Age: 70.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Interchange of vaccine products, Off label use, Product use issue, Pruritus, Rash erythematous
Clinical narrative: face started itching suddenly; face and neck was red rash; She had the COVID-19 Vaccine Booster and Flu Shot; She had the COVID-19 Vaccine Booster and Flu Shot; Did have the Moderna COVID-19 Vaccines the first time around in April, May, and December.; This is a spontaneous report received from contactable reporter(s) (Nurse). The reporter is the patient.  A 70-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 28Oct2022 as dose 4 (booster), single (Lot number: GJ6665) at the age of 70 years, in arm for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 09Mar2021 at 14:00 as dose 1, single (Batch/Lot number: unknown), in left arm, on 05Apr2021 at 14:00 as dose 2, single (Batch/Lot number: unknown), in left arm and on 29Dec2021 at 11:30 as dose 3 (booster), single (Lot number: 070H21A), in left arm, all intramuscular for covid-19 immunisation; influenza vaccine (FLU [INFLUENZA VACCINE]), on 28Oct2022 as dose number unknown, single (Batch/Lot number: unknown), in arm for immunisation. The patient's relevant medical history included: "Type 2 Diabetes" (ongoing), notes: thinks dx at 41 HCP was debating if she had juvenile diabetes or type two diabetes (diagnosed); "High blood pressure" (ongoing), notes: diagnosed at about maybe 40 years old. At 40 everything went downhill.; "Tested positive for COVID-19 in August or Sep2020", start date: 2020 (unspecified if ongoing), notes: in August or Sep2020, confirmed she tested positive before receiving any COVID-19 Vaccines.; "scratchy throat", start date: 2020 (unspecified if ongoing); "Fever", start date: 2020 (unspecified if ongoing), notes: for two different non-consecutive nights, reached 101 degrees Fahrenheit. The patient took concomitant medications. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 28Oct2022, outcome "unknown", described as "Did have the Moderna COVID-19 Vaccines the first time around in April, May, and December."; PRODUCT USE ISSUE (non-serious), OFF LABEL USE (non-serious) all with onset 28Oct2022, outcome "unknown" and all described as "She had the COVID-19 Vaccine Booster and Flu Shot"; RASH ERYTHEMATOUS (non-serious) with onset 08Nov2022, outcome "recovering", described as "face and neck was red rash"; PRURITUS (non-serious) with onset 08Nov2022, outcome "recovering", described as "face started itching suddenly". Therapeutic measures were taken as a result of pruritus.  Additional Context: On 28Oct2022 patient had the COVID-19 Vaccine Booster and Flu Shot. She described the flu shot as the Old Age Lady Flu Shot for over 65 years old or whatever. Patient thinks she has had a reaction to the COVID-19 Vaccine Booster. Tuesday, 10 days after the COVID-19 Vaccine Booster, her face started itching suddenly and yesterday got her face and neck was red.  Patient doesn't know if it is an actual reaction but she is still itching and is still has a rash today. Itching outcome: Happens in spells. Starts itching, goes away for a long time, then starts back again, intermittently.  Patient clarified that it doesn't itch near as much as first day and has subsided some, clarified that it has improved. Itching Treatment: Still washing her face with the same cleansing cream and same moisturizers, hasn't stopped using her normal products. Patient clarified she was using the cleansing cream and moisturizers before the COVID-19 Vaccine Booster and itching with rash. Patient has been using the cleansing cream and moisturizers for 20 years. Face and neck was red rash: Start Date: 28Oct2022, aware this is discrepant as caller previously provided her face and neck were red yesterday. Documented as provided and confirmed by caller. Outcome: It is splotchy, not everywhere. It has gotten lighter, improved, doesn't seem to be as red as it was on Tuesday. Rash is not anywhere else on the body, not on stomach or arms. It was reported that it happened 10 days after the COVID-19 Vaccine Booster.