Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Itching; rash in the left side of the lower back/rash spread to the trunk/rash spread to the thighs/rash spread to the legs/rash spread a bit in his arms/rash came back 2 or 3 weeks ago in the left side of the lower back and a little bit in the right side; This spontaneous case was reported by a patient and describes the occurrence of PRURITUS (Itching) and RASH (rash in the left side of the lower back/rash spread to the trunk/rash spread to the thighs/rash spread to the legs/rash spread a bit in his arms/rash came back 2 or 3 weeks ago in the left side of the lower back and a little bit in the right side) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 058A22-2A, 029H21B, 016M20A and 002A21A) for COVID-19 vaccination.     The patient had no allergies to medications, food and other products. The patient never had COVID positive test or diagnosis. The patient had no history relating to mentioned adverse event and both acute and chronic illnesses at the time of vaccination. The patient did not receive other vaccines within 1 month prior to Moderna COVID-19 vaccine.  Concomitant products included LISINOPRIL, PRAVASTATIN and PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM) for an unknown indication.   On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Jun-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-Jun-2022, the patient experienced PRURITUS (Itching) and RASH (rash in the left side of the lower back/rash spread to the trunk/rash spread to the thighs/rash spread to the legs/rash spread a bit in his arms/rash came back 2 or 3 weeks ago in the left side of the lower back and a little bit in the right side). The patient was treated with CLOTRIMAZOLE at a dose of 1 % percent; CLOBETASOL PROPIONATE (IMPOYZ) at a dose of 0.025 % percent and BETAMETHASONE at an unspecified dose and frequency. In August 2022, PRURITUS (Itching) had resolved. At the time of the report, RASH (rash in the left side of the lower back/rash spread to the trunk/rash spread to the thighs/rash spread to the legs/rash spread a bit in his arms/rash came back 2 or 3 weeks ago in the left side of the lower back and a little bit in the right side) was resolving.            It was reported that, for primary series and 1st booster patient did not experience any symptoms. The patient started to experience itching and later it became a rash in the left side of the lower back and after a while it spread to the top of the trunk, thighs and legs and a bit in his arms, like an eczema. The patient was not sure if it was due to the vaccine or an allergic reaction to another thing. Patient visited a nurse on 12-Jul-2022 and she gave him a steroid cream (unspecified) but it did not work. He visited another nurse, and she gave him Clotrimazole 1% antifungal, but it did not work either. On 09-Aug-2022 he visited a dermatologist and doctor gave him Impoyz 0.025% and it was resolved 3 weeks later (in Aug-2022). But rash came back 2 or 3 weeks ago (in Oct-2022) in the left side of the lower back and a little bit in the right side. At the time of this report, the patient was treating the current rash with Betamethasone, and it was improving.  The patient did not experience a similar event in the past.