Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Illness, Suspected COVID-19
Clinical narrative: finger creases still itchy; itchy rash on the arm/itchy rash on the fingers/itchy rash on the face/itchy rash on the neck/rash is on her upper body only; a little pain around her heart area towards her lungs/pain around her heart occurred once more; left arm was tender; lymph nodes again swelled up on her clavicle/could see the lymph nodes through the skin/swollen lymph nodes looked like "candy satellite wafers; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (finger creases still itchy), RASH PRURITIC (itchy rash on the arm/itchy rash on the fingers/itchy rash on the face/itchy rash on the neck/rash is on her upper body only), CHEST PAIN (a little pain around her heart area towards her lungs/pain around her heart occurred once more), VACCINATION SITE PAIN (left arm was tender) and LYMPHADENOPATHY (lymph nodes again swelled up on her clavicle/could see the lymph nodes through the skin/swollen lymph nodes looked like "candy satellite wafers) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 033H21A, 048C21A and 005C21A) for COVID-19 vaccination.     The patient's past medical history included COVID-19 (Patient not hospitalized but it lasted for approximately one month.) on 20-Nov-2020, Low blood pressure and Surgery (Vein surgery). Concurrent medical conditions included Allergy (Allergy to glue that is used after surgery to close wounds).   On 07-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 07-Jan-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 08-Jan-2022, the patient experienced CHEST PAIN (a little pain around her heart area towards her lungs/pain around her heart occurred once more), VACCINATION SITE PAIN (left arm was tender) and LYMPHADENOPATHY (lymph nodes again swelled up on her clavicle/could see the lymph nodes through the skin/swollen lymph nodes looked like "candy satellite wafers). On 10-Jan-2022, the patient experienced PRURITUS (finger creases still itchy) and RASH PRURITIC (itchy rash on the arm/itchy rash on the fingers/itchy rash on the face/itchy rash on the neck/rash is on her upper body only). The patient was treated with PREDNISONE on 17-Jan-2022 for Rash, at an unspecified dose and frequency and TRIAMCINOLONE on 17-Jan-2022 for Rash, at an unspecified dose and frequency. At the time of the report, PRURITUS (finger creases still itchy) and RASH PRURITIC (itchy rash on the arm/itchy rash on the fingers/itchy rash on the face/itchy rash on the neck/rash is on her upper body only) had not resolved and CHEST PAIN (a little pain around her heart area towards her lungs/pain around her heart occurred once more), VACCINATION SITE PAIN (left arm was tender) and LYMPHADENOPATHY (lymph nodes again swelled up on her clavicle/could see the lymph nodes through the skin/swollen lymph nodes looked like "candy satellite wafers) outcome was unknown.            The  concomitant medications on use were not provided.  The pain around her heart occurred once more on 09 Jan 2022. On 17 Jan 2022, patient had a video call with a physician to have the rash evaluated and prescribed treatment. The treatment helped with the rash on her face and neck, but she mentioned the finger creases to the ends of her fingers were still itchy with rash still present. Patient reported that with each Moderna COVID-19 vaccination she experienced more reactions.  Patient had no history of myocarditis or pericarditis. Patient has no known heart or cardiac conditions. Patient does not take any medications daily.   This case was linked to MOD-2022-455049, MOD-2022-455051 (Patient Link).