Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis acneiform, Fatigue, Feeling abnormal, Malaise, Myalgia
Clinical narrative: spot behind left ear that looked like acne; ITCHES/WHITE PUSS; ITCHES/WHITE PUSS; AFTER DRAINAGE/DRAINAGE LOOKS LIKE YELLOW CRYSTALS; Alcohol intolerance; FLAKEY SCALP FROM DRINKING BEER; Asthenia; PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE; PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE/plaques on right ring finger; Fatigue; BODY ACHES; FEELING OF BEING RUN DOWN AFTER COVID VACCINE; ILL FEELING; MILD CHILLS; This spontaneous case was reported by a consumer and describes the occurrence of DERMATITIS ACNEIFORM (PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE), PSORIASIS (PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE/plaques on right ring finger), FEELING ABNORMAL (FEELING OF BEING RUN DOWN AFTER COVID VACCINE), ACNE (spot behind left ear that looked like acne) and ACNE PUSTULAR (ITCHES/WHITE PUSS) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product RISANKIZUMAB (SKYRIZI [RISANKIZUMAB]) for Plaque psoriasis.    The patient's past medical history included COVID-19 (with symptoms of chills, body aches, cough, headache and lost appetite.) in 2020. Concurrent medical conditions included Plaque psoriasis (MODERATE TO SEVERE CHRONIC PLAQUE PSORIASIS) and Alcoholic (DRINKING BEER).   On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient started RISANKIZUMAB (SKYRIZI [RISANKIZUMAB]) (Subcutaneous) at an unspecified dose. In 2021, the patient experienced FEELING ABNORMAL (FEELING OF BEING RUN DOWN AFTER COVID VACCINE), MALAISE (ILL FEELING), CHILLS (MILD CHILLS) and MYALGIA (BODY ACHES). On an unknown date, the patient experienced DERMATITIS ACNEIFORM (PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE), PSORIASIS (PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE/plaques on right ring finger), ACNE (spot behind left ear that looked like acne), ACNE PUSTULAR (ITCHES/WHITE PUSS), PRURITUS (ITCHES/WHITE PUSS), SCAB (AFTER DRAINAGE/DRAINAGE LOOKS LIKE YELLOW CRYSTALS), ALCOHOL INTOLERANCE (Alcohol intolerance), SKIN EXFOLIATION (FLAKEY SCALP FROM DRINKING BEER), ASTHENIA (Asthenia) and FATIGUE (Fatigue). The patient was treated with Surgery (DRAINAGE) for Dermatitis acneiform. In 2021, MYALGIA (BODY ACHES) had resolved. At the time of the report, DERMATITIS ACNEIFORM (PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE) and PSORIASIS (PLAQUE PSORIASIS FLARE UP/RED SPOTS ON FACE THAT LOOKED LIKE ACNE/plaques on right ring finger) had not resolved and FEELING ABNORMAL (FEELING OF BEING RUN DOWN AFTER COVID VACCINE), ACNE (spot behind left ear that looked like acne), ACNE PUSTULAR (ITCHES/WHITE PUSS), PRURITUS (ITCHES/WHITE PUSS), SCAB (AFTER DRAINAGE/DRAINAGE LOOKS LIKE YELLOW CRYSTALS), ALCOHOL INTOLERANCE (Alcohol intolerance), SKIN EXFOLIATION (FLAKEY SCALP FROM DRINKING BEER), ASTHENIA (Asthenia), MALAISE (ILL FEELING), CHILLS (MILD CHILLS) and FATIGUE (Fatigue) outcome was unknown.            It was unknown if patient was enrolled in a COVID-19 Vaccine Trial.  No concomitant medication were reported.  The reporters causality for the events of CHILLS AFTER COVID VACCINE, BODY ACHES AFTER COVID VACCINE, ILL FEELING AFTER COVID VACCINE, COVID-19, LOSS OF APPETITE, PLAQUE PSORIASIS FLARE UP and FEELING OF BEING RUN DOWN AFTER COVID VACCINE was not provided. The reporters causality for the events of FATIGUE with SKYRIZI(RISANKIZUMAB) was no reasonable possibility.   This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in.   This case was linked to MOD-2021-620345 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 18-Feb-2022: Follow up received contains significant information updated relevant history and suspect drug start dates and events added. On 11-Mar-2022: Follow up received contains significant information suspect vaccine start date updated, events start date updated and event(fatigue) was added.