Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation, Sunburn, Vaccination site rash
Clinical narrative: patient's skin now is similar to sunburnt skin that then flakes and peels; Muscle cramps; Paresthesia; Hypersensitivity reaction; experienced a rash, rash is on her arm where she received the shot; skin is flaky; kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels; itching; went to her other arm, it's also on her lower back/rash on both arms, lower back and thighs; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MUSCLE SPASMS (Muscle cramps), PARAESTHESIA (Paresthesia), SKIN DISORDER (skin is flaky), SKIN EXFOLIATION (patient's skin now is similar to sunburnt skin that then flakes and peels) and SUNBURN (kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Unspecified inflammatory spondylopathy (On XR 11/16/17), Syncope (Syncope and Collapse), Leg pain (Left), Back pain, Hematuria (Microscopic), Cataract, Restless legs, Lacunar infarction (Chronic lacunar infarct right putamen on 12/7/17 MRI), Vertigo since an unknown date, Smoker (Former smoker Quit in 1965) in 1965 and Cataract extraction on 09-Sep-2016. Family history included Heart disease, unspecified (Patients mother), Stroke and Hypertension. Concurrent medical conditions included Chronic kidney disease (Stage 2(Mild)), Hyperlipidemia, Lumbar radiculopathy and Alcohol use (Occasional alcohol use).    On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced RASH (went to her other arm, it's also on her lower back/rash on both arms, lower back and thighs). On 28-Jan-2021, the patient experienced SKIN DISORDER (skin is flaky), SUNBURN (kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels), PRURITUS (itching) and VACCINATION SITE RASH (experienced a rash, rash is on her arm where she received the shot). On an unknown date, the patient experienced MUSCLE SPASMS (Muscle cramps), PARAESTHESIA (Paresthesia), SKIN EXFOLIATION (patient's skin now is similar to sunburnt skin that then flakes and peels) and HYPERSENSITIVITY (Hypersensitivity reaction). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL A) on 12-Jan-2021 for Adverse event, at a dose of 1 dosage form and HYDROCORTISONE for Adverse event, at an unspecified dose and frequency. On 12-Mar-2021, RASH (went to her other arm, it's also on her lower back/rash on both arms, lower back and thighs) had resolved. At the time of the report, MUSCLE SPASMS (Muscle cramps), PARAESTHESIA (Paresthesia), SKIN DISORDER (skin is flaky), SKIN EXFOLIATION (patient's skin now is similar to sunburnt skin that then flakes and peels), SUNBURN (kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels), PRURITUS (itching), VACCINATION SITE RASH (experienced a rash, rash is on her arm where she received the shot) and HYPERSENSITIVITY (Hypersensitivity reaction) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Jan-2021, Blood pressure measurement: 122/70 Inconclusive. On 28-Jan-2021, Body temperature: 98 °F (normal) 98. On 28-Jan-2021, Heart rate: 80 (normal) 80. On 28-Jan-2021, Respiratory rate: 16 (Inconclusive) Unlabored.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The concomitant medications were not provided.    Most recent FOLLOW-UP information incorporated above includes: On 12-Mar-2021: Initial additional information received on 12 Mar 2021: Additional information was added to case. On 08-Apr-2021: Initial additional information received on 08 Apr 2021: Reporter details were updated. On 22-Apr-2021: Initial additional information received on 22  Apr 2021: Event outcome for Rash was updated. On 29-Jun-2021: Follow-up information received on 29-JUN-2021 contains added was treatment Benadryl. This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 01-Feb-2021. The most recent information was received on 29-Jun-2021 and was forwarded to Moderna on 29-Jun-2021.    This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MUSCLE SPASMS (Muscle cramps), PARAESTHESIA (Paresthesia), SKIN DISORDER (skin is flaky), SKIN EXFOLIATION (patient's skin now is similar to sunburnt skin that then flakes and peels) and SUNBURN (kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Unspecified inflammatory spondylopathy (On XR 11/16/17), Syncope (Syncope and Collapse), Leg pain (Left), Back pain, Hematuria (Microscopic), Cataract, Restless legs, Lacunar infarction (Chronic lacunar infarct right putamen on 12/7/17 MRI), Vertigo since an unknown date, Smoker (Former smoker Quit in 1965) in 1965 and Cataract extraction on 09-Sep-2016. Family history included Heart disease, unspecified (Patients mother), Stroke and Hypertension. Concurrent medical conditions included Chronic kidney disease (Stage 2(Mild)), Hyperlipidemia, Lumbar radiculopathy and Alcohol use (Occasional alcohol use).    On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced RASH (went to her other arm, it's also on her lower back/rash on both arms, lower back and thighs). On 28-Jan-2021, the patient experienced SKIN DISORDER (skin is flaky), SUNBURN (kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels), PRURITUS (itching) and VACCINATION SITE RASH (experienced a rash, rash is on her arm where she received the shot). On an unknown date, the patient experienced MUSCLE SPASMS (Muscle cramps), PARAESTHESIA (Paresthesia), SKIN EXFOLIATION (patient's skin now is similar to sunburnt skin that then flakes and peels) and HYPERSENSITIVITY (Hypersensitivity reaction). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL A) on 12-Jan-2021 for Adverse event, at a dose of 1 dosage form and HYDROCORTISONE for Adverse event, at an unspecified dose and frequency. On 12-Mar-2021, RASH (went to her other arm, it's also on her lower back/rash on both arms, lower back and thighs) had resolved. At the time of the report, MUSCLE SPASMS (Muscle cramps), PARAESTHESIA (Paresthesia), SKIN DISORDER (skin is flaky), SKIN EXFOLIATION (patient's skin now is similar to sunburnt skin that then flakes and peels), SUNBURN (kind of like sunburn/patient's skin now is similar to sunburnt skin that then flakes and peels), PRURITUS (itching), VACCINATION SITE RASH (experienced a rash, rash is on her arm where she received the shot) and HYPERSENSITIVITY (Hypersensitivity reaction) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Jan-2021, Blood pressure measurement: 122/70 Inconclusive. On 28-Jan-2021, Body temperature: 98 °F (normal) 98. On 28-Jan-2021, Heart rate: 80 (normal) 80. On 28-Jan-2021, Respiratory rate: 16 (Inconclusive) Unlabored.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The concomitant medications were not provided.    Most recent FOLLOW-UP information incorporated above includes: On 12-Mar-2021: Initial additional information received on 12 Mar 2021: Additional information was added to case. On 08-Apr-2021: Initial additional information received on 08 Apr 2021: Reporter details were updated. On 22-Apr-2021: Initial additional information received on 22  Apr 2021: Event outcome for Rash was updated. On 29-Jun-2021: Follow-up information received on 29-JUN-2021 contains added was treatment Benadryl.