Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body mass index, Rash
Clinical narrative: First covid vaccine 21Dec2020 Had second shot 08Jan2021; Rash in groin / lower abdomen; This is a spontaneous report from a contactable physician. This Physician reported for a 60-year-old female patient in response to HCP letter sent in cross reference case. A 60 year old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EH0899, Exp. Date: 31Mar2021, NDC: 59267-1000-01), via intramuscular in left arm on 08Jan2021 at 10:29 at a dose of 0.3 ml as a single dose for COVID-19 immunization. The patient had no history of allergies to vaccines or injectables. The patient did not receive any recent vaccines for any other conditions prior to the event. The patient did not receive any recent vaccines for SARS-CoV2 other than Pfizer-BioNTech COVID-19 Vaccine prior to the event. The patient did not receive any other vaccines around the time of Pfizer-BioNTech COVID-19 Vaccine. The patient's BMI was 26 to 99. The patient had no AE's prior vaccination. The patient's medical history and concomitant medication refer the case 2020512502. Previously, the patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL1284, Exp. Date: 30Apr2021, NDC: 59267-1000-01), via intramuscular in left arm on 21Dec2020 at 12:52 at a dose of 0.3 ml as a single dose for COVID-19 immunization. After the second dose of vaccination in less than six hours, the patient had no new areas of rash irruption but had new rash at groin, went to her R sternal border and under her breasts, worked its way up to lower abdomen over a few days. A week later occurred on a couple of places on my right chest, sacral area, and nape of neck. The rash was extremely pruritic, red, raised and took another shot prednisone taper and took Benadryl. The patient did not undergo laboratory test. No other symptoms were present. The patient was letting know this in case anyone else has had this issue, that the vaccine can cause a rash. The patient was not sure if this was a side effect or an allergy but if a yearly vaccine was needed, the patient did not think the patient should get the Pfizer vaccine. The patient did not hospitalized and admitted to an intensive care unit (ICU). The patient felt well and declined exam or further medication. No further action was required, and patient was explained that it was difficult to say what the rash was due to but this was not a contraindication to further COVID vaccines and rash may not be vaccine related. The predisposing factors were cestice history and multiple medications. Culture was not performed. The patient did not use any antipyretic. The patient had not experienced any anaphylactic reaction and just a rash 24hrs after both COVID vaccine doses. The patient had no multiorgan involvement, dermatological/mucosal, generalized urticaria (hives), generalized erythema, angioedema (not hereditary), generalized pruritus without skin rash, generalized prickle sensation, localized injection site urticaria, red and itchy eyes, gastrointestinal. Outcome of the event rash in groin / lower abdomen was recovered and other event was unknown.  Follow-up (14MAY2021): Follow-up attempts completed. No further information expected.