Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Subcutaneous abscess, Urticaria, Wound
Clinical narrative: Itching; Pins and needle sensation; Scratching/ scratching myself to death; Pain; Bodywide rash; Severe allergic reaction; Mild labored breathing and shortness of breath; Open sores; Multiple abscesses on right buttock; Multiple abscesses on left armpit, behind left knee; Multiple abscesses on Pubic area left side; Right side of the chest which broke open and become infected; Bodywide rash/hives; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Bodywide rash/hives), PRURITUS (Itching), WOUND (Open sores), ABSCESS LIMB (Multiple abscesses on right buttock) and ABSCESS (Multiple abscesses on left armpit, behind left knee) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 939906, 036C21A and 008C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Stroke (Multiple strokes) on 12-May-2012, Heart attack on 30-Mar-2020 and CPAP (For sleep apnea) since an unknown date. Concurrent medical conditions included Immunocompromised, Crohn's disease (Diagnosed in the mid to late 1990s), Obstructive sleep apnea hypopnea syndrome (Severe), Hypertension (Currently under control), Acid reflux (esophageal), Vitamin B1 deficiency, Chest pain, AFib, Hypercholesterolemia and Prostatic disorder NOS. Concomitant products included METOPROLOL for AFib, OMEPRAZOLE for Acid reflux (esophageal), ASPIRIN [ACETYLSALICYLIC ACID] for Anticoagulant therapy, ISOSORBIDE for Chest pain, ATORVASTATIN for Hypercholesterolemia, TERAZOSIN for Prostatic disorder NOS, THIAMINE for Vitamin B1 deficiency.   On 27-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In October 2021, the patient experienced URTICARIA (Bodywide rash/hives), WOUND (Open sores), ABSCESS LIMB (Multiple abscesses on right buttock), ABSCESS (Multiple abscesses on left armpit, behind left knee), SUBCUTANEOUS ABSCESS (Multiple abscesses on Pubic area left side), LOWER RESPIRATORY TRACT INFECTION (Right side of the chest which broke open and become infected), DYSPNOEA (Mild labored breathing and shortness of breath), RASH (Bodywide rash) and HYPERSENSITIVITY (Severe allergic reaction). On an unknown date, the patient experienced PRURITUS (Itching), PARAESTHESIA (Pins and needle sensation), SCRATCH (Scratching/ scratching myself to death) and PAIN (Pain). The patient was treated with SULFAMETHOXAZOLE, TRIMETHOPRIM (BACTRIM) at an unspecified dose and frequency; CEFALEXIN (KEFLEX [CEFALEXIN]) at an unspecified dose and frequency; CORTISONE (topical) at a dose of cream 1%; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency; FLUOCINONIDE (FLUCINONIDE) (topical) for Rash and Hives, at a dose of 0.05%; CALAMINE, GLYCEROL, ZINC OXIDE (CALAMINE LOTION) in January 2022 at an unspecified dose and frequency; TRIAMCINOLONE ACETONIDE (KENALOG [TRIAMCINOLONE ACETONIDE]) at an unspecified dose and frequency and PARACETAMOL (NON ASPIRIN) for Pain, at an unspecified dose and frequency. At the time of the report, URTICARIA (Bodywide rash/hives), PRURITUS (Itching), WOUND (Open sores), ABSCESS LIMB (Multiple abscesses on right buttock), ABSCESS (Multiple abscesses on left armpit, behind left knee), SUBCUTANEOUS ABSCESS (Multiple abscesses on Pubic area left side), LOWER RESPIRATORY TRACT INFECTION (Right side of the chest which broke open and become infected), PARAESTHESIA (Pins and needle sensation), SCRATCH (Scratching/ scratching myself to death), DYSPNOEA (Mild labored breathing and shortness of breath), RASH (Bodywide rash) and HYPERSENSITIVITY (Severe allergic reaction) had not resolved and PAIN (Pain) outcome was unknown.            It was reported that 12 hours after receiving Moderna third dose, the symptoms started and had not resolved at the time of the report. The patient was taken to hospital where he was prescribed Braxin and Keflex antibiotics for 14 days and the patient was sent back as the abscess was draining on its own. The patient was initially given non aspirin for pain, minocide antibiotic, cortisone cream and bendryl which had no effect on symptoms and subsequently was given a steroid shot in the hip which the patient thinks was Kenalog and more cortisone cream. When none of these medications had effect patient was given Bactrim and Keflex. Fluocinonide provided limited relief from rash and abscess. During the first week of January, patient ran out of all medications after which rash, open sores, abscess, pins and needles and severe itching returned in full force. It was reported that the staff at the place that housed the patient denied that the symptoms experienced by the patient was in anyway connected to the COVID 19 vaccines, but the patient completely disagreed to that.   This case was linked to MOD-2022-468607, MOD-2022-468837 (Patient Link).