Age: 76.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Blister, Erythema, Headache, Pruritus, Rash
Clinical narrative: Back feels like the texture of a wall paper; Tiny red Blisters; Lesion; Itch like crazy/ itchiness; Headache; Rashes on both arms and back; Blisters with white heads but not pus; This spontaneous case was reported by a consumer and describes the occurrence of SKIN DISCOMFORT (Back feels like the texture of a wall paper), ERYTHEMA (Tiny red Blisters), SKIN LESION (Lesion), HEADACHE (Headache) and RASH (Rashes on both arms and back) in a 76-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 011H22A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Previously administered products included for COVID-19 prophylaxis: Moderna COVID-19 Vaccine (1st dose , Lot number : 010A21A) on 02-Mar-2021, Moderna COVID-19 Vaccine (2nd dose , Lot number : 003B21A) on 05-Apr-2021, Moderna COVID-19 Vaccine (1st booster dose  and Lot number : 032H21A) on 10-Dec-2021. Past adverse reactions to the above products included No adverse event with Moderna COVID-19 Vaccine, Moderna COVID-19 Vaccine and Moderna COVID-19 Vaccine. Concurrent medical conditions included Hypertension (Mild). Concomitant products included LISINOPRIL for Hypertension.    On 12-Jan-2023, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 22-Jan-2023, the patient experienced HEADACHE (Headache), RASH (Rashes on both arms and back) and BLISTER (Blisters with white heads but not pus). On an unknown date, the patient experienced SKIN DISCOMFORT (Back feels like the texture of a wall paper), ERYTHEMA (Tiny red Blisters), SKIN LESION (Lesion) and PRURITUS (Itch like crazy/ itchiness). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for Itchy, at an unspecified dose and frequency. At the time of the report, SKIN DISCOMFORT (Back feels like the texture of a wall paper), ERYTHEMA (Tiny red Blisters) and SKIN LESION (Lesion) outcome was unknown, HEADACHE (Headache), RASH (Rashes on both arms and back) and BLISTER (Blisters with white heads but not pus) had not resolved and PRURITUS (Itch like crazy/ itchiness) was resolving.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   Patient stated that a few days after getting the booster dose, it started out as a headache then this was followed by rashes on both arms and back. These were tiny red blisters with white heads but not pus. These had migrated down to areas which patient stated, "Don't want to discuss". Patient back felt like the texture of a wallpaper and they itch like crazy. Patient consulted a dermatologist who prescribed him with medication. It resolved some of the itchiness, but the blisters were still there. Patient things that the vaccine could had triggered some autoimmune reaction.  On unknown date Laboratory test included biopsy of the lesion and result were awaited.