Age: 36.0
Sex: U
Vaccine: COVID19, COVID19, FLUX
Symptoms: COVID-19, Lethargy, Pyrexia, SARS-CoV-2 test, Vaccination site erythema
Clinical narrative: started experiencing skin irritati ons, redness, hives and burning, all over the body/My team of physicians diagnose this as Delayed onset adverse reacti on -chronic urticeria; This spontaneous case was reported by a patient and describes the occurrence of URTICARIA CHRONIC (started experiencing skin irritati ons, redness, hives and burning, all over the body/My team of physicians diagnose this as Delayed onset adverse reacti on -chronic urticeria) in a 37-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013B22A and 045J21A) for COVID-19 prophylaxis.    Co-suspect product included non-company product INFLUENZA VACCINE for an unknown indication.    Previously administered products included for Product used for unknown indication: Pfizer (Dose:1, lot number: EP7533) on 02-Apr-2021, Pfizer (Dose:2 and lot number: ER8735) on 23-Apr-2021. Past adverse reactions to the above products included No adverse event with Pfizer and Pfizer. Concurrent medical conditions included Seasonal allergy.   On 27-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Aug-2022, the patient received dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On 22-Aug-2022, the patient experienced URTICARIA CHRONIC (started experiencing skin irritati ons, redness, hives and burning, all over the body/My team of physicians diagnose this as Delayed onset adverse reacti on -chronic urticeria). At the time of the report, URTICARIA CHRONIC (started experiencing skin irritati ons, redness, hives and burning, all over the body/My team of physicians diagnose this as Delayed onset adverse reacti on -chronic urticeria) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood immunoglobulin E: (Negative) blood work for different external allergens (IgE levels) came back negative.         Concomitant medications were not provided.   The patient had moderna booster and along with the seasonal flu shot same day on separate arms.   On 22-Aug-2022, the patient started experiencing skin irritations, redness, hives and burning, all over the body. It was reported that the hives were severe and all over the body. Mentioned that without medical intervention, it was impossible sit, let alone work/sleep. The patient had several rounds of steroids and antihistamine treatments (unspecified). The patient's team of physicians diagnosed this as delayed onset adverse reaction-chronic urticaria. The treatment plan involved a high dose of combination of different anti histamines for 8 weeks and would slowly try to come off them. The patient mentioned that might have to stay on them indefinitely if symptoms persisted.   The patient had no history of such reactions.   This case was linked to MOD-2022-657709 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 11-Oct-2022: No new information received.