Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Ocular discomfort, Pain, Pruritus, Skin exfoliation
Clinical narrative: he got COVID19 from the center where he was vaccinated/COVID-19; Short-term memory loss; sunburnt/sun burn on his forehead; Sleep disorder/sleeps 12 hours a day and has trouble falling asleep at the night; very red with 1 inch across forehead; it peeled "3 times and still itchy at the corners"; pain/pain for a little while next day after vaccination; eye surgery few months ago & it's hard to see/water fell out of his eyes and didn't touch his cheeks; tiredness; feeling abnormal; has been spitting sputum into a can/Sputum abnormal; cough/cough it up everyday all the time; Flu Like Symptoms; Can not balance on himself; Peeling on Head; Skin Texture very Bad; General Malaise; Warm Forehead; Weakness/so little energy; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (he got COVID19 from the center where he was vaccinated/COVID-19), AMNESIA (Short-term memory loss), SUNBURN (sunburnt/sun burn on his forehead), SKIN EXFOLIATION (Peeling on Head) and SKIN TEXTURE ABNORMAL (Skin Texture very Bad) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Eye operation NOS in February 2021. Concurrent medical conditions included Disability NOS (Disabled for over 30 years(Can't walk properly)).   On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 16-Mar-2021, the patient experienced SKIN EXFOLIATION (Peeling on Head), SKIN TEXTURE ABNORMAL (Skin Texture very Bad), MALAISE (General Malaise), INFLUENZA LIKE ILLNESS (Flu Like Symptoms), GAIT INABILITY (Can not balance on himself), FEELING HOT (Warm Forehead) and ASTHENIA (Weakness/so little energy). On 05-May-2021, the patient experienced SPUTUM ABNORMAL (has been spitting sputum into a can/Sputum abnormal) and COUGH (cough/cough it up everyday all the time). On an unknown date, the patient experienced COVID-19 (he got COVID19 from the VA center where he was vaccinated/COVID-19), AMNESIA (Short-term memory loss), SUNBURN (sunburnt/sun burn on his forehead), SLEEP DISORDER (Sleep disorder/sleeps 12 hours a day and has trouble falling asleep at the night), FEELING ABNORMAL (feeling abnormal), ERYTHEMA (very red with 1 inch across forehead), PRURITUS (it peeled "3 times and still itchy at the corners"), PAIN (pain/pain for a little while next day after vaccination), OCULAR DISCOMFORT (eye surgery few months ago & it's hard to see/water fell out of his eyes and didn't touch his cheeks) and FATIGUE (tiredness). At the time of the report, COVID-19 (he got COVID19 from the VA center where he was vaccinated/COVID-19), AMNESIA (Short-term memory loss), SUNBURN (sunburnt/sun burn on his forehead), SKIN TEXTURE ABNORMAL (Skin Texture very Bad), MALAISE (General Malaise), SLEEP DISORDER (Sleep disorder/sleeps 12 hours a day and has trouble falling asleep at the night), SPUTUM ABNORMAL (has been spitting sputum into a can/Sputum abnormal), COUGH (cough/cough it up everyday all the time), INFLUENZA LIKE ILLNESS (Flu Like Symptoms), GAIT INABILITY (Can not balance on himself), FEELING ABNORMAL (feeling abnormal), FEELING HOT (Warm Forehead), ASTHENIA (Weakness/so little energy), ERYTHEMA (very red with 1 inch across forehead), PRURITUS (it peeled "3 times and still itchy at the corners"), PAIN (pain/pain for a little while next day after vaccination), OCULAR DISCOMFORT (eye surgery few months ago & it's hard to see/water fell out of his eyes and didn't touch his cheeks) and FATIGUE (tiredness) outcome was unknown and SKIN EXFOLIATION (Peeling on Head) had resolved.            The patient was taking concomitant medications but did not specify.  The treatment medication includes Gold Bond healing cream with aloe to treat the sunburn.   This case was linked to MOD-2021-103736 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 28-Jun-2021: Follow up received, eye surgery added as a procedure, medical history update, new events added. On 16-Jul-2021: Follow-up information received contains Updated patient demographics: Age; Possibly an NNI On 27-Jul-2021: Follow up document received contains no new information-; Sender's Comments:  MOD-2021-103736:First dose case