Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Swelling face
Clinical narrative: has shingles in mouth and right side of face / had to start my valacylcovir again because of an outbreak after second shot; right side of his face It is swollen/ nose is about the size of my  fist; skin started feeling weird/feeling weird is all over his body/felt like he got hit by a truck; feels like his skin has been dipped in Menthol/feels really cold; feels really tingly; skin feels itchy; This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 13-May-2021. The most recent information was received on 13-Jul-2021 and was forwarded to Moderna on 13-Jul-2021.    This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (skin started feeling weird/feeling weird is all over his body/felt like he got hit by a truck), FEELING COLD (feels like his skin has been dipped in Menthol/feels really cold), PARAESTHESIA (feels really tingly), PRURITUS (skin feels itchy) and HERPES ZOSTER (has shingles in mouth and right side of face / had to start my valacylcovir again because of an outbreak after second shot) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030A21A and 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Family history included Shingles since an unknown date. Concurrent medical conditions included Narcolepsy, Perfume sensitivity and Spinal stenosis. Concomitant products included EPINEPHRINE (AUVI Q) and NITROGLYCERIN for Allergy, EMPAGLIFLOZIN (JARDIANCE) for Glucose, AMOXICILLIN for Infection and Shingles, CLONAZEPAM (KLONOPIN) for Insomnia, SOLRIAMFETOL HYDROCHLORIDE (SUNOSI) and PITOLISANT HYDROCHLORIDE (WAKIX) for Narcolepsy, VALACYCLOVIR HYDROCHLORIDE for Shingles, PREGABALIN for Spinal stenosis, INSULIN DEGLUDEC (TRESIBA), CLOBETASOL, BACITRACIN ZINC, LIDOCAINE, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN (MUCINEX DM), KETOROLAC TROMETHAMINE (TORADOL), FISH OIL, LOSARTAN POTASSIUM, METOPROLOL, INSULIN ASPART (NOVOLOG), PRILOCAINE and IBUPROFEN for an unknown indication.   On 08-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-May-2021, the patient experienced FEELING ABNORMAL (skin started feeling weird/feeling weird is all over his body/felt like he got hit by a truck), FEELING COLD (feels like his skin has been dipped in Menthol/feels really cold), PARAESTHESIA (feels really tingly) and PRURITUS (skin feels itchy). On an unknown date, the patient experienced HERPES ZOSTER (has shingles in mouth and right side of face / had to start my valacylcovir again because of an outbreak after second shot) and SWELLING FACE (right side of his face It is swollen/ nose is about the size of my  fist). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, FEELING ABNORMAL (skin started feeling weird/feeling weird is all over his body/felt like he got hit by a truck), FEELING COLD (feels like his skin has been dipped in Menthol/feels really cold), PARAESTHESIA (feels really tingly), PRURITUS (skin feels itchy), HERPES ZOSTER (has shingles in mouth and right side of face / had to start my valacylcovir again because of an outbreak after second shot) and SWELLING FACE (right side of his face It is swollen/ nose is about the size of my  fist) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood glucose: 300 (High) Blood glucose went from 89 to 300 range.  My glucose went from 89 with my 32 units in the am and pm of Tresiba to the 300 range.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No treatment medication was provided.  It is reported that patient's glucose went from 89 with 32 units in the am and pm of Tresiba to the 300 range.     Patient wore a Dexcom unit to monitor his glucose and despite his elevated glucose levels on a daily basis and stated that his  A1C numbers  are good.  He was managing his glucose levels with sliding scale Novolog.   Patient other medications prescribed but did not disclose as he was trying to wean himself off and did not actively take.   This case was linked to MOD-2021-255875 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 13-Jul-2021: New events and concomitant medications added in the case.