Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Her bottom lip turn inside out, and it was swollen.; The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).; The back of her nose is swollen. She stated she has swollen tissue at the back of the nose; The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).; The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back); The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back); This spontaneous case was reported by a patient and describes the occurrence of BURNING SENSATION (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back)), LIP SWELLING (Her bottom lip turn inside out, and it was swollen.), PRURITUS (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).), SWELLING (The back of her nose is swollen. She stated she has swollen tissue at the back of the nose) and URTICARIA (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).) in a 74-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7173B) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Type 1 diabetes mellitus (insulin dependent diabetes), Congestive heart failure and Blood pressure high.    On 27-Apr-2023, the patient received first dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In 2023, the patient experienced BURNING SENSATION (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back)), PRURITUS (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).), SWELLING (The back of her nose is swollen. She stated she has swollen tissue at the back of the nose), URTICARIA (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).) and RASH (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back)). On 02-Jan-2024,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced LIP SWELLING (Her bottom lip turn inside out, and it was swollen.). The patient was treated with HYDROXYZINE HCL at a dose of 25 milligram four times per day and CLOBETASOL PROPIONATE (CLOBETASOL 0.05%) at an unspecified dose and frequency. At the time of the report, BURNING SENSATION (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back)), LIP SWELLING (Her bottom lip turn inside out, and it was swollen.), PRURITUS (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).), SWELLING (The back of her nose is swollen. She stated she has swollen tissue at the back of the nose), URTICARIA (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back).) and RASH (The patient side effects are rash, extreme hives, and extreme itching (looks like burn all over her back)) had not resolved.            The concomitant medication was not reported by reporter. Patient stated her symptoms come and goes and reappear to different area of her body. Then it gets better for 3 or 4 days and come back. She stated she been to the ER twice and the walking (immediate) care twice.