Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, PPV
Symptoms: Injection site pain
Clinical narrative: my arm was still sore; 3-4 days later had a rash Caller states the rash was on her upper left arm and it was only that location and didn't spread; reaction started as pain at the injection site and that spread; Chills/had cold chills; Fever/my temperature it was 100 and escalated to 102; she just became very ill as time went on; her blood pressure was up; pulse rate was high; I had red blotches on my arm; my arm was really sore and heavy to lift; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 43 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in deltoid left, administration date 24Jan2022 15:00 (Batch/Lot number: unknown) at the age of 43 years as dose 1, single for covid-19 immunisation; pneumococcal vaccine conj (PNEUMOCOCCAL CONJUGATE VACCINE) (Batch/Lot number: unknown) for prophylaxis. Relevant medical history included: "blood pressure", start date: May2021 (unspecified if ongoing), notes: she has recently been seen about her blood pressure since May2021; "vocal cord condition" (unspecified if ongoing), notes: she also has a vocal cord condition; "dysphonia" (unspecified if ongoing); "arthritis pain" (unspecified if ongoing); "Allergy" (unspecified if ongoing). Concomitant medication(s) included: TYLENOL taken for arthritis (ongoing); LORATADINE taken for hypersensitivity (ongoing); FLONASE [FLUTICASONE PROPIONATE] taken for hypersensitivity (ongoing). The following information was reported: PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "my arm was still sore"; VACCINATION SITE RASH (non-serious), outcome "recovered", described as "3-4 days later had a rash Caller states the rash was on her upper left arm and it was only that location and didn't spread"; VACCINATION SITE PAIN (non-serious), outcome "recovered", described as "reaction started as pain at the injection site and that spread"; CHILLS (non-serious), outcome "recovered", described as "Chills/had cold chills"; PYREXIA (non-serious), outcome "recovered", described as "Fever/my temperature it was 100 and escalated to 102"; ILLNESS (non-serious), outcome "not recovered", described as "she just became very ill as time went on"; BLOOD PRESSURE INCREASED (non-serious), outcome "unknown", described as "her blood pressure was up"; HEART RATE INCREASED (non-serious), outcome "unknown", described as "pulse rate was high"; RASH MACULAR (non-serious), outcome "unknown", described as "I had red blotches on my arm"; LIMB DISCOMFORT (non-serious), outcome "unknown", described as "my arm was really sore and heavy to lift". The events "my arm was still sore", "her blood pressure was up" and "pulse rate was high" were evaluated at the emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, vaccination site pain, chills, pyrexia, rash macular.  Additional information: On 24Jan2022 the caller got her 1st Pfizer Covid 19 vaccine and 3-4 days later had a rash. Agent relays the caller was inquiring about recommendations for the 2nd dose. Agent relays her reaction started as pain at the injection site and that spread and she had chills and fever, she just became very ill as time went on. Agent relays the caller had to medicate herself at home. Agent relays the caller did end up going to the emergency room as her blood pressure was up and her pulse rate was high. Caller states she was not sure her blood pressure and her heart was connected to the vaccine because she was experiencing that prior to the vaccine. Caller states she was not sure her blood pressure and her heart was connected to the vaccine because she was experiencing that prior to the vaccine. Caller states the rash was on her upper left arm and it was only that location and didn't spread and it went away maybe a day later. States the pain at the injection site increased the same day around 9pm that night she noticed there was just a lot of pain and she put a cool pack on it and started to alternate ice pack to heat and developed chills and started using a heating pad on the pain in her arm and to help with the chills. States she noticed she started to have a fever she didn't pay attention to the chills and was just cold and then started checking temperature. States that was later that night.States the chills and fever did go away the 3rd day or 4th day. Medical Conditions: Caller states she has recently been seen about her blood pressure since May2021 and she also has a vocal cord condition, dysphonia, that affects her voice and she has been seeing someone for that since 2019. States she does go see her primary next week. Adverse event did not result in Emergency Room or Physician Office visit.Prior Vaccinations (within 4 weeks) and AE(s) following prior vaccinations: None. States she did take a pneumonia shot a while ago and didn't have this happen at that time. Relevant Tests: None. Caller states she has a question, if she puts like a pain ointment, something cream for pain like arthritis cream, if she put that on did it contribute to the rash, it may be something she used. Onset date: 27Jan2022. Seriousness ceiteria: Not serious. AE outcome: Recovering. Treatment:I used rubbing alcohol on rash site. On 24Jan2022 after getting the 1st dose of the vaccine my arm was really sore and heavy to lift. I took over the counter alcohol and I also had cold chills. I bid down to rest setting up that evening I had cold chills and my arm was still sore. The next day I went about my normal routine with cold chills and a sore. I noticed the pain in my arm felt more like it was ping around the arm. I medicated it with Tylenol and checked my temperature it was 100 and escalated to 102. Something by the third or fourth day which is when I went to take a bath noticing I had red blotches on my arm where the vaccine was given I used rubbing alcohol to treat it. The lot number for bnt162b2 was not provided and will be requested during follow up.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202200194298 Pfizer