Age: 43.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Discomfort, Fatigue, Pruritus, Scratch, Urticaria
Clinical narrative: Started out with hives all over bod/full body hives from neck to below butt; 9 days where really uncomfortable; Would wake up and wanted to scratch skin off; Residual itching; extreme fatigue/was exhausted/super tired; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Started out with hives all over bod/full body hives from neck to below butt), DISCOMFORT (9 days where really uncomfortable), SCRATCH (Would wake up and wanted to scratch skin off), PRURITUS (Residual itching) and FATIGUE (extreme fatigue/was exhausted/super tired) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017F21A and 048B21A) for COVID-19 vaccination.    Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication.    No Medical History information was reported.   On 15-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Oct-2021, the patient started INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) at an unspecified dose. On 03-Nov-2021, the patient experienced URTICARIA (Started out with hives all over bod/full body hives from neck to below butt), DISCOMFORT (9 days where really uncomfortable), SCRATCH (Would wake up and wanted to scratch skin off), PRURITUS (Residual itching) and FATIGUE (extreme fatigue/was exhausted/super tired). The patient was treated with PREDNISONE for Adverse event, at a dose of 40mg once a day for 7 days and FEXOFENADINE HYDROCHLORIDE (ALLEGRA 24 HOUR) for Itching, at a dose of twice a day for 2 to 4 weeks. On 11-Nov-2021, FATIGUE (extreme fatigue/was exhausted/super tired) had resolved. At the time of the report, URTICARIA (Started out with hives all over bod/full body hives from neck to below butt), DISCOMFORT (9 days where really uncomfortable), SCRATCH (Would wake up and wanted to scratch skin off) and PRURITUS (Residual itching) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Patient received the booster and flu shot at the exact same time. Reaction began exactly 7 days after receiving the vaccine on 03-Nov-2021 and lasted for 7 days. Started out with hives all over her body on 3rd and 4th. On 5th, full body hives from neck to below butt. Suffered through that on 6th and 7th. Went to urgent care and received a steroid injection and prescribed a course of steroids. Patient reports she had extreme fatigue, was exhausted, and super tired. Allergist thought it may be from the Moderna COVID-19 vaccine. Since got flu shot at the same time, not sure if that is why she had the hives. Never saw primary care physician. Had 9 days where really uncomfortable. Even with antihistamine, was still having hives (from 03-Nov-21 to 11-Nov-2021).  Patient received Steroid 125mg injection.   No concomitant medication were reported.