Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Herpes zoster, Pain, Rash pruritic
Clinical narrative: mild pain; Shingles-Severe; Itchy spots around back of L arm and onto chest area/Extended onto back of Left chest to centerline of back/Also extended to cover my Left breast; Spots became red in 1 to 2 days/Color became very red; This spontaneous case was reported by a nurse and describes the occurrence of PAIN (mild pain), HERPES ZOSTER (Shingles-Severe), RASH PRURITIC (Itchy spots around back of L arm and onto chest area/Extended onto back of Left chest to centerline of back/Also extended to cover my Left breast) and ERYTHEMA (Spots became red in 1 to 2 days/Color became very red) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination.     The patient had no known allergies.  The patient's past medical history included Sjogren's disease in 2005. Concurrent medical conditions included Rheumatoid arthritis since 1994 and Tachycardia (Fast Heart Rate.). Concomitant products included TOCILIZUMAB (ACTEMRA) from 2019 to June 2021, METHOTREXATE from 1998 to 15-Sep-2021 and HYDROXYCHLOROQUINE SULFATE (PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]) from 1994 to an unknown date for Rheumatoid arthritis, CICLOSPORIN (RESTASIS) from 2001 to an unknown date for Sjogren's disease, ATENOLOL from 2015 to an unknown date for Tachycardia.    On 28-Jan-2021 at 4:52 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Jan-2021 at 8:00 AM, the patient experienced HERPES ZOSTER (Shingles-Severe). On an unknown date, the patient experienced PAIN (mild pain), RASH PRURITIC (Itchy spots around back of L arm and onto chest area/Extended onto back of Left chest to centerline of back/Also extended to cover my Left breast) and ERYTHEMA (Spots became red in 1 to 2 days/Color became very red). The patient was treated with VALACICLOVIR HYDROCHLORIDE (VALCIVIR) for Adverse event, at an unspecified dose and frequency. On 22-Mar-2021, HERPES ZOSTER (Shingles-Severe) had resolved with sequelae. At the time of the report, PAIN (mild pain) outcome was unknown and RASH PRURITIC (Itchy spots around back of L arm and onto chest area/Extended onto back of Left chest to centerline of back/Also extended to cover my Left breast) and ERYTHEMA (Spots became red in 1 to 2 days/Color became very red) had resolved with sequelae.        mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered HERPES ZOSTER (Shingles-Severe) to have an unknown relationship. No further causality assessments were provided for PAIN (mild pain), RASH PRURITIC (Itchy spots around back of L arm and onto chest area/Extended onto back of Left chest to centerline of back/Also extended to cover my Left breast) and ERYTHEMA (Spots became red in 1 to 2 days/Color became very red).    The patient also used an unknown lotion with specific medications that was made at. It took about 8 weeks to be mostly gone. The patient still had itches at the area it started, with occasional mild pain.   This case was linked to MOD-2021-319198 (Patient Link).