Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Chills, Exfoliative rash, Fatigue, Flushing
Clinical narrative: She got a rash, it's a weird rash, bright red; flushing; Rash has like flakes on her skin; skin peeling; She got a rash, it's a weird rash, bright red, itchy/itching in the skin; It's pretty inconvenient; it comes and goes; puffiness at the site with minor itching; Lingering fatigue; reddness and puffiness at the site with minor itching; puffiness at the site with minor itching; fever; Broke up with shaking chills/could not get warm; This spontaneous case was reported by a patient and describes the occurrence of RASH ERYTHEMATOUS (She got a rash, it's a weird rash, bright red), FLUSHING (flushing), EXFOLIATIVE RASH (Rash has like flakes on her skin), SKIN EXFOLIATION (skin peeling) and RASH PRURITIC (She got a rash, it's a weird rash, bright red, itchy/itching in the skin) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025J20A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Post-traumatic stress disorder and Anxiety. Concurrent medical conditions included Drug allergy (Thimerosal allergy - Turn bright red, skin peels, urticaria, continual rash for weeks.) since 2000 and Hypertension since 2005. Concomitant products included AMLODIPINE from 2018 to an unknown date and ATENOLOL from 2005 to an unknown date for Hypertension, CITALOPRAM from 2005 to an unknown date for Post-traumatic stress disorder and Anxiety, MAGNESIUM from 2013 to an unknown date, CYANOCOBALAMIN (VITAMIN B12 [CYANOCOBALAMIN]) from 2013 to an unknown date and VITAMIN D3 from 2013 to an unknown date for an unknown indication.   On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Jan-2021, the patient experienced CHILLS (Broke up with shaking chills/could not get warm). On an unknown date, the patient experienced RASH ERYTHEMATOUS (She got a rash, it's a weird rash, bright red), FLUSHING (flushing), EXFOLIATIVE RASH (Rash has like flakes on her skin), SKIN EXFOLIATION (skin peeling), RASH PRURITIC (She got a rash, it's a weird rash, bright red, itchy/itching in the skin), RASH (It's pretty inconvenient; it comes and goes), VACCINATION SITE PRURITUS (puffiness at the site with minor itching), FATIGUE (Lingering fatigue), VACCINATION SITE ERYTHEMA (reddness and puffiness at the site with minor itching), VACCINATION SITE SWELLING (puffiness at the site with minor itching) and PYREXIA (fever). The patient was treated with PARACETAMOL (TYLENOL) on 26-Jan-2021 for Adverse event, at a dose of 1 dosage form and HYDROXYZINE EMBONATE (VISTARIL [HYDROXYZINE EMBONATE]) for Adverse event, at a dose of 1 dosage form. At the time of the report, RASH ERYTHEMATOUS (She got a rash, it's a weird rash, bright red), EXFOLIATIVE RASH (Rash has like flakes on her skin), SKIN EXFOLIATION (skin peeling), RASH PRURITIC (She got a rash, it's a weird rash, bright red, itchy/itching in the skin), RASH (It's pretty inconvenient; it comes and goes), FATIGUE (Lingering fatigue) and VACCINATION SITE SWELLING (puffiness at the site with minor itching) outcome was unknown, FLUSHING (flushing) and CHILLS (Broke up with shaking chills/could not get warm) had resolved with sequelae, VACCINATION SITE PRURITUS (puffiness at the site with minor itching) and VACCINATION SITE ERYTHEMA (reddness and puffiness at the site with minor itching) had not resolved and PYREXIA (fever) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Jan-2021, Body temperature: 103 (High) 103F.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered RASH ERYTHEMATOUS (She got a rash, it's a weird rash, bright red), FLUSHING (flushing), EXFOLIATIVE RASH (Rash has like flakes on her skin), SKIN EXFOLIATION (skin peeling), RASH PRURITIC (She got a rash, it's a weird rash, bright red, itchy/itching in the skin), RASH (It's pretty inconvenient; it comes and goes), VACCINATION SITE PRURITUS (puffiness at the site with minor itching), CHILLS (Broke up with shaking chills/could not get warm), FATIGUE (Lingering fatigue), VACCINATION SITE ERYTHEMA (reddness and puffiness at the site with minor itching), VACCINATION SITE SWELLING (puffiness at the site with minor itching) and PYREXIA (fever) to be possibly related.    Per report, the patient wanted to know if Moderna covid-19 vaccine contained Thimerosal which causes the same sunburn effect on her skin as she experienced after she received the second dose of  Moderna Covid-19 vaccine.   This case was linked to MOD-2020-002002 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 02-Aug-2021: Follow-up was received: Updated race info, ethnic info, patient info, start date of allergy, action taken for the vaccine, anatomical shit, indication for the concurrent medications. Added new data in medical history, lab data, details for concurrent medications, Vitamin D3 in concurrent medications, treatment drugs, events.