Skin is peeling,skin is falling off; Rise in blood pressure; Soreness in the arm; Anxiety; side effects from the booster shot,The booster created a problem,it's like a late effect to the vaccine; dermatitis over half of my body spreading,It's a mess. It started on her neck and shoulders and back and front down to her waist going down my legs too; contact dermatitis,didn't clear it up; developed a very bad rash/rash covers whole torso/rash went all the way down to her belly button/rash started around her neck line/rash in legs; Patient having autoimmune disease take Booster instead of Full dose; This spontaneous case was reported by a pharmacist and describes the occurrence of SKIN EXFOLIATION (Skin is peeling,skin is falling off), HYPERTENSION (Rise in blood pressure), PAIN IN EXTREMITY (Soreness in the arm), ANXIETY (Anxiety) and VACCINATION COMPLICATION (side effects from the booster shot,The booster created a problem,it's like a late effect to the vaccine) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Sjogren's syndrome (kind of a lupus).    On 27-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Oct-2021, the patient experienced ACCIDENTAL UNDERDOSE (Patient having autoimmune disease take Booster instead of Full dose). On an unknown date, the patient experienced SKIN EXFOLIATION (Skin is peeling,skin is falling off), HYPERTENSION (Rise in blood pressure), PAIN IN EXTREMITY (Soreness in the arm), ANXIETY (Anxiety), VACCINATION COMPLICATION (side effects from the booster shot,The booster created a problem,it's like a late effect to the vaccine), DERMATITIS (dermatitis over half of my body spreading,It's a mess. It started on her neck and shoulders and back and front down to her waist going down my legs too) and DERMATITIS CONTACT (contact dermatitis,didn't clear it up). an unknown date, the patient experienced RASH (developed a very bad rash/rash covers whole torso/rash went all the way down to her belly button/rash started around her neck line/rash in legs). The patient was treated with PREDNISONE for Adverse event, at an unspecified dose and frequency. On 27-Oct-2021, ACCIDENTAL UNDERDOSE (Patient having autoimmune disease take Booster instead of Full dose) had resolved. At the time of the report, SKIN EXFOLIATION (Skin is peeling,skin is falling off), DERMATITIS (dermatitis over half of my body spreading,It's a mess. It started on her neck and shoulders and back and front down to her waist going down my legs too), DERMATITIS CONTACT (contact dermatitis,didn't clear it up) and RASH (developed a very bad rash/rash covers whole torso/rash went all the way down to her belly button/rash started around her neck line/rash in legs) had not resolved and HYPERTENSION (Rise in blood pressure), PAIN IN EXTREMITY (Soreness in the arm), ANXIETY (Anxiety) and VACCINATION COMPLICATION (side effects from the booster shot,The booster created a problem,it's like a late effect to the vaccine) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Blood pressure measurement: high (High) High rise in blood pressure. In 2021, Blood test: normal (normal) Normal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications reported. Treatment included several rounds on prednisone: 3 separate treatment over the 3 months.She is not sure if this is from the booster shot or her autoimmune disease Sjrogren's. She is not sure if it flared up her autoimmune disease. They tested her good arm and bad arm to see if it's contact dermatitis. All three doses were given from the same vaccination facility   This case was linked to MOD-2022-456751, MOD-2022-456733 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 21-Jan-2022: Significant follow up-Event added On 22-Jan-2022: Significant Follow up appended: Event added