Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pityriasis rubra pilaris, Rash, Rash erythematous, Rash pruritic, Skin exfoliation
Clinical narrative: Dry skin after 2nd dose; Pityriasis rubra pilaris (PRP) after 2nd dose; Legs and feet swelled up after 2nd dose; Can't even get into his tractor after 2nd dose; Not as active after 2nd dose/he was very active, but not so much now; Skin just flakes off after 2nd dose; Shivering after 2nd dose; itched and scratched until he couldn't take it; Red rash all over his entire body after 2nd dose; Red rash all over his entire body after 2nd dose \it is getting worse and is getting on his ears and eyelids now; This spontaneous case was reported by a patient (subsequently medically confirmed) and describes the occurrence of RASH PRURITIC (itched and scratched until he couldn't take it), DRY SKIN (Dry skin after 2nd dose), PITYRIASIS RUBRA PILARIS (Pityriasis rubra pilaris (PRP) after 2nd dose), OEDEMA PERIPHERAL (Legs and feet swelled up after 2nd dose) and MOVEMENT DISORDER (Can't even get into his tractor after 2nd dose) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038k20a and 013m20a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Bypass surgery.   On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Feb-2021, the patient experienced RASH PRURITIC (itched and scratched until he couldn't take it), RASH ERYTHEMATOUS (Red rash all over his entire body after 2nd dose) and RASH (Red rash all over his entire body after 2nd dose \it is getting worse and is getting on his ears and eyelids now). On an unknown date, the patient experienced DRY SKIN (Dry skin after 2nd dose), PITYRIASIS RUBRA PILARIS (Pityriasis rubra pilaris (PRP) after 2nd dose), OEDEMA PERIPHERAL (Legs and feet swelled up after 2nd dose), MOVEMENT DISORDER (Can't even get into his tractor after 2nd dose), DECREASED ACTIVITY (Not as active after 2nd dose/he was very active, but not so much now), SKIN EXFOLIATION (Skin just flakes off after 2nd dose) and CHILLS (Shivering after 2nd dose). The patient was treated with TRIAMCINOLONE ACETONIDE (KENALOG [TRIAMCINOLONE ACETONIDE]) for Adverse event, at an unspecified dose and frequency and ADALIMUMAB (HUMIRA) for Adverse event, at an unspecified dose and frequency. At the time of the report, RASH PRURITIC (itched and scratched until he couldn't take it), DRY SKIN (Dry skin after 2nd dose), PITYRIASIS RUBRA PILARIS (Pityriasis rubra pilaris (PRP) after 2nd dose), OEDEMA PERIPHERAL (Legs and feet swelled up after 2nd dose), MOVEMENT DISORDER (Can't even get into his tractor after 2nd dose), DECREASED ACTIVITY (Not as active after 2nd dose/he was very active, but not so much now), SKIN EXFOLIATION (Skin just flakes off after 2nd dose), RASH ERYTHEMATOUS (Red rash all over his entire body after 2nd dose), RASH (Red rash all over his entire body after 2nd dose \it is getting worse and is getting on his ears and eyelids now) and CHILLS (Shivering after 2nd dose) outcome was unknown.            No concomitant medications were reported.  The patient went to the emergency room on 04Mar2021. The patient was given a steroid shot called Kenalog and ointment. The patient reported it didn't help and he went to the dermatologist that week. He says he got another steroid shot and more prescriptions, which didn't help. He went to another dermatologist and then went to a specialist who diagnosed it as pityriasis rubra pilaris (PRP) and that it was a reaction to the vaccine. The patient reported his wife was sweating and he was shivering. Caller's wife was also on the phone and reported that the PRP could go into remission, but would never go away. She also reported the doctor said that he should not get any more COVID-19 vaccines. She reported he had no allergies.