Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy abdominal wall, Lichen planus, Myalgia, Pain in extremity, Rash
Clinical narrative: Red welts; have the pin prick marks around my ankles The marks start like that and then become the larger, deep red marks. Some of them are flat, larger and almost black in color; wake up in the middle of the night itching itensely; Deep red almost maroon rash; t looks like alligator skin on my back and chicken pox with several almost; covered from my upper back down with a horrible rash. It now spreading down my legs; body was sore; rash was itching like crazy; Arm was sore; lichen planus; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of LICHEN PLANUS (lichen planus), RASH ERYTHEMATOUS (Deep red almost maroon rash), VARICELLA (t looks like alligator skin on my back and chicken pox with several almost), RASH PRURITIC (rash was itching like crazy) and URTICARIA (Red welts) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002B21A and 015M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Narrowband ultraviolet B phototherapy (3 days a week  for 2 1/2 months.) since 14-Jun-2021. Concurrent medical conditions included Allergy to animal dander (sneezing, stuffy nose), Allergy to plants (sneezing, stuffy nose), Allergy to molds (sneezing, stuffy nose), Blood pressure high since 03-Jul-2010 and Graves' disease since May 2016. Concomitant products included FEXOFENADINE HYDROCHLORIDE (ALLEGRA) for Allergy, HYDROCHLOROTHIAZIDE, VALSARTAN (VALSARTAN HCT) from an unknown date to 05-Apr-2021 for Blood pressure high, LEVOTHYROXINE SODIUM (SYNTHROID) for Thyroid disorder, LOSARTAN for an unknown indication.   On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Mar-2021, the patient experienced LICHEN PLANUS (lichen planus), RASH PRURITIC (rash was itching like crazy) and PAIN IN EXTREMITY (Arm was sore). 12-Mar-2021, the patient experienced MYALGIA (body was sore). On an unknown date, the patient experienced RASH ERYTHEMATOUS (Deep red almost maroon rash), VARICELLA (t looks like alligator skin on my back and chicken pox with several almost), URTICARIA (Red welts), SKIN DISCOLOURATION (have the pin prick marks around my ankles The marks start like that and then become the larger, deep red marks. Some of them are flat, larger and almost black in color), SLEEP DISORDER (wake up in the middle of the night itching itensely) and RASH (covered from my upper back down with a horrible rash. It now spreading down my legs). The patient was treated with PREDNISONE (oral) for Adverse event, at a dose of 30 mg/day; METRONIDAZOLE (oral) from 19-Apr-2021 to 19-Jun-2021 for Adverse event, at a dose of 500 mg twice a day; PARACETAMOL (TYLENOL) for Pain, at an unspecified dose and frequency; FEXOFENADINE HYDROCHLORIDE (ALLEGRA) (oral) ongoing since an unknown date for Adverse event, at a dose of UNK, qd and CLOBETASOL ongoing since an unknown date for Itching, at a dose of .05 % twice a day. On 13-Mar-2021, PAIN IN EXTREMITY (Arm was sore) and MYALGIA (body was sore) had resolved. At the time of the report, LICHEN PLANUS (lichen planus), RASH ERYTHEMATOUS (Deep red almost maroon rash), VARICELLA (t looks like alligator skin on my back and chicken pox with several almost), RASH PRURITIC (rash was itching like crazy), URTICARIA (Red welts), SKIN DISCOLOURATION (have the pin prick marks around my ankles The marks start like that and then become the larger, deep red marks. Some of them are flat, larger and almost black in color), SLEEP DISORDER (wake up in the middle of the night itching itensely) and RASH (covered from my upper back down with a horrible rash. It now spreading down my legs) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Apr-2021, Biopsy abdominal wall: abnormal (abnormal) Lichenoid interface dermatitis with rare eosinophils..         Lichen planus was severe, chronic, not improving, with itching. The pruritus has improved. In case this was a lichenoid drug eruption, she stopped taking hydrochlorothiazide which she had been on chronically. Medication for hypertension was switched. Patient instructions were given about sunscreen and sun protection. Patient had to stop taking the Prednisone because of a bad reaction. Patient tested negative in her hepatitis c antibody on unknown date. Lichen planus treatment added- Phototherapy.       Most recent FOLLOW-UP information incorporated above includes: On 18-May-2021: Follow-up received- contain Significant information: Event updated On 22-Jun-2021: Significant follow up On 08-Jul-2021: Follow up received on 08 JUL 2021-lichen planus treatment added-phototherapy.Captured medical history, patient demographics, concomitant and treatment medications which was missed to capture during the previous follow up.