Sex: F
Vaccine: UNK
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling
Clinical narrative: She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.; a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.; She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.; a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.; Right arm injection site began itching; a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm; a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm/the same thing on the right foot; This spontaneous case was reported by a patient and describes the occurrence of ERYTHEMA (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm/the same thing on the right foot), PERIPHERAL SWELLING (She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.), JOINT SWELLING (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.), PRURITUS (She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.) and VACCINATION SITE PRURITUS (Right arm injection site began itching) in an adult female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. 3036371) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Product used for unknown indication: FLU Vaccine (FLU Vaccine 1 week prior) in September 2023. Past adverse reactions to the above products included No adverse event with FLU Vaccine.    On 29-Sep-2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) .5 milliliter. On 02-Oct-2023,  after starting mRNA-1273.815 (SPIKEVAX 2023-2024), the patient experienced VACCINATION SITE PRURITUS (Right arm injection site began itching). On 04-Oct-2023, the patient experienced PERIPHERAL SWELLING (She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.), JOINT SWELLING (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.), PRURITUS (She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.) and VACCINATION SITE SWELLING (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.). In October 2023, the patient experienced ERYTHEMA (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm/the same thing on the right foot) and VACCINATION SITE ERYTHEMA (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm). The patient was treated with CLOBETASOL in October 2023 at a dose of UNK UNK, bid. In October 2023, PERIPHERAL SWELLING (She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.), JOINT SWELLING (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.), PRURITUS (She had the same thing on the right foot. A big wide patch (2"X3") Itchy, Red, hot, and swollen, below the toe on the right side of the right foot.), VACCINATION SITE PRURITUS (Right arm injection site began itching) and VACCINATION SITE SWELLING (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm.) had resolved. At the time of the report, ERYTHEMA (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm/the same thing on the right foot) and VACCINATION SITE ERYTHEMA (a big red, itchy, and swollen spot 2X3" about 1.5" below the injection site stretching to elbow on the right arm) had not resolved.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   Concomitant product use was not provided by the reporter. Patient's all previous doses were Moderna vaccines and patient never had any problems with previous vaccination.  Patient was sure that she received vaccination in her right arm but in her vaccination card it was stated that vaccination of 0.5 ml received in left deltoid.  About 10 days after vaccination patient went to visit physician, but she unbale to meet with physician. It has been reported that treatment medication helped the patient. All symptoms went away, but she stated   that redness still existed in both areas. Physician instructed the patient that to continue the treatment medication for thirty days.