Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: was like intoxicated with something; bad skin reaction/bad skin reaction; eyes were swollen/eyes swollen; lips were swollen like edema/Lip swelling; all the body has big big body rash like erythema/big body rash all over; scalp was red like intoxicated with something/scalp is red; This spontaneous case was reported by a consumer and describes the occurrence of SKIN REACTION (bad skin reaction/bad skin reaction), EYE SWELLING (eyes were swollen/eyes swollen), LIP SWELLING (lips were swollen like edema/Lip swelling), RASH ERYTHEMATOUS (all the body has big big body rash like erythema/big body rash all over) and ERYTHEMA (scalp was red like intoxicated with something/scalp is red) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 049C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included METFORMIN for Diabetes.   On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Oct-2021, the patient experienced SKIN REACTION (bad skin reaction/bad skin reaction), EYE SWELLING (eyes were swollen/eyes swollen), LIP SWELLING (lips were swollen like edema/Lip swelling), RASH ERYTHEMATOUS (all the body has big big body rash like erythema/big body rash all over) and ERYTHEMA (scalp was red like intoxicated with something/scalp is red). On an unknown date, the patient experienced VACCINATION COMPLICATION (was like intoxicated with something). At the time of the report, SKIN REACTION (bad skin reaction/bad skin reaction), EYE SWELLING (eyes were swollen/eyes swollen), LIP SWELLING (lips were swollen like edema/Lip swelling), RASH ERYTHEMATOUS (all the body has big big body rash like erythema/big body rash all over), ERYTHEMA (scalp was red like intoxicated with something/scalp is red) and VACCINATION COMPLICATION (was like intoxicated with something) outcome was unknown.            No treatment information was provided by the reporter.   Patient started experiencing the events after the third dose of Moderna Covid-19 vaccine  Caller's husband received the first dose of the  Moderna COVID-19 vaccine on 08-Jan-2021 in his left upper arm.  Caller's husband received the second dose of the Moderna COVID-19 vaccine on  05-Feb-2021 in  in his left upper arm.  Lot # expiration date asked, but patient did not have available for both first and second dose.  Caller reports her husband received the third dose of the vaccine in his left upper arm on 08-Oct-2021 with lot number 049C21A, expiration date not available. Wife reports that her husband experienced a bad skin reaction and lip swelling. In addition, his eyes are swollen, scalp is red, and his body has a big rash all over.  Per wife, the reaction started around 6:30PM or 7PM on 12-Oct-2021. Husband took an antihistamine and received an injection to treat the symptoms, but wife is not sure what injection her husband received.  Wife is not sure of husband's age now or at time of initial vaccination. Denied to provide healthcare provider information. Safety follow up consent provided for patient. Preferred method of contact via phone. Patient denied follow-up consent for HCP and denied to provide HCP information   Most recent FOLLOW-UP information incorporated above includes: On 12-Oct-2021: Follow up document received on 14-oct-2021: contain Patient Information, dose details and concomitant medication were Updated