Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder, Trichorrhexis
Clinical narrative: Lost my voice for 3 months; Itching/ Uncontrollable itching/ Not dry itching, it was like inside of me; Hair was falling in my face/ Hair started falling out/ Thinning hair; The hair that was left were dry and brittle, it was like it was dying; The hair that was left were dry and brittle, it was like it was dying; Forearms turned all red; It feels hot to the touch; It keeps me up at night; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Hair was falling in my face/ Hair started falling out/ Thinning hair), HAIR TEXTURE ABNORMAL (The hair that was left were dry and brittle, it was like it was dying), TRICHORRHEXIS (The hair that was left were dry and brittle, it was like it was dying), APHONIA (Lost my voice for 3 months) and PRURITUS (Itching/ Uncontrollable itching/ Not dry itching, it was like inside of me) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038A21A and 022MOA) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Staphylococcal infection (Staph infection. Patient was on antibiotics) in 2013 and Alopecia (Patient had an incident of hair loss before when she had a staph infection.) in 2013.   On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In April 2021, the patient experienced ALOPECIA (Hair was falling in my face/ Hair started falling out/ Thinning hair), APHONIA (Lost my voice for 3 months) and PRURITUS (Itching/ Uncontrollable itching/ Not dry itching, it was like inside of me). In 2021, the patient experienced HAIR TEXTURE ABNORMAL (The hair that was left were dry and brittle, it was like it was dying), TRICHORRHEXIS (The hair that was left were dry and brittle, it was like it was dying), ERYTHEMA (Forearms turned all red), FEELING HOT (It feels hot to the touch) and SLEEP DISORDER (It keeps me up at night). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at a dose of 1 dosage form once a day; LORATADINE (CLARITINE) for Adverse event, at a dose of 1 dosage form once a day; BIOTIN for Alopecia, at a dose of 1 dosage form and VITAMINS NOS for Adverse event, at a dose of 1 dosage form. At the time of the report, ALOPECIA (Hair was falling in my face/ Hair started falling out/ Thinning hair) had not resolved, HAIR TEXTURE ABNORMAL (The hair that was left were dry and brittle, it was like it was dying), TRICHORRHEXIS (The hair that was left were dry and brittle, it was like it was dying), PRURITUS (Itching/ Uncontrollable itching/ Not dry itching, it was like inside of me), ERYTHEMA (Forearms turned all red), FEELING HOT (It feels hot to the touch) and SLEEP DISORDER (It keeps me up at night) outcome was unknown and APHONIA (Lost my voice for 3 months) had resolved.            Concomitant medications were not reported. Treatment details include baby oil for moisturizing from head to toe.  The adverse event started in Apr-2021, the hairs were getting on face, it was tickling face. Hair kept falling on patient's face when the patient was watching TV, even there was hair in the food prepared by the patient. The patient would find a fur ball after combing hairs. It had been falling out every day ever since. The patient lost voice for 3 months and went to all the specialists, but nobody could find out what was wrong with the patient. The patient had itching kept the patient up at night.  The patient had lost half the hair on head, and it still was coming out. The follicles could be seen and there were spaces in between. The physician prescribed hair vitamins and biotin, but hair was still falling out. The patient was afraid it will not grow back and was afraid to get hair colored. The last time the patient had an incident of hair loss was when the patient had a staph infection in 2013. At that time, the physician gave antibiotics, but the patient's hair grew back out.   Most recent FOLLOW-UP information incorporated above includes: On 21-Sep-2021: Added Alopecia in medical history. Added start date of vaccination, batch numbers, expiration dates of both doses.