Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Erythema, Fatigue, Insomnia, Lacrimation increased
Clinical narrative: short term memory is seconds long now; pain for a little while next day after vaccination; has trouble falling asleep at the night; his forehead has peeled 4 times then stated it peeled "3 times and still itchy at the corners; forehead turned bright head like he fell asleep in the sun, 1-1.5 inch dark dark red, bright red stripe, blood red line in the center of his forehead; water fell out of his eyes and didn't touch his cheeks; it feels like I'm dying, so little energy, tiredness comes in the afternoon; Sun Burn Forehead with purple stripe/he got sunburned red and "did some skin care"; This spontaneous case was reported by a consumer and describes the occurrence of SUNBURN (Sun Burn Forehead with purple stripe/he got sunburned red and "did some skin care"), AMNESIA (short term memory is seconds long now), PAIN (pain for a little while next day after vaccination), INSOMNIA (has trouble falling asleep at the night) and SKIN EXFOLIATION (his forehead has peeled 4 times then stated it peeled "3 times and still itchy at the corners) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Eye operation. Concurrent medical conditions included Walking disability (being disabled for over 30 years, can't walk far, and home bound).   On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 2 dosage form. On 16-Feb-2021, the patient experienced SUNBURN (Sun Burn Forehead with purple stripe/he got sunburned red and "did some skin care"). On an unknown date, the patient experienced AMNESIA (short term memory is seconds long now), PAIN (pain for a little while next day after vaccination), INSOMNIA (has trouble falling asleep at the night), SKIN EXFOLIATION (his forehead has peeled 4 times then stated it peeled "3 times and still itchy at the corners), ERYTHEMA (forehead turned bright head like he fell asleep in the sun, 1-1.5 inch dark dark red, bright red stripe, blood red line in the center of his forehead), LACRIMATION INCREASED (water fell out of his eyes and didn't touch his cheeks) and FATIGUE (it feels like I'm dying, so little energy, tiredness comes in the afternoon). At the time of the report, SUNBURN (Sun Burn Forehead with purple stripe/he got sunburned red and "did some skin care") had resolved and AMNESIA (short term memory is seconds long now), PAIN (pain for a little while next day after vaccination), INSOMNIA (has trouble falling asleep at the night), SKIN EXFOLIATION (his forehead has peeled 4 times then stated it peeled "3 times and still itchy at the corners), ERYTHEMA (forehead turned bright head like he fell asleep in the sun, 1-1.5 inch dark dark red, bright red stripe, blood red line in the center of his forehead), LACRIMATION INCREASED (water fell out of his eyes and didn't touch his cheeks) and FATIGUE (it feels like I'm dying, so little energy, tiredness comes in the afternoon) outcome was unknown. Not Provided          Concomitant medication history not provided.   Patient has been using Gold balm healing cream with aloe to treat the sunburn.  Treatment information was unknown.   This case was linked to US-MODERNATX, INC.-MOD-2021-103844 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 04-Jun-2021: Follow up received on 04-JUN-2021. contain significant information about outcome of events. also contact information received. On 28-Jun-2021: Non-Significant Follow-up added On 16-Jul-2021: Follow up received on 16 Jul 2021-contains Non-significant information. On 27-Jul-2021: Non-Significant Follow up; Sender's Comments: Based on the information provided which includes a strong temporal association, a causal association between the reported events and the administration of the mRNA-1273 cannot be excluded US-MODERNATX, INC.-MOD-2021-103844:second dose case