Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, CD19 lymphocyte count abnormal, CD19 lymphocytes decreased, Lymphocyte count, Poor quality product administered
Clinical narrative: her hair started falling out/She has a giant bald spot; seven weeks after she got the dose, she was notified by pharmacy that the first dose was stored at the wrong temperature/In; seven weeks after she got the dose, she was notified by pharmacy that the first dose was stored at the wrong temperature/In; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program. The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202101352038.  A 52 year-old female patient received bnt162b2 (COMIRNATY), administered in arm left, administration date 16Aug2021 (Lot number: FA6780) at the age of 52 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "immunocompromised" (unspecified if ongoing); "High cholesterol", start date: 2019 (ongoing); "Blood pressure high", start date: 31Jan2012 (ongoing); "Rheumatoid arthritis", start date: 1999 (ongoing); "COPD" (unspecified if ongoing); "blood clots" (unspecified if ongoing). Concomitant medication(s) included: PRAVASTATIN taken for blood cholesterol increased; LISINOPRIL HCTZ taken for hypertension (ongoing); SULFASALAZINE (ENTERIC COATED); PREDNISONE; WARFARIN; GABAPENTIN; EXJADE; HYDROXYCHLOROQUINE; OXYCODONE; TIZANIDINE HCL; APO SUMATRIPTAN; AZELASTINE; COQ-10. Vaccination history included: Bnt162b2 (Dose 1, Lot: EW0198, Location: right arm), administration date: 26Jul2021, when the patient was 52 years old, for COVID-19 immunization, reaction(s): "first dose was stored at the wrong temperature".  The following information was reported: ALOPECIA (non-serious) with onset Aug2021, outcome "unknown", described as "her hair started falling out/She has a giant bald spot"; PRODUCT TEMPERATURE EXCURSION ISSUE (non-serious), POOR QUALITY PRODUCT ADMINISTERED (non-serious) all with onset Aug2021, outcome "unknown" and all described as "seven weeks after she got the dose, she was notified by pharmacy that the first dose was stored at the wrong temperature/In". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The patient did not receive any other vaccine prior 4 weeks of covid vaccination. Patient did not receive any other vaccine on same date of covid vaccine. caller stated that for the second dose she was notified on "16Aug2021 Caller said that they have given her directions on what she should do but caller expressed her lack of trust for pharmacy. Caller said no details about the temperature was given to her. Caller is also immunocompromised. Caller wants information from Pfizer on what happens when stored at inappropriate temperature range. Caller also stated that her hair started falling out after the second dose. Stated that the one who administered the vaccine should contact Pfizer Medical Information in order for us to obtain the details of the specific temperature the vaccine were stored then we can provide the appropriate stability information. They notified her on 21Sep2021 that the second dose was stored at an inappropriate temperature. Then, 3 days later she also found out the first one was not stored correctly either. After her second dose her hair started falling out . She has a giant bald spot. Her hair started falling out after the second dose she got on 16 Aug 2021. She has pictures of this. It started 4 or 5 days after that. Every time she washes her hair a handful of hair comes out. She is going to be bald within 2 weeks. It is literally a hand full every time she washes her hair. She washes her hair every other day. She has a giant bald spot the size of a fist . She has documented everything. She has every batch in a gallon zip lock bag. She is thankful she had a lot of hair to begin with. Pharmacy would not tell her what temperature the vaccines were stored at. She found out about the 2nd vaccine before the 1st vaccine. She doesn't get how that happened. She wrote them an email about the inappropriate temperature storage, what date the alarm sounded for both, and who was involved in the investigation? She found out 3 weeks after the second dose about the second dose's temperature, and 4 weeks after the second dose about the first one. So really she found out 7 weeks later. caller has a Pfizer covid 19 vaccine inquiry. Caller has two questions: She had both vaccines unfortunately from the first one was frozen and thawed outside of guidelines and the second one was given beyond the use date. After the 2nd dose she is losing her hair in clumps, every time she washes her hair she loses a fist full. Within two weeks at this rate "I'm going to be bald". "I didn't start losing my hair after the first one, but after the second one". Now she is saying after second dose, she is losing her hairs in clumps, every time she washes her hair she loses up to fistful.  No follow-up attempts are possible. No further information is expected.