Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Scratched herself silly to the point of bleeding; Hives got worse and itching didn't stop; the hives under her neck and back, but they had not come out; hives started on her arms; her legs both front and back were covered in hives; hives on her legs; rash appeared on her left hip which was itchy; ready to rip her skin off; hive; itching; rash is so bad; rash on her right hip; This spontaneous case was reported by a patient (subsequently medically confirmed) and describes the occurrence of IRRITABILITY (ready to rip her skin off), URTICARIA (hive), PRURITUS (itching), RASH (rash is so bad) and RASH (rash on her right hip) in a 66-year-old female elderly exposed to mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) , while the parent received the product for COVID-19 immunization. The occurrence of additional non-serious events is detailed below.    MEDICAL HISTORY (Parent): Unknown.     MEDICAL HISTORY (Patient): The patient's past medical history included Urticaria. Concurrent medical conditions included Bee sting (swelling at site of sting), Shellfish allergy (hives), Hypothyroidism and Cholesterol. Concomitant product exposures included PRAVASTATIN SODIUM for Cholesterol, LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, PRAVASTATIN SODIUM (PRAVACHOL) for an unknown indication.    On 21-Jan-2021 at 10:15 AM, the parent received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 21-Jan-2021, the elderly was diagnosed with IRRITABILITY (ready to rip her skin off), URTICARIA (hive), PRURITUS (itching), RASH (rash is so bad) and RASH (rash on her right hip). On 22-Jan-2021, the elderly was diagnosed with RASH PRURITIC (rash appeared on her left hip which was itchy). On 23-Jan-2021, the elderly was diagnosed with URTICARIA (hives on her legs). On 25-Jan-2021, the elderly was diagnosed with URTICARIA (her legs both front and back were covered in hives). On 02-Feb-2021, the elderly was diagnosed with PRURITUS (Hives got worse and itching didn't stop), URTICARIA (the hives under her neck and back, but they had not come out) and URTICARIA (hives started on her arms). On an unknown date, the elderly was diagnosed with SCRATCH (Scratched herself silly to the point of bleeding). The elderly was treated with CORTISONE for Rash, at a dose of cream; LORATADINE, PSEUDOEPHEDRINE HYDROCHLORIDE (BENADRYL 24 D) at an unspecified dose and frequency; PREDNISONE for Hives, at a dose of 40 mg, tab and HYDROXYZINE HCL for Rash, at a dose of 25 mg, tab. On 01-Mar-2021, IRRITABILITY (ready to rip her skin off), URTICARIA (hive), PRURITUS (itching), RASH (rash is so bad), RASH (rash on her right hip), RASH PRURITIC (rash appeared on her left hip which was itchy), URTICARIA (hives on her legs), URTICARIA (her legs both front and back were covered in hives), PRURITUS (Hives got worse and itching didn't stop), URTICARIA (the hives under her neck and back, but they had not come out), URTICARIA (hives started on her arms) and SCRATCH (Scratched herself silly to the point of bleeding) had resolved. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 119/85 (normal) normal. On an unknown date, Body temperature: 36.4 °c (97.5 °f) (normal) normal (Tympanic). On an unknown date, Heart rate: 94 (normal) normal. On an unknown date, Oxygen saturation: 100% (normal) normal. On an unknown date, Respiratory rate: 18 (normal) normal.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown.       The patient also took Oatmeal bath, baking soda bath and Cold cloth as treatment medication.   The patient took the following examination:  GENERAL:  alert, no distress HEAD:  Normocephalic, no masses, lesions, tenderness or abnormalities, no facial bone deformity or tenderness, no scalp hematoma. EYE EXAM:  The eye adnexa was examined and is normal, normal conjunctiva, PERRL and EOM's intact. EARS:  External ears normal, Canals clear, TM's Normal. NOSE:  no mucosal erythema, no mucosal edema, no purulent discharge. OROPHARYNX:  no exudate, no erythema, lips, buccal mucosa, and tongue normal and mucous membranes are moist. LUNGS:  chest symmetric with normal AP diameter, no chest deformities noted, no chest wall tenderness, lungs clear to auscultation. HEART:  regular rate , no murmurs, S1 normal and S2 normal. ABDOMEN:  abdomen soft, non-tender, no masses, no hepatosplenomegaly, no rebound or guarding. SKIN: there is a erythematous and pruritic hive-like rash located on the patient's entire body.   Most recent FOLLOW-UP information incorporated above includes: On 18-Jun-2021: Allergies and current health conditions updated. Concomitant drugs were updated along with their indications. Lab details were updated. Event outcome were updated.