Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, Skin depigmentation, Vaccination site erythema, Vaccination site pain
Clinical narrative: little flat white spots, like little white round things, here and there, in that whole area of arm; spot was very hot; spot was very itchy; about 3 inches below the injection, there was a big red round spot/spread out; spot was very burning; high fever because her head was boiling; wasn't feeling good for the first 24 hours at all; This spontaneous case was reported by a patient and describes the occurrence of MALAISE (wasn't feeling good for the first 24 hours at all), SKIN DEPIGMENTATION (little flat white spots, like little white round things, here and there, in that whole area of arm), VACCINATION SITE WARMTH (spot was very hot), VACCINATION SITE PRURITUS (spot was very itchy) and VACCINATION SITE ERYTHEMA (about 3 inches below the injection, there was a big red round spot/spread out) in an 88-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 01-Oct-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 01-Oct-2022, the patient experienced MALAISE (wasn't feeling good for the first 24 hours at all). On an unknown date, the patient experienced SKIN DEPIGMENTATION (little flat white spots, like little white round things, here and there, in that whole area of arm), VACCINATION SITE WARMTH (spot was very hot), VACCINATION SITE PRURITUS (spot was very itchy), VACCINATION SITE ERYTHEMA (about 3 inches below the injection, there was a big red round spot/spread out), VACCINATION SITE PAIN (spot was very burning) and PYREXIA (high fever because her head was boiling). At the time of the report, MALAISE (wasn't feeling good for the first 24 hours at all), VACCINATION SITE WARMTH (spot was very hot), VACCINATION SITE PRURITUS (spot was very itchy), VACCINATION SITE ERYTHEMA (about 3 inches below the injection, there was a big red round spot/spread out), VACCINATION SITE PAIN (spot was very burning) and PYREXIA (high fever because her head was boiling) had resolved and SKIN DEPIGMENTATION (little flat white spots, like little white round things, here and there, in that whole area of arm) was resolving.      No relevant concomitant medications were reported. It was reported that, the patient thought she had a strange effect after she had an injection. She had a high fever because her head was boiling. She didn't take her temperature and she waited. Eventually it went away. For the next couple of days, about 3 inches below the injection, there was a big red round spot. The spot was very hot and itchy and burning. After that it spread out and disappeared. On top of that came little flat white spots, like little white round things, here and there, in that whole area. It's just on her arm. It was getting better. It was not hot anymore.  Treatment medication was not provided by the reporter.