Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Hypersensitivity, Nasopharyngitis, Pain in extremity
Clinical narrative: Local erythema; Rash on limbs; Cold; welts on both arms; Hypersensitivity reaction; rash on legs, chest and face; left arm has blotches on the upper arm, & down the length of the inside of my forearm; right arm is discolored on the inside aspect, with prickly spots on both sides, prickly spots on my thighs; My left arm is worse than the right; itching on both arms; left arm is red; minor chills for about 5 hrs; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (left arm has blotches on the upper arm, & down the length of the inside of my forearm), SKIN DISCOLORATION (right arm is discolored on the inside aspect, with prickly spots on both sides, prickly spots on my thighs), PAIN IN EXTREMITY (My left arm is worse than the right), PRURITUS (itching on both arms) and VACCINATION SITE DISCOLORATION (left arm is red) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037B21A and 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Medical history was not reported.  Concomitant products included GABAPENTIN for Nerve pain.   On 24-Mar-2021 at 9:50 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Apr-2021 at 9:50 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Apr-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced CHILLS (minor chills for about 5 hrs). On 23-Apr-2021, the patient experienced RASH MACULAR (left arm has blotches on the upper arm, & down the length of the inside of my forearm), SKIN DISCOLORATION (right arm is discolored on the inside aspect, with prickly spots on both sides, prickly spots on my thighs), PAIN IN EXTREMITY (My left arm is worse than the right), PRURITUS (itching on both arms) and VACCINATION SITE DISCOLORATION (left arm is red). On 23-Apr-2021 at 3:00 AM, the patient experienced URTICARIA (welts on both arms), HYPERSENSITIVITY (Hypersensitivity reaction) and RASH (rash on legs, chest and face). On 05-Jun-2021, the patient experienced NASOPHARYNGITIS (Cold). On 07-Jun-2021, the patient experienced RASH (Rash on limbs). On an unknown date, the patient experienced ERYTHEMA (Local erythema). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Welts, at a dose of UNK dosage form. On 21-Apr-2021, CHILLS (minor chills for about 5 hrs) had resolved. On 27-Apr-2021, RASH MACULAR (left arm has blotches on the upper arm, & down the length of the inside of my forearm), SKIN DISCOLORATION (right arm is discolored on the inside aspect, with prickly spots on both sides, prickly spots on my thighs), PAIN IN EXTREMITY (My left arm is worse than the right), PRURITUS (itching on both arms) and VACCINATION SITE DISCOLORATION (left arm is red) had resolved, URTICARIA (welts on both arms), HYPERSENSITIVITY (Hypersensitivity reaction) and RASH (rash on legs, chest and face) had resolved with sequelae. At the time of the report, ERYTHEMA (Local erythema), NASOPHARYNGITIS (Cold) and RASH (Rash on limbs) outcome was unknown.            Patient reported that 6 weeks after second dose, she contacted cold, 24hours mild chills and 48 hours into cold, rash came back in same  locations but was not as severe.  Treatment medication included steroids(injection and oral) for 5 days.   Most recent FOLLOW-UP information incorporated above includes: On 08-Jun-2021: Reporter phone number added, patient demographics updated, added Dose 1 details and concomitant medication Gabapentin, added new events Hypersensitivity, Urticaria, Rash, Cold, Rash on limbs and initial events outcome updated.