Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pruritus, Vaccination site swelling
Clinical narrative: Rash is still persisting and getting worse; my whole left arm still has the rash and its painful; red , swollen,itchy hard and painful at injection site; developed Shingles; red , swollen,itchy hard and painful at injection site; red , swollen,itchy hard and painful at injection site; red , swollen,itchy hard and painful at injection site; red , swollen,itchy hard and painful at injection site; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (developed Shingles), RASH (Rash is still persisting and getting worse; my whole left arm still has the rash and its painful), VACCINATION SITE INDURATION (red , swollen,itchy hard and painful at injection site), VACCINATION SITE PRURITUS (red , swollen,itchy hard and painful at injection site) and VACCINATION SITE PAIN (red , swollen,itchy hard and painful at injection site) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038K20A and 026L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Hypersensitivity reaction (NOS), Sulfonamide allergy (Swollen lips), Drug allergy (Allergic to statins- muscle pain), Cardiovascular disease, unspecified, Arthritis, Hypothyroidism and Hypertension. Concomitant products included EZETIMIBE for Cholesterol, LOSARTAN and CARVEDILOL for Hypertension, LEVOTHYROXINE for Hypothyroidism, ASPIRIN [ACETYLSALICYLIC ACID] for Thrombosis prophylaxis.   On 06-Jan-2021 at 3:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021 at 9:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-May-2021, the patient experienced HERPES ZOSTER (developed Shingles). On an unknown date, the patient experienced RASH (Rash is still persisting and getting worse; my whole left arm still has the rash and its painful), VACCINATION SITE INDURATION (red , swollen,itchy hard and painful at injection site), VACCINATION SITE PRURITUS (red , swollen,itchy hard and painful at injection site), VACCINATION SITE ERYTHEMA (red , swollen,itchy hard and painful at injection site) and VACCINATION SITE SWELLING (red , swollen,itchy hard and painful at injection site). an unknown date, the patient experienced VACCINATION SITE PAIN (red , swollen,itchy hard and painful at injection site). The patient was treated with ACYCLOVIR SODIUM for Shingles, at a dose of 1 dosage form. At the time of the report, HERPES ZOSTER (developed Shingles) outcome was unknown, RASH (Rash is still persisting and getting worse; my whole left arm still has the rash and its painful) and VACCINATION SITE PAIN (red , swollen,itchy hard and painful at injection site) had not resolved and VACCINATION SITE INDURATION (red , swollen,itchy hard and painful at injection site), VACCINATION SITE PRURITUS (red , swollen,itchy hard and painful at injection site), VACCINATION SITE ERYTHEMA (red , swollen,itchy hard and painful at injection site) and VACCINATION SITE SWELLING (red , swollen,itchy hard and painful at injection site) had resolved.            The patient reported the rash that occurred after the first dose was still present and more painful.  About 6 weeks after the first dose, the injection site became swollen, red, itchy, hard and painful about one inch wide circle lasted about 2 days and then resolved. On 10MAY2021, the patient reported the same events occurring again, but the area became larger and more painful. On 12MAY2021 the patient was diagnosed with Shingles and was prescribed acyclovir, unspecified antibiotics, and steroids.   This case was linked to MOD-2021-116547 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 26-May-2021: Updated  reporters' address, added additional adverse events, outcomes, and treatments On 08-Jun-2021: Completed Form