Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema
Clinical narrative: a "strange parallel rash" on both sides of his body in the same places, a symmetrical rash/had eczema patches and bumps on his legs; This spontaneous case was reported by a patient and describes the occurrence of ECZEMA (a "strange parallel rash" on both sides of his body in the same places, a symmetrical rash/had eczema patches and bumps on his legs) in a 68-year-old male patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     The patient's past medical history included Melanoma (had 3 melanomas) and Colonoscopy (had a regular colonoscopy under general anesthesia, after they found a couple polyps in 2021) on 08-Mar-2024. Previously administered products included for Eczematous rash: Cortisone. Past adverse reactions to the above products included No adverse event with Cortisone. Concurrent medical conditions included Eczematous rash (A lot of eczema-type skin rashes sees a dermatologist regularly (3 to 4 times a year) starting in college), House dust mite allergy (Allergies to dust mites (Decades ago went to allergist)), Allergy to molds (allergies to certain molds), Pollen allergy (allergies to certain pollens) and Polyps (couple polyps) since 2021. Concomitant products included FEXOFENADINE HYDROCHLORIDE (ALLEGRA [FEXOFENADINE HYDROCHLORIDE]) for Allergy.  On 19-Mar-2024, the patient received eighth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) .5 milliliter. In March 2024, the patient experienced ECZEMA (a "strange parallel rash" on both sides of his body in the same places, a symmetrical rash/had eczema patches and bumps on his legs). The patient was treated with CORTISONE (topical) at an unspecified dose and frequency; TRIAMCINOLONE (topical) at an unspecified dose and frequency and PREDNISONE at an unspecified dose and frequency. At the time of the report, ECZEMA (a "strange parallel rash" on both sides of his body in the same places, a symmetrical rash/had eczema patches and bumps on his legs) had not resolved.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   The patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine. The patient received 8 doses of COVID vaccine, all Moderna and had no issues with the first 7 doses. With the monovalent doses (1st to 4th dose), the patient had neck pain, stiff neck, headache, shoulders sore and sore arm. The patient had sore arm and headache with the bivalent dose (5th and 6th dose) and with PFS dose (7th dose).  The patient received his 8th dose on 19-Mar-2024 at his local Walgreens and had no headaches, but 48 hours later started with a "strange parallel rash" on both sides of his body in the same places, a symmetrical rash. He used some of his wife's over the counter cortisone cream on the spots and kept it under control. The reporter stated that if a spot came up, he would just put some cortisone cream on the spot, and it was like, this was just one of those things throughout his life, as he had a lot of skin issues, a lot of hives/ eczemic type rashes.  On 08-Apr-2024, the patient woke up and had eczema patches and bumps on his legs. The reporter stated that 60-75% of the patient's hive reaction was on his legs, as well as his back and arms, but predominantly on his legs. The patient was put on a tapered prednisone regimen for 15 days and the rash was under control, but started creeping back almost the same way it did a couple of days after his initial reaction.  On 30-Apr-2024, the patient went to his dermatologist, who thought the rash was not hives but to be more of an eczema type reaction and prescribed Triamcinolone. On that day, his rash had no bumps, it was just red patches. With the topical cream there was immediate healing and he slowly back off with the cream and tapered off to nothing. The patient did not use any cream for the last week and a half.  That day, the patient's skin was 95 % cleared up but that morning (on 24-May-2024) he woke up with parallel patches again, 6 patches on each leg, and a couple spots on each arm, and it looks like it did on 30-Apr-2024. The reporter stated that the patient believed that as he was aging, things were calming down.   This case was linked to MOD-2021-064473, MOD-2024-768311, MOD-2024-768313 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-May-2024: Live follow up received contains significant information included new reporters, patient demographics, medical history, suspect product doses details, concomitant drug, treatment drugs and reference numbers added and narrative updated.