Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash macular
Clinical narrative: Guttate/3rd outbreak occurred on his stomach/botches are not itchy; Covid-19; This spontaneous case was reported by a patient and describes the occurrence of GUTTATE PSORIASIS (Guttate/3rd outbreak occurred on his stomach/botches are not itchy ) and COVID-19 (Covid-19) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027L21A, 019F21A, 025B21A and 010A21A) for COVID-19 vaccination.     Patient had no allergies to medications, food and other products.  Previously administered products included for Product used for unknown indication: FLU shot in September 2021. Past adverse reactions to the above products included No adverse event with FLU shot.   On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 26-Mar-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Apr-2022, the patient experienced COVID-19 (Covid-19). On 01-Jul-2022, the patient experienced GUTTATE PSORIASIS (Guttate/3rd outbreak occurred on his stomach/botches are not itchy ). The patient was treated with CLOBETASOL at a dose of UNK, bid. At the time of the report, GUTTATE PSORIASIS (Guttate/3rd outbreak occurred on his stomach/botches are not itchy ) and COVID-19 (Covid-19) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Apr-2022, SARS-CoV-2 test: (Positive) COVID positive test or diagnosis- yes, extremely mild symptoms, was given an unrecalled pill which was supposed to be preventative. On 01-Jul-2022, Biopsy: Guttate.         Concomitant drugs were not reported.  No Acute and Chronic illnesses at the time of vaccination were reported.  Patient reported an adverse event that he experienced after getting the 1st booster dose of the Moderna Covid-19 vaccine. He states that sometime in Nov2021, he suddenly had red blotches initially on his shin and then a few weeks after had another outbreak outside of it, specifically on his hips.   The 3rd outbreak occurred on his stomach area in Mar2022 after he was administered with the 2nd booster dose. He states that the botches are not itchy and the biggest one is the size of a nickel.   He consulted 3 dermatologists and the 3rd one took a biopsy of the lesion and he was told that he has Guttate on 01Jul2022 based on the biopsy results.He was initially given a steroid cream which did nothing.  Company comment: This case concerns a 74-year-old male patient with no relevant medical history reported, who experienced the adverse event of special interest of COVID-19 15 days after the fourth dose of mRNA-1273. The patient experienced mild symptoms and was treated with an unknown medication. The benefit-risk relationship of mRNA-1273 is not affected by this report.   This case was linked to MOD-2022-609306 (Patient Link).; Sender's Comments: This case concerns a 74-year-old male patient with no relevant medical history reported, who experienced the adverse event of special interest of COVID-19 15 days after the fourth dose of mRNA-1273. The patient experienced mild symptoms and was treated with an unknown medication. The benefit-risk relationship of mRNA-1273 is not affected by this report.