Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Feeling hot, Malaise, Mechanical urticaria
Clinical narrative: This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (Ears felt like they were on fire/ really hot/ like if you blast the heater in your car/ It could be one or both ears/ hives are warm), URTICARIA (Pressure hives/ hives pop up /It's not as intense as it was when it first started), MECHANICAL URTICARIA (Dermographism), PRURITUS (Scalp was extremely itchy, She thought she had lice/ blotches itch like crazy and disappear to another part of her body) and ERYTHEMA (Ears turned bright red/ The patient gets bright red hives) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 939909, 040A21A and 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 18-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Nov-2021, the patient experienced MALAISE (Not well) and FATIGUE (Felt really tired). On 04-Dec-2021, the patient experienced FEELING HOT (Ears felt like they were on fire/ really hot/ like if you blast the heater in your car/ It could be one or both ears/ hives are warm), URTICARIA (Pressure hives/ hives pop up /It's not as intense as it was when it first started), MECHANICAL URTICARIA (Dermographism), PRURITUS (Scalp was extremely itchy, She thought she had lice/ blotches itch like crazy and disappear to another part of her body), ERYTHEMA (Ears turned bright red/ The patient gets bright red hives) and RASH MACULAR (Blotches on my face and neck, they last about 15-20 minutes). On 22-Nov-2021, MALAISE (Not well) and FATIGUE (Felt really tired) had resolved. At the time of the report, FEELING HOT (Ears felt like they were on fire/ really hot/ like if you blast the heater in your car/ It could be one or both ears/ hives are warm) had not resolved and URTICARIA (Pressure hives/ hives pop up /It's not as intense as it was when it first started), MECHANICAL URTICARIA (Dermographism), PRURITUS (Scalp was extremely itchy, She thought she had lice/ blotches itch like crazy and disappear to another part of her body), ERYTHEMA (Ears turned bright red/ The patient gets bright red hives) and RASH MACULAR (Blotches on my face and neck, they last about 15-20 minutes) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment medications were reported. The patient saw a dermatologist on 07Dec2021. He diagnosed it as pressure hives and dermographism. He expected it to be gone in a week to four weeks without explanation. She was taking Xyzal, which is the only thing that works. She had tried other antihistamines (Claritin, Allegra, Benadryl, and Zyrtec). It reduced the number of hives that pop up. After she took Benadryl, it made her loopy. It worked but she doesn't like to take it. Zyrtec worked, but it wears off sooner. This case was linked to MOD-2022-439146, MOD-2022-439197 (Patient Link).