Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count, Pruritus, Rash, Rash vesicular, SARS-CoV-2 antibody test
Clinical narrative: Rash is becoming small darker red watery blisters in places such as the edge of hand,wrist; Right ear burns,warm - not inside but the external ear; Felt not good; Headache; Knees and wrist were burning; Itching - all over; Raised rash on neck,back,arms - right arm was a little more rashy than my left not drastic difference,front of thighs,; Real sore right arm - trouble lifting it up the head; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE PAIN (Real sore right arm - trouble lifting it up the head), FEELING ABNORMAL (Felt not good), BURNING SENSATION (Knees and wrist were burning), RASH VESICULAR (Rash is becoming small darker red watery blisters in places such as the edge of hand,wrist) and EAR DISCOMFORT (Right ear burns,warm - not inside but the external ear) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006M20A. and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was provided by the reporter.  Concomitant products included LEVOTHYROXINE, CHLORTHALIDONE, DILTIAZEM, SERTRALINE, LOSARTAN and CLONAZEPAM for an unknown indication.   On 14-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 15-Feb-2021, the patient experienced VACCINATION SITE PAIN (Real sore right arm - trouble lifting it up the head). On 18-Feb-2021, the patient experienced RASH (Raised rash on neck,back,arms - right arm was a little more rashy than my left not drastic difference,front of thighs,). On 19-Feb-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PRURITUS (Itching - all over). On 20-Feb-2021, the patient experienced BURNING SENSATION (Knees and wrist were burning). On an unknown date, the patient experienced FEELING ABNORMAL (Felt not good), RASH VESICULAR (Rash is becoming small darker red watery blisters in places such as the edge of hand,wrist), EAR DISCOMFORT (Right ear burns,warm - not inside but the external ear) and HEADACHE (Headache). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) at an unspecified dose and frequency; HYDROCORTISONE at an unspecified dose and frequency; HYDROXYZINE (ATARAX [HYDROXYZINE]) at a dose of 25 mg and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (Real sore right arm - trouble lifting it up the head), FEELING ABNORMAL (Felt not good), BURNING SENSATION (Knees and wrist were burning), RASH VESICULAR (Rash is becoming small darker red watery blisters in places such as the edge of hand,wrist), EAR DISCOMFORT (Right ear burns,warm - not inside but the external ear), PRURITUS (Itching - all over), RASH (Raised rash on neck,back,arms - right arm was a little more rashy than my left not drastic difference,front of thighs,) and HEADACHE (Headache) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Eosinophil count: high (High) High. On an unknown date, Monocyte count: high (High) High. On an unknown date, SARS-CoV-2 antibody test: positive (Positive) Positive.         On 17 Feb 2021 she had itching, She did not take anything. She stated the "right arm was a little more rashy than my left not drastic difference". On 19Feb2021, she had itching all over- raised itchy rash - except she did not have rash on face , stomach or buttocks. She reported that she applied some hydrocortisone cream around ankle area the evening of 24Feb2021. Patient stated cold rice pack would numb the burning. On 25Feb2021, her doctor prescribed Atarax 25mg three times daily for 5 days and patient has been taking just 1/2 tab every day. Patient stated the rash is becoming small darker red watery blisters in places such as the edge of hand and wrist.