Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid, Trismus
Clinical narrative: a red rash in her scalp/triangle shaped rash on her upper chest/on her right forearm/rash on her left scapula up along the top of the shoulder; redness on the right eyelid; eyelids are swollen; patient's cheeks hurt, she can barely move her jaw because it hurts; patient's cheeks hurt, she can barely move her jaw because it hurts; develop in the bed of her fingernails, little half-moon shape, it was reddish blue, her fingers hurt; suspects it is dermatomyositis; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DERMATOMYOSITIS (suspects it is dermatomyositis) in a 69-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 (Patient got covid back on 20MAR2024 and did not require hospitalization, but she was pretty sick for a week or so) on 20-Mar-2024. Concurrent medical conditions included Diabetes.    On 09-Sep-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. In 2024, the patient experienced DERMATOMYOSITIS (suspects it is dermatomyositis) (seriousness criterion medically significant), SWELLING OF EYELID (eyelids are swollen), PAIN IN JAW (patient's cheeks hurt, she can barely move her jaw because it hurts), TRISMUS (patient's cheeks hurt, she can barely move her jaw because it hurts) and PAIN IN EXTREMITY (develop in the bed of her fingernails, little half-moon shape, it was reddish blue, her fingers hurt). In September 2024, the patient experienced ERYTHEMA OF EYELID (redness on the right eyelid). On 20-Sep-2024,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced RASH (a red rash in her scalp/triangle shaped rash on her upper chest/on her right forearm/rash on her left scapula up along the top of the shoulder). The patient was treated with Triamcinolone for Rash, at an unspecified dose and frequency. At the time of the report, DERMATOMYOSITIS (suspects it is dermatomyositis), ERYTHEMA OF EYELID (redness on the right eyelid), SWELLING OF EYELID (eyelids are swollen), PAIN IN JAW (patient's cheeks hurt, she can barely move her jaw because it hurts), TRISMUS (patient's cheeks hurt, she can barely move her jaw because it hurts), PAIN IN EXTREMITY (develop in the bed of her fingernails, little half-moon shape, it was reddish blue, her fingers hurt) and RASH (a red rash in her scalp/triangle shaped rash on her upper chest/on her right forearm/rash on her left scapula up along the top of the shoulder) had not resolved.            No concomitant medication was reported. Patient had no vaccines 4 weeks prior to Spikevax.  Probably on 12-Sep-2024, patient noticed redness on the right eyelid for a few weeks. Redness on the eyelid started within a few days of receiving Spikevax, probably, a couple weeks before the redness on the scalp started. On 20-Sep-2024, patient noticed she was developing a red rash in her scalp. Reporter does not know if it was patient's complete scalp or if it was just the top of the head, reporter was not exactly sure where the rash was, but the patient could see it in the mirror when she would spread her hair apart and it itched like crazy. This was the first evidence that something was going on with the development of this rash on the scalp. On 07-Nov-2024, patient went to see dermatologist because of her rash in her scalp and now it was down in her chest area, below kind of the neckline between the breasts, kind of a triangle shaped rash on her upper chest. Patient also had a rash on her left scapula up along the top of the shoulder probably as big as a small plate, like a saucer for a cup, that size of a rash. It was not just a mild little superficial skin reddening, it was bumpy, and it looks almost angry enough to bleed, but the reporter had not seen any bleeding from it. It was the same with the rash on her chest. Along with this, patient started to develop in the bed of her fingernails, the little half-moon shape that you see down there, it was reddish blue, sort of different, and her fingers hurt. Patient asked the dermatologist what was going on, the dermatologist suspects patient had some sort of an allergic reaction to a drug, food, or something in her environment. Reporter noted nothing had really changed for the wife in terms of new foods, hair products, etc. Patient was instructed to start applying a corticosteroid cream to the rash on her right forearm, patient had a big patch of the rash there as well - about as big as a sa   This case was linked to MOD-2024-778755 (Patient Link).; Reporter's Comments: Company comment: The history of COVID-19, Diabetes and female gender remains as confounding factors.  The benefit-risk relationship of product is not affected by this report.