Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Pruritus, Skin haemorrhage, Urticaria
Clinical narrative: My ankles started itching, as well as my feet, back, stomach, thighs, etc; The hives/red dots on my left arm started bleeding, even after I stopped scratching them; Hives all over body; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of URTICARIA (Hives all over body), PRURITUS (My ankles started itching, as well as my feet, back, stomach, thighs, etc) and SKIN HAEMORRHAGE (The hives/red dots on my left arm started bleeding, even after I stopped scratching them) in a 24-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination.     The patient's past medical history included Viral infection (Acute illnesses at the time of vaccination and up to one month before) and Hives. Concurrent medical conditions included Allergy to animals (Allergy to cats, due to which patient developed hives, redness, itching, runny nose), Gluten sensitivity, Celiac disease (diarrhea, constipation, vomiting when gluten ingested), Asthma, Anxiety, Depression and Iron deficiency. Concomitant products included FLUTICASONE FUROATE (ARNUITY ELLIPTA), IRON, SERTRALINE HYDROCHLORIDE (ZOLOFT), MONTELUKAST, FLUTICASONE PROPIONATE (FLONASE [FLUTICASONE PROPIONATE]), MULTIVITAMINS [VITAMINS NOS] and TRAZODONE for an unknown indication.    On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced URTICARIA (Hives all over body). On an unknown date, the patient experienced PRURITUS (My ankles started itching, as well as my feet, back, stomach, thighs, etc) and SKIN HAEMORRHAGE (The hives/red dots on my left arm started bleeding, even after I stopped scratching them). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) (oral) at a dose of UNK, prn and PREDNISONE (oral) ongoing since an unknown date at a dose of 20 mg twice a day. At the time of the report, URTICARIA (Hives all over body) had not resolved and PRURITUS (My ankles started itching, as well as my feet, back, stomach, thighs, etc) and SKIN HAEMORRHAGE (The hives/red dots on my left arm started bleeding, even after I stopped scratching them) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Mar-2021, Full blood count: normal (normal) Within normal limits.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient started getting hives that looked like small red dots all over the body. These were centralized on the arm she got the shot in (left arm). Patient ankles started itching, as well as feet, back, stomach,  thighs, etc. The itching got worse over the next few days. The hives/red dots on her left arm started bleeding, even after she stopped scratching them. These are no longer itchy, but are red marks are slowly fading away. Patient saw the nurse practitioner at the dermatology office on 31-Mar-2021. She prescribed the patient triamcinolone cream to help with the itching. patient saw a doctor for a doctor's appointment mid-April. He prescribed her prednisone 10mg tablets. patient took these for a few days and felt an improvement in the itching.   This case was linked to MOD-2021-121706 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 11-May-2021: Additional information was received on 11-May-2021 and patient demographics, DOB were added, new events were added, patient medical history, lab data and concomitant drugs were added, treatment information about the events were added, details about event description was updated and added in narrative.