Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Pruritus, Urticaria
Clinical narrative: little bumps on her head like pimples, pooped up in new area turned into hives; Itching/ she was unable to keep her hands off them and scratching them; This is a spontaneous report from a contactable consumer (patient). A 71-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9263), via an unspecified route of administration, administered in Arm Right on 28Jan2021 13:00 (at the age of 71-years-old) as a single dose, and second dose via an unspecified route of administration, administered in Arm Left on 03Mar2021 (Batch/Lot Number: EN6200) as a single dose for COVID-19 immunization. Patient had vaccination with varicella zoster second dose vaccine rge (cho) (SHINGRIX), via an unspecified route of administration on 31Dec2020 (Batch/Lot number was not reported). Medical history included first dose on 27 or 28Sep2020 for immunisation (as per doctor recommendation). Other medical history information included thyroid disorder, diabetes mellitus from 1963 and ongoing. Patient also had herpes zoster in the year 2011 where her head and arms broke out. She put up with it for weeks not knowing what it was. The doctor told her it was shingles. It was not always painful but itched. The patient also had itching that started in early Jan2021 before she got the Covid-19 vaccine along with little bumps on her head like pimples in mid of Jan2021. Concomitant medication(s) included insulin glulisine (APIDRA) taken for diabetes mellitus from 1985, 20 units or less a day; insulin detemir (LEVEMIR) taken for diabetes mellitus from 2001, 14 units in the morning, 3 units at night; timolol (TIMOLOL) taken for diabetes related (as reported) from an unspecified start date 1 drop each eye daily; levothyroxine sodium (SYNTHROID) taken for thyroid disorder from 1980, 112mcg daily; aspirin [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]) taken for prophylaxis (stroke prevention and diabetic related) from an unspecified start date, 81mg, takes two daily; metformin hydrochloride, sitagliptin (JANUMET [METFORMIN HYDROCHLORIDE;SITAGLIPTIN]) taken for diabetes mellitus from 1963, 50/1000 in the morning all the concomitant medication were ongoing. On 31Dec2020 she had the second Shingrix vaccine. The itching started in early Jan2021 before she got the Covid-19 vaccine. She felt little bumps on her head like pimples. After which she was unable to keep her hands off them and scratching them, they turned into hives by the of mid Jan2021. A new area popped up two days ago. She thought she was getting shingles again. She had the first dose of the Covid-19 vaccine and from an unknown date it was worse. She had the first dose of the Shingrix vaccine on 27 or 28Sep2020. Originally stated she had the first Shingrix vaccine on 31Dec2020. Clarifies that the second dose was 29Dec2020. She received both doses at CVS. She saw a dermatologist two weeks ago. She had a biopsy on 28Feb2021 and was told that she had hives from something that she had been in contact with. She did not know what to do. The biopsy result was that she had hives and not shingles. The doctor will discuss that further with her at her upcoming appointment. Patient has hives on her head and on the top of her arm. It started around the time of the first Covid-19 vaccine. It got worse after the second dose. She was confused because last Sep2020 she had the first dose of the Shingrix vaccine. She received the second dose in Dec2020. She was told to wait a month after the Shingrix vaccine before she got the first Covid-19 vaccine. She was originally set up to receive the Moderna vaccine. She was told when she arrived that she was switched to get the Pfizer vaccine. She called her Primary Care and was seen over telehealth. The area was mainly on the right side of her head. The primary care provider suggested that she see a dermatologist for a biopsy. Patient provided Janumet as a concomitant medication. She had called that company. She read that you could get browns that causes hives. That happened to her years ago with the first break out. She took Aspirin 81mg, 2 daily. She did not take them for 3 days prior of getting the Covid-19 vaccine because she was afraid it would weaken the shot. She had an upcoming appointment on 11Mar. Patient condition did improve with cream prescribed by the derma. The one thing that works is Benadryl 25mg but it knocks her for a loop and makes her sleepy. There was a lot of stamped on the box and was hard to read. She stated they do not really want you to see it. She was able to provide from the bottle. Lot: KGL0000, Expiry: Jun2022. The outcome of the events was reported as not recovered.  No follow-up attempts are possible. No further information is expected.