Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Influenza like illness, Labyrinthitis, Myalgia, Nausea
Clinical narrative: The rash was itchy for about an hour or two.; inner ear infection; possible atypical shingles; left sided rash /  rash under the arm looked black / rash spread to the left side of the nurses back; left sided pain / left deltoid pain; flu-like symptoms; nausea; This spontaneous case was reported by a nurse and describes the occurrence of INFLUENZA LIKE ILLNESS (flu-like symptoms), RASH PRURITIC (The rash was itchy for about an hour or two.), LABYRINTHITIS (inner ear infection), HERPES ZOSTER (possible atypical shingles) and RASH (left sided rash /  rash under the arm looked black / rash spread to the left side of the nurses back) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was provided by the reporter.  Concomitant products included ESTROGEN NOS for Hysterectomy, VITAMINS NOS for an unknown indication.   On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Feb-2021, the patient experienced INFLUENZA LIKE ILLNESS (flu-like symptoms) and NAUSEA (nausea). On 28-Jun-2021, the patient experienced MYALGIA (left sided pain / left deltoid pain). On an unknown date, the patient experienced RASH PRURITIC (The rash was itchy for about an hour or two.), LABYRINTHITIS (inner ear infection), HERPES ZOSTER (possible atypical shingles) and RASH (left sided rash /  rash under the arm looked black / rash spread to the left side of the nurses back). The patient was treated with PREDNISONE at an unspecified dose and frequency and OXYCODONE HYDROCHLORIDE, OXYCODONE TEREPHTHALATE, PARACETAMOL (PERCOCET [OXYCODONE HYDROCHLORIDE;OXYCODONE TEREPHTHALATE;PARACETAMOL]) at an unspecified dose and frequency. On 16-Feb-2021, INFLUENZA LIKE ILLNESS (flu-like symptoms) and NAUSEA (nausea) had resolved. On 02-Jul-2021, MYALGIA (left sided pain / left deltoid pain) had resolved. At the time of the report, RASH PRURITIC (The rash was itchy for about an hour or two.), LABYRINTHITIS (inner ear infection) and HERPES ZOSTER (possible atypical shingles) outcome was unknown and RASH (left sided rash /  rash under the arm looked black / rash spread to the left side of the nurses back) was resolving.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Patient reported that on 15-Feb-2021, after receiving the second dose the patient started experiencing flu-like symptoms and nausea that lasted until the next day, 16-Feb-2021. The patient started experiencing delayed reactions starting around 29-Jun-2021. First, pain above the waste but below the chin on the patient's left side that started on 28-Jun-2021 and lasted until 02-Jul-2021. Then as the pain resolved little at a time a rash appeared on the left arm and left antecubital (underarm) area. The rash was itchy for about an hour or two, then it resolved. The rash under the arm looked black. The patient went into a walk-in clinic because the rash did not go away. The rash spread to the left side of the patient's back. The clinic prescribed a topical cream and prednisone 20mg twice a day. The medication did not help. The rash spread further to parts of the patient's left hip and behind the left ear. The patient went to the hospital on 04-Jul-2021, the health care provider stated it might be atypical shingles and the patient also had an inner ear infection. The patient was prescribed a Medrol pack, valaciclovir, and amoxicillin. The patient stated that she took Benadryl which helped, she tried Zyrtec which did not help, and a one-time dose of Percocet. Now the rash has gotten a little better but two days ago 06-Jul-2021, the patient is experiencing pain in the left deltoid. The daily medications the patient is taking is an estrogen cream because of the hysterectomy and vitamins.   This case was linked to MOD-2021-251763 (Patient Link).