Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: More red dots from the left elbow to the wrist, looked like blood spots under the arm and skin; Symptoms worsened/More red dots from the left elbow to the wrist; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (More red dots from the left elbow to the wrist, looked like blood spots under the arm and skin) and RASH (Symptoms worsened/More red dots from the left elbow to the wrist) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048L21A, 091D21A, 013M20A and 012L20A) for COVID-19 vaccination.     It was reported that the patient had never been diagnosed or tested positive for COVID-19. The patient did not have any allergies to medications, food and other products. No other vaccines were given to the patient within 1 month prior to administration of Moderna COVID-19 vaccine.  Concurrent medical conditions included High cholesterol (No change in status), Immunocompromised (patient is immunocompromised due to white blood count lower than average) and White blood cell count low (patient is immunocompromised due to white blood count lower than average). Concomitant products included SIMVASTATIN (ZOCOR) for an unknown indication.   On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 18-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 05-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 09-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On an unknown date, the patient experienced RASH MACULAR (More red dots from the left elbow to the wrist, looked like blood spots under the arm and skin) and RASH (Symptoms worsened/More red dots from the left elbow to the wrist). At the time of the report, RASH MACULAR (More red dots from the left elbow to the wrist, looked like blood spots under the arm and skin) and RASH (Symptoms worsened/More red dots from the left elbow to the wrist) had not resolved.            The patient experienced the adverse events a couple of days later in Apr-2022 after receiving the second booster shot of Moderna vaccine (unable to capture event onset date of Apr-2022 in events tab due to hard validation). The patient received the second booster shot on 09-Apr-2022.  The reporter stated that the red spots were not itchy and not raised on the skin. It was also reported that the patient did not have any reactions to the first and second Moderna primary series doses but the reporter believed that the patient had a reaction to the Moderna booster doses.  The patient had not experienced a similar event in the past.  The reporter believed that the patient had a reaction to the Moderna booster doses.  Concomitant medications also included thyroid medication and hormone replacement therapy.  No treatment information was provided.   This case was linked to MOD-2022-538941 (Patient Link).