Age: 85.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chest discomfort, Chills, Dry skin, Erythema, Malaise
Clinical narrative: experienced a sharp pain in the left side of her chest that she describes as being stabbed with an ice pick; dry face like sandpaper; patient awoke with a bright red; she felt unwell; Chills; This spontaneous case was reported by a non-health professional and describes the occurrence of CHEST DISCOMFORT (experienced a sharp pain in the left side of her chest that she describes as being stabbed with an ice pick), DRY SKIN (dry face like sandpaper), ERYTHEMA (patient awoke with a bright red), MALAISE (she felt unwell) and CHILLS (Chills) in an 85-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (batch no. 3043924) for COVID-19 prophylaxis.    Co-suspect product included non-company product Influenza vaccine inact split 3v (Fluzone high dose) for an unknown indication.    Concurrent medical conditions included Asthma, Heart disease, unspecified and Lung disease. Concomitant products included Apixaban (Eliquis) for Asthma, Heart disease, unspecified and Lung disease.   On 22-Oct-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. On an unknown date, the patient received dose of Influenza vaccine inact split 3v (Fluzone high dose) (Intramuscular use) 1 dosage form. On 22-Oct-2024,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced CHILLS (Chills). On 23-Oct-2024, the patient experienced MALAISE (she felt unwell). On 24-Oct-2024, the patient experienced CHEST DISCOMFORT (experienced a sharp pain in the left side of her chest that she describes as being stabbed with an ice pick). 24-Oct-2024, the patient experienced DRY SKIN (dry face like sandpaper) and ERYTHEMA (patient awoke with a bright red). The patient was treated with Salbutamol sulfate (Albuterol) (inhalation use) at a dose of Inhaler. At the time of the report, CHEST DISCOMFORT (experienced a sharp pain in the left side of her chest that she describes as being stabbed with an ice pick), MALAISE (she felt unwell) and CHILLS (Chills) was resolving and DRY SKIN (dry face like sandpaper) and ERYTHEMA (patient awoke with a bright red) had resolved.            Patient stated she developed chills on 22-Oct-2024 (day of vaccinations). On 23-OCT-2024, patient stated she felt unwell, continued having chills all day and through the night. On 24-OCT-2024, patient awoke with a bright red, dry face like sandpaper. She noted it was worse than a sunburn. Patient stated she had to routinely apply lotion and aloe to face. This lasted on and off for approximately 10 days. Also, on 24-OCT-2024, patient stated she experienced a sharp pain in the left side of her chest that she described as being stabbed with an ice pick. She stated this happened about 10-12 times. She used her albuterol inhaler but this did not help. She stated she had lingering chest heaviness until yesterday. She called her doctor's office to let them know but did not seek further treatment. She reported this to office on 04-NOV-2024 and stated she was feeling better today.   Reporter did not allow further contact