Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dry skin, Eczema, Feeling abnormal, Insomnia, Nightmare
Clinical narrative: itching, at top of both fore arms, from the wrist to the elbow, itching started in the middle of her breasts and upper chest; rash at top of both fore arms, from the wrist to the elbow, above both feet, right at the ankle up about 6 inches; she still see spots and they are very rough, eczema; she was miserable, she could not sleep, it was a nightmare; she was miserable, she could not sleep, it was a nightmare; she was miserable, she could not sleep, it was a nightmare; she still see spots and they are very rough, eczema; she still see spots and they are very rough, eczema; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itching, at top of both fore arms, from the wrist to the elbow, itching started in the middle of her breasts and upper chest), FEELING ABNORMAL (she was miserable, she could not sleep, it was a nightmare), NIGHTMARE (she was miserable, she could not sleep, it was a nightmare), INSOMNIA (she was miserable, she could not sleep, it was a nightmare) and ECZEMA (she still see spots and they are very rough, eczema) in an 87-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7644C) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Question:Describe relevant medical history/conditions, allergy, concomitant diseases and risk factor.Answer:Caller got a flu shot on 21NOV2022 last flu shot on 15AUG2023.  Previously administered products included for COVID-19 prophylaxis: Moderna (1st dose) on 25-Jan-2021, MODERNA (2nd dose) on 22-Feb-2021, Moderna (3rd dose, booster) on 29-Oct-2021 and Moderna (4th dose a booster) on 26-Oct-2022; for Product used for unknown indication: Prednisone in 2022. Past adverse reactions to the above products included No adverse event with MODERNA, Moderna, Moderna and Moderna; and Reaction unevaluable with Prednisone.    On 23-Aug-2023, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 03-Sep-2023, the patient experienced PRURITUS (itching, at top of both fore arms, from the wrist to the elbow, itching started in the middle of her breasts and upper chest) and RASH (rash at top of both fore arms, from the wrist to the elbow, above both feet, right at the ankle up about 6 inches). In September 2023, the patient experienced FEELING ABNORMAL (she was miserable, she could not sleep, it was a nightmare), NIGHTMARE (she was miserable, she could not sleep, it was a nightmare), INSOMNIA (she was miserable, she could not sleep, it was a nightmare), ECZEMA (she still see spots and they are very rough, eczema), DRY SKIN (she still see spots and they are very rough, eczema) and RASH MACULAR (she still see spots and they are very rough, eczema). At the time of the report, PRURITUS (itching, at top of both fore arms, from the wrist to the elbow, itching started in the middle of her breasts and upper chest), FEELING ABNORMAL (she was miserable, she could not sleep, it was a nightmare), NIGHTMARE (she was miserable, she could not sleep, it was a nightmare), INSOMNIA (she was miserable, she could not sleep, it was a nightmare), ECZEMA (she still see spots and they are very rough, eczema), DRY SKIN (she still see spots and they are very rough, eczema), RASH (rash at top of both fore arms, from the wrist to the elbow, above both feet, right at the ankle up about 6 inches) and RASH MACULAR (she still see spots and they are very rough, eczema) was resolving.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication was not reported.  Patient who is a retired Registered Nurse mentioned with the last one Moderna vaccine, 11 days later, she went to bed on 2 SEP 2023 but and it was totally normal, but at 3 to 4 AM in the morning on 3 SEP 2023 she woke up with a tremendous itching, she thought something bite her, then she get up and turned the light on to look it was a rash at top of both fore arms, from the wrist to the elbow, she thought she might be allergic to something and during 3 days she was using ice packs to control it, then she bought something for itching but did not work, and then itching started in the middle of her breasts and upper chest, she decided to go into a walk in clinic because she could not get an appointment with her dermatologist or the primary physician, the doctor looked at it and took pictures with his phone, rash was also above both feet, right at the ankle up about 6 inches, doctor gave her antibiotics during 10 days and something for itching but it did not help, doctor also prescribed Prednisone but she could not take it because of a reaction previous to this years ago, nothing was getting better and she was miserable, she could not sleep, it was a nightmare, then she visited to her practice doctor, she asked her for any changes in life, like foods, travels, changes in sleep, but the only new thing in her life was the Moderna booster 11 days past. Then she also visited to her dermatologist and each doctor gave her something stronger but it did not work, only ice packs helped, and it is improving but every once in a while, she gets a little itch here and there, and there would be a red pimple, it would get bigger, she still see spots and they are very rough, eczema, improved but still dealing with it, she was told by the dermatologist she needs to use two creams with Prednisone but it is a different type, she will not take Medrol and doctor recommended her not to take another Moderna COVID-19 Vaccine.   This case was linked to MOD-2023-753581 (Patient Link).