Sex: M
Vaccine: COVID19, FLUX
Symptoms: Skin exfoliation
Clinical narrative: red, swollen, itchy hands and feet then peeled two weeks later; bright red rashes on the hands and feet and it was swollen/ Bilateralhand swelling/ feet swelling as well, bilateral; bright red rashes on the hands and feet and it was itchy; Bright red rashes on the hands and feet and it was itchy/ red, swollen, itchy hands and feet; Rashes on his hands and feet/ bright red rashes on the hands and feet; Pain in movement of hands/tight, hurts to move; Initial information received on 15-Nov-2024 regarding an unsolicited valid non-serious case received from a physician.  This case involves  child male patient who experienced bright red rashes on the hands and feet and it was swollen/ bilaterall hand swelling/ feet swelling as well, bilateral, and it was itchy, red, swollen, itchy hands and feet, then peeled two weeks later and pain in movement of hands/tight, hurts to move after receiving Elasomeran [Spikevax] and Influenza Vaccine.  The patient's past medical history included Food allergy as a baby but outgrew at 6 years old and eats eggs all the time.  The patient's past vaccination(s) included Pfizer BioNTech COVID-19 on 18-NOV-2021 with dose 1, on 09-DEC-2021 with dose 2 and on 09-MAY-2022 with dose 3.  The patient's past medical treatment(s) and family history were not provided.  On 19-Sep-2024, the patient received a 1 dosage form (DF) dose of suspect Influenza Vaccine produced by unknown manufacturer of lot UT7680MA (formulation, strength, expiry date: not reported) via intramuscular route in unknown administration site as Prophylactic vaccination (immunization).  On 19-Sep-2024, the patient received 0.5 ml dose (dose 4) of suspect Spikevax not produced by Sanofi Pasteur of lot B0002 (formulation, strength, expiry date: not reported) via unknown route in unknown administration site as covid-19 prophylaxis.  On 23-SEP-2024 at 11:05 am, the patient developed bright red rashes on the hands and feet, and it was swollen/ itchy (pruritus) bilateral hand swelling/ feet swelling as well, bilateral (peripheral swelling) (pruritus) itchy/ red, swollen, itchy hands and feet (erythema) rashes on his hands and feet (rash) (latency: 5 days) following the administration of both vaccines.  On an unknown date in OCT-2024 the patient developed red, swollen, itchy hands and feet then peeled two weeks later (skin exfoliation) (latency: few days approximately).  On an unknown date in 2024 the patient developed pain in movement of hands/tight, hurts to move (pain) (unknown latency).  Reportedly, No concomitant medication was reported.  Patient have received other vaccines in the 4 weeks prior to COVID-19 vaccine.  Allergies to medications, food, and other products was reported as none. Patient was well child.  Reporter placed a topical Cortisone and a topical Benadryl on the itchy area. And an Epsom salt bath on the 24th and 25th of Sep-2024. Patient's puffiness had gone down, and the itchiness was going away but still putting on Cortisone ointment.  Patient had bilateral hand swelling- it was red, swollen, tight and hurt to move. Patient had feet swelling as well. Patient visited PCP (primary care physician) on 18-Oct-2024. No other new products and no other obvious causes were reported  Action taken was not applicable.  The patient was treated with Diphenhydramine hydrochloride (Benadryl) , Magnesium sulfate (Epsom salts) and Cortisone (Cortisone) for Pruritus.  At time of reporting, the outcome was Recovered / Resolved on 18-Oct-2024 for the event Peripheral swelling, Pruritus, Erythema, was Unknown for the event Pain, was Recovered / Resolved in October 2024 for the event Skin exfoliation and was Recovering / Resolving for the event Rash.