Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Psoriasis
Clinical narrative: skin condition/his hands are very dry and crack/The hands are painful/they're like open sores/, they were diagnosing it as some kind of uh. You know, psoriasis; I was sick with the flu; This spontaneous case was reported by a patient and describes the occurrence of PSORIASIS (skin condition/his hands are very dry and crack/The hands are painful/they're like open sores/, they were diagnosing it as some kind of uh. You know, psoriasis) and INFLUENZA (I was sick with the flu) in an adult male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031L or 220A, 002A21A and 939904) for COVID-19 prophylaxis.     No Medical History information was reported.   On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 16-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PSORIASIS (skin condition/his hands are very dry and crack/The hands are painful/they're like open sores/, they were diagnosing it as some kind of uh. You know, psoriasis) and INFLUENZA (I was sick with the flu). The patient was treated with Paraffin (Vaseline) for Psoriasis, at an unspecified dose and frequency. At the time of the report, PSORIASIS (skin condition/his hands are very dry and crack/The hands are painful/they're like open sores/, they were diagnosing it as some kind of uh. You know, psoriasis) and INFLUENZA (I was sick with the flu) had not resolved.  No vaccines in the past 4 weeks prior to having the second dose when his side effects had started with which he was diagnosed with Psoriasis. Patient had taken Pfizer vaccine as the 5th dose for product use for unknown indication. Concomitant product use was not provided by the reporter. It's been going on for a few years, patient had Moderna, the booster shot, shortly thereafter patient got a skin condition, and it was continuing and went to dermatologist, gone to the wound care unit. Patient had spent a lot of money and still had this condition. His hands were very dry and crack. The hands were painful. He added it started on his foot, and he still had remnants of dryness of the feet occasionally. But in the hands, when looking at them, they're like dry and cracking and they're like open sores. He went to the dermatologist as he was trying to figure out his condition, they gave different creams and this that and the other thing, they were diagnosing it as some kind of psoriasis or some kind of skin condition, but everything that they tried did not work. Patient tried so many different lotions. Patient put on A lotion and then he put on Vaseline and put gloves on every night because it's just painful and that that helps because it at least takes away the dryness and it, it kind of closes up the wounds a little bit and got some relief. He was then given a lotion which gave him some relief but it's not going away. The only thing that the patient did about every two months was patient got one of those steroids, Z packs or whatever, 6, the first day, 5, the next day 4, whatever it was. Patient found that out by accident because patient took it. Patient was sick with the flu, and they had given that. Patient put it together like when the patient did the steroids on the hands clear up that's the only thing that done anything and was not going back to the wound care unit.  There was no X-rays, no blood tests, nothing, just talking and then 2 weeks later he went for a follow up to the wound care unit. There was a different wound care unit and the follow up was closer to his home and same thing and gave him a prescription to for what the patient had before. His side effects started since receiving the first booster. He also added that he visited his dermatologist in 2022 but seems unsure and stated it's his guess. He visited the wound care unit in 2023 or 2024. He confirmed he hadn't spent a lot of time with his primary care physician in reference to his current condition but was prescribed some lotion that didn't work either.  The patient did not experience any additional symptoms/events. Reporter causality was not reported.