Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Biopsy skin abnormal, Cough, Hypersensitivity, Neuropathic pruritus
Clinical narrative: BOTH WRISTS BELOW THUMBS HAD SWELLING; WRISTS WERE PAINFUL TO EXTEND; TINGLY ITCHY; STRANGE ITCH NOT LIKE A RASH; JUST LIKE GOOSEBUMPS; LIKE SKIN WAS CRAWLING/SKIN SENSATIONS; This spontaneous report received from a patient concerned a 55 year old male. The patient's weight was 300 pounds, and height was 71 inches. The patient's concurrent conditions included: bipolar disorder, and attention deficit hyperactivity disorder. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: 21-SEP-2021) dose was not reported, 1 total administered on 05-JUN-2021 for prophylactic vaccination on left arm (dose series number 1). Concomitant medications included dexamfetamine and lithium for attention deficit-hyperactivity disorder (ADHD), and bipolar disorder; and valaciclovir hydrochloride for an unknown indication.  On 10-JUN-2021, the patient experienced a strange itch not like a rash, scratching it resulted in tingling feeling mostly alternating between his legs all over the whole body except his head, and there was no rash, just like goosebumps, like skin was crawling, tingly, and itchy. He went to an urgent care clinic. The patient was given a steroid, but it did not work. The patient went to dermatologist, who did a biopsy. Laboratory data included: Biopsy (date unspecified) results not reported.   Per the patient, the dermatologist said it was not from an allergen, had unknown origin and it could be from medications, neurologic or psychiatric related. The patient then went to a new health care professional after that and he was on prescription of an unidentified anti-allergen.  He then went to his psychiatric practitioner because he was being treated for attention deficit-hyperactivity disorder (ADHD)  and bipolar disorder. He stated that he begged psychiatric practitioner to help because the skin sensations had him to the point of considering suicide. The patient was started on 600mg per day Gabapentin prescribed by his psychiatric practitioner. Gabapentin provided him some relief, but no HCP could explain the cause. He was on 1200mg Gabapentin, increased by his primary HCP,  which helped the unusual skin sensations. He added that he improved with Gabapentin 900mg per day. On SEP-2021, the patient experienced both wrists below thumbs had swelling, and wrists were painful to extend. He could grip and the right side was worse (Dose series number 1).   Treatment medications (dates unspecified) included: gabapentin.  Non-company suspect vaccine included: MRNA1273 (form of admin, route of admin, and batch number were not reported) dose was not reported, administered on 24-NOV-2021 for prophylactic vaccination (dose series number 2). On 26-NOV-2021, the patient reported the strange, itching skin feeling skyrocketed through the roof. He was back on 1200-1500 mg/ day of Gabapentin. The patient stated he looked up J&J side effects and was wondering if  he was possibly developing Guillain-Barré Syndrome (GBS).  The action taken with covid-19 vaccine ad26.cov2.s, and MRNA 1273 was not applicable. The outcome of strange itch not like a rash, just like goosebumps, like skin was crawling/skin sensations, tingly itchy, both wrists below the thumbs had swelling, and wrists were painful to extend was not reported.  This report was serious (Other Medically Important Condition).