Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pruritus, Pyrexia, Scratch
Clinical narrative: Fever; Chills; Sore arm; Big and little slightly raised dots all over his torso, his back, his front, arms, legs, and temples; Itching; Scratching entire body, scratch to the point he was breaking his skin open; This spontaneous case was reported by a pharmacist and describes the occurrence of PRURITUS (Itching), SCRATCH (Scratching entire body, scratch to the point he was breaking his skin open), SKIN MASS (Big and little slightly raised dots all over his torso, his back, his front, arms, legs, and temples), PYREXIA (Fever) and CHILLS (Chills) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002M21A, 020F21A, 031L20A and 028L20A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Concomitant products included NAPROXEN, MULTIVITAMINS [VITAMINS NOS], ASCORBIC ACID (VITAMIN C PLUS [ASCORBIC ACID]), FISH OIL, CURCUMA LONGA (TURMERIC [CURCUMA LONGA]) and LORATADINE for an unknown indication.   On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 16-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 06-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 13-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. In April 2022, the patient experienced PRURITUS (Itching) and SCRATCH (Scratching entire body, scratch to the point he was breaking his skin open). In June 2022, the patient experienced SKIN MASS (Big and little slightly raised dots all over his torso, his back, his front, arms, legs, and temples). On an unknown date, the patient experienced PYREXIA (Fever), CHILLS (Chills) and PAIN IN EXTREMITY (Sore arm). The patient was treated with HYDROCORTISONE at an unspecified dose and frequency; PREDNISONE from June 2022 to June 2022 at a dose of 60 milligram once a day and TRIAMCINOLONE ACETONIDE (KENALOG [TRIAMCINOLONE ACETONIDE]) ongoing from June 2022 at an unspecified dose and frequency. At the time of the report, PRURITUS (Itching) and SCRATCH (Scratching entire body, scratch to the point he was breaking his skin open) outcome was unknown, SKIN MASS (Big and little slightly raised dots all over his torso, his back, his front, arms, legs, and temples) was resolving and PYREXIA (Fever), CHILLS (Chills) and PAIN IN EXTREMITY (Sore arm) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Patient was not immunocompromised. None of patient's family members had any reaction to the vaccine. Patient reported of having Pityriasis rosea (not official diagnosis).  Patient was on Naproxen, multivitamin, Vitamin C, Fish Oil, Turmeric, Glucosamine Chondroitin with MSM, loratadine for years.  Reporter thought it was psychosomatic due to stress of the pandemic or possibly too tight clothes when patient was playing hockey and nothing was changed to it. Patient visited physician on 21-Jun-2022 and 2 days prior to it stopped applying creams. After wearing cloths big and little slightly raised dots would not be seen, buttocks, private areas, and rest of face were not affected. Physician told it to be related to Moderna.  Treatment included triple antibiotic cream. Patient was off the prednisone for a day or so at the time of reporting but still using the Kenalog spray.