Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Sleep deficit
Clinical narrative: burning feeling on the skin and body; the itch is back usually at nightime and the body becomes hot (need to sleep without clothes, A/C); Skin extremely red in all of the body; skin starts to peel off from stomach, arms and legs; Psoriasiform dermatitis; rash continues to spread through stomach, arms, legs and thighs; rash and itch started slowly, increasing until it becomes unbearable; Itchy rash spread on both legs; sleep is impacted; red spots of rash started to develop and show on arms; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of RASH ERYTHEMATOUS (red spots of rash started to develop and show on arms), PRURITUS (Itchy rash spread on both legs), SLEEP DEFICIT (sleep is impacted), RASH (rash and itch started slowly, increasing until it becomes unbearable) and RASH (rash continues to spread through stomach, arms, legs and thighs) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 0J5A21A and 016M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Mar-2021, the patient experienced RASH ERYTHEMATOUS (red spots of rash started to develop and show on arms). On 08-Apr-2021, the patient experienced PRURITUS (Itchy rash spread on both legs) and SLEEP DEFICIT (sleep is impacted). On 15-Apr-2021, the patient experienced RASH (rash and itch started slowly, increasing until it becomes unbearable). On 17-Apr-2021, the patient experienced RASH (rash continues to spread through stomach, arms, legs and thighs). On 20-Apr-2021, the patient experienced DERMATITIS PSORIASIFORM (Psoriasiform dermatitis). On 19-May-2021, the patient experienced SKIN BURNING SENSATION (burning feeling on the skin and body) and SKIN WARM (the itch is back usually at nightime and the body becomes hot (need to sleep without clothes, A/C)). The patient was treated with AMOXICILLIN, CLAVULANIC ACID (AMOXCLAV [AMOXICILLIN;CLAVULANIC ACID]) (oral) ongoing since an unknown date for Rash, at a dose of 500 milligram every twelve hours; FEXOFENADINE HYDROCHLORIDE (ALLEGRA ALLERGY) ongoing from 08-Apr-2021 for Rash, at a dose of 180 milligram once a day; CLOBETASOL PROPIONATE (CLOBETASOL 0.05%) (topical) ongoing from 08-Apr-2021 for Rash, at a dose of UNK, prn; HYDROXYZINE HYDROCHLORIDE (oral) ongoing from 14-Apr-2021 for Rash, at a dose of 25 milligram; PREDNISONE ongoing from 14-Apr-2021 for Rash, at a dose of 20 milligram; FEXOFENADINE HYDROCHLORIDE ongoing since an unknown date for Rash, at a dose of 180 milligram; CAMPHOR, MENTHOL (SARNA [CAMPHOR;MENTHOL]) (topical) ongoing from 14-Apr-2021 for Rash, at an unspecified dose and frequency; HYDROCORTISONE (AQUANIL HC) (topical) ongoing since an unknown date for Rash, at an unspecified dose and frequency; METHYLPREDNISOLONE (MEDROL [METHYLPREDNISOLONE]) ongoing from 17-Apr-2021 for Rash, at an unspecified dose and frequency; MONTELUKAST ongoing from 17-Apr-2021 for Rash, at a dose of 10 milligram once a day and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing from 17-Apr-2021 for Rash, at a dose of 25 milligram. At the time of the report, RASH ERYTHEMATOUS (red spots of rash started to develop and show on arms), PRURITUS (Itchy rash spread on both legs), SLEEP DEFICIT (sleep is impacted), RASH (rash and itch started slowly, increasing until it becomes unbearable), RASH (rash continues to spread through stomach, arms, legs and thighs), DERMATITIS PSORIASIFORM (Psoriasiform dermatitis), SKIN BURNING SENSATION (burning feeling on the skin and body) and SKIN WARM (the itch is back usually at nightime and the body becomes hot (need to sleep without clothes, A/C)) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Apr-2021, SARS-CoV-2 test: negative (Negative) Negative. On 20-Apr-2021, Biopsy skin: psoriasiform dermatitis( with spongiosis) Psoriasiform dermatitis( with spongiosis) in the left arm. On 20-Apr-2021, SARS-CoV-2 test: negative (Negative) Negative. On 02-May-2021, Allergy test: no allergy detected to anything. (normal) No allergy detected to anything..         Patient attached pictures to all reported events. On 17-APr-2021, patient had first visit to ER and was given IV with combination to help soothe the itch and was able to sleep 4 hours with numbing the itch for period of time. On 20-Apr-2021, patient had second ER hospital admission, given IV with combination to soothe the itch aagain.