it got a bad case of bronchitis), Itching and Burning sensation. Previously administered products included for COVID-19 prophylaxis: Moderna Covid-19 vaccine in January 2024; for Product used for unknown indication: Covid-19 vaccine, Pfizer vaccine and Influenza vaccine (twice after getting it got a bad case of bronchitis). Past adverse reactions to the above products included Bronchitis with Influenza vaccine; and No adverse effect with Covid-19 vaccine, Moderna Covid-19 vaccine and Pfizer vaccine. Concurrent medical conditions included Allergy (He wanted to add that he was predisposed to forms of itching due to being very sensitive to arachnid saliva - such as when he's bitten by a tick.).    On 22-Oct-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. On 22-Oct-2024, the patient experienced URTICARIA (His whole arm broke out in hives, was red, some of it from scratching/It's a burning, like they're lighting his arm on fire /It's a burning, intense itch/massive itching) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (killing his ability to do anything). The patient was treated with Diphenhydramine hydrochloride (Benadryl) at an unspecified dose and frequency and Cetirizine hydrochloride (Zyrtec) at an unspecified dose and frequency. At the time of the report, URTICARIA (His whole arm broke out in hives, was red, some of it from scratching/It's a burning, like they're lighting his arm on fire /It's a burning, intense itch/massive itching) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (killing his ability to do anything) had not resolved.        For mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Unknown), the reporter did not provide any causality assessments.   The concomitant medication was not reported by reporter.  After receiving his vaccine, he had an unusual reaction. Within 20 minutes, he began to feel intense itching, like if he was on fire. This marks the third day of his symptoms. He documented the condition of his arm to share with his primary care physician, as it has developed hives and redness, exacerbated by scratching. Despite trying antihistamines like Benadryl and Zyrtec, he found no relief from the itching, which has spread to his arms, upper thighs, one ankle, and lower back. The discomfort was severe and persistent, with scratching providing only temporary respite. He expressed concern about whether this reaction was linked to the vaccine, noting that he was 71 years old and uncertain if it was merely coincidental. The itching began shortly after the injection and continues unabated, prompting him to seek information on any documented cases of widespread itching as a side effect of the new COVID vaccine. He had no issues with previous COVID vaccinations, having received six or seven without incident. Additionally, he mentioned a predisposition to itching due to sensitivity to arachnid saliva, particularly from tick bites, which may contribute to his current condition. Unlike the transient itch from a tick bite, which typically resolves overnight, this persistent itching has continued unabated for three days, leading him to suspect a heightened sensitivity, possibly linked to a recent Moderna vaccine. He acknowledged a history of allergic reactions but noted that the current episode was particularly severe and almost unbearable. He was convinced that this was not a standard tick-related issue, as he was not encountered any ticks recently, and the intensity and duration of this itching are unprecedented for him. He contemplates the possibility of being a subject for scientific inquiry and intends to consult his doctor, who may recommend laboratory tests. The sensation was akin to having his arm set ablaz