Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Biopsy skin abnormal, Dermatitis allergic, Livedo reticularis, Pruritus, Rash
Clinical narrative: extreme itchiness; Skin reaction to allergen; raised red dots in legs and arms; discoloration on her legs; legs and arms are completely mottled/ red and white mottled; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 73-year-old female patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 24Oct2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 73 years for immunisation; for immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing), notes: Diabetes; "Hypertension" (unspecified if ongoing), notes: Hypertension; "Hyperthyroidism" (unspecified if ongoing), notes: Hyperthyroidism. Concomitant medication(s) included: JANUVIA; LEVOXYL; ATORVASTATIN; METFORMIN; GLIPIZIDE; LISINOPRIL; ELIQUIS; METOPROLOL; DESOXIMETASONE topical. The following information was reported: PRURITUS (non-serious), outcome "unknown", described as "extreme itchiness"; DERMATITIS ALLERGIC (non-serious), outcome "unknown", described as "Skin reaction to allergen"; RASH PAPULAR (non-serious), outcome "unknown", described as "raised red dots in legs and arms"; SKIN DISCOLOURATION (non-serious), outcome "unknown", described as "discoloration on her legs"; LIVEDO RETICULARIS (non-serious), outcome "unknown", described as "legs and arms are completely mottled/ red and white mottled". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pruritus, dermatitis allergic, rash papular, skin discolouration, livedo reticularis. Additional information: patient had the Pfizer RSV shot on 24Oct2023 and began to develop severe skin symptoms on 31Oct2023. It began with raised red dots and extreme itchiness and it has evolved into the skin flattening out, no further dots but her legs and arms were completely, mottled meaning that they were red and white mottled and the itching has stopped that was on her legs, her arms and feet. It has not advanced but what has not improved is the discoloration and mottling on her legs. Patient has been to the dermatologist 2 times, and had a skin biopsy. Patient has a long list of documented chemical allergens and was calling to find out if a complete list of ingredients of the Pfizer RSV vaccine can be provided. Patient mentioned that she just decided that it was a vaccine that she wanted to get and went to a pharmacy to get it. Patient also mention that she has one topical medicine she was on since the adverse skin reaction, to apply 2 times daily, this is called Desoximetasone 0.25, topical apply 2 times daily. Patient also reported that she used an over the counter benadryl as a treatment not using anymore at the time of report. Finally, patient stated that it was important to know she had had two sets of patch testing and have a long list of chemical allergens, that was the reason she was calling.  The information on the batch/lot number for rsv vaccine prot.subunit pref 2v, rsv vaccine prot.subunit pref 2v  has been requested and will be submitted if and when received.