Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Intentional dose omission, Rash, Rash erythematous, Rash pruritic, Vaccination site pain
Clinical narrative: injection site is sore if she pushes on it; I'm not going to get the follow-up shot; itchy pinkish-red rash which started on her legs and went up all over her body,rash started in both my legs,This rash...went to both arms,This rash...went to my mid section,This rash...went to the left, middle & right side of my neck.; itching/intermittently itchy pinkish-red rash which started on her legs and went up all over her body; itching & redness; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (itching/intermittently itchy pinkish-red rash which started on her legs and went up all over her body), RASH ERYTHEMATOUS (itching & redness), INTENTIONAL DOSE OMISSION (I'm not going to get the follow-up shot), RASH (itchy pinkish-red rash which started on her legs and went up all over her body,rash started in both my legs,This rash...went to both arms,This rash...went to my mid section,This rash...went to the left, middle & right side of my neck.) and VACCINATION SITE PAIN (injection site is sore if she pushes on it) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043B21A) for COVID-19 vaccination.     Concurrent medical conditions included Cancer, Allergy to wool, Atrial fibrillation and Glaucoma. Concomitant products included DIPHENHYDRAMINE HYDROCHLORIDE (BANOPHEN) for Rash, FLECAINIDE, WARFARIN, ATORVASTATIN CALCIUM (LIPITOR), AMLODIPINE and CEPHALEXIN [CEFALEXIN] for an unknown indication.    On 29-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jul-2021, the patient experienced RASH PRURITIC (itching/intermittently itchy pinkish-red rash which started on her legs and went up all over her body), RASH ERYTHEMATOUS (itching & redness) and RASH (itchy pinkish-red rash which started on her legs and went up all over her body,rash started in both my legs,This rash...went to both arms,This rash...went to my mid section,This rash...went to the left, middle & right side of my neck.). On 05-Aug-2021, the patient experienced INTENTIONAL DOSE OMISSION (I'm not going to get the follow-up shot). On an unknown date, the patient experienced VACCINATION SITE PAIN (injection site is sore if she pushes on it). The patient was treated with HYDROCORTISONE for Itching, at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BANOPHEN) for Rash, at an unspecified dose and frequency. On 05-Aug-2021, INTENTIONAL DOSE OMISSION (I'm not going to get the follow-up shot) had resolved. At the time of the report, RASH PRURITIC (itching/intermittently itchy pinkish-red rash which started on her legs and went up all over her body), RASH ERYTHEMATOUS (itching & redness) and RASH (itchy pinkish-red rash which started on her legs and went up all over her body,rash started in both my legs,This rash..went to both arms,This rash..went to my mid section,This rash..went to the left, middle & right side of my neck.) was resolving and VACCINATION SITE PAIN (injection site is sore if she pushes on it) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: Follow-up information received had updated medical history, batch number of the suspect, concomitant and treatment details. Additional events of rash erythematous, vaccination site pain and Intentional dose omission were added. On 16-Aug-2021: Follow up information received on  contains Significant information i.e concomitant medications addition, treatment information was updated. On 25-Aug-2021: Follow up received contains no new information