Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Neutrophil count increased, Skin discolouration
Clinical narrative: skin discoloration/skin color change/ skin discoloration mark on left pointer finger; Part of neutrophils and something else was slightly elevated; This is a spontaneous report from a contactable Pharmacist (parent).   A 12-year-old female patient (daughter) received second dose of (COMIRNATY, solution for injection, Lot number: EW0171), via unspecified route of administered, administered in left upper arm, on 07Jun2021 (at the age of 12-year-old), as Dose 2 single, for COVID-19 immunisation. Patients Medical History (including any illness at time of vaccination), family medical history relevant, and concomitant medications were none. additional vaccines administered on same date of the Pfizer suspect was none. Prior Vaccinations within four weeks prior to the first administration date of the suspect vaccine and AE(s) following prior vaccinations were none. The patient previously received first dose of (COMIRNATY, solution for injection, Lot number: ER8736), via unspecified route of administered, administered in left upper arm, on 16May2021, as Dose 1 single, for COVID-19 immunisation and experienced skin discoloration spot on right hand. On 10Jun2021, the patient had skin discoloration/skin colour change/ skin discoloration mark on left pointer finger and on an unspecified date in Jun2021, patient's blood work showed that the part of neutrophils and something else was slightly elevated. The caller, Parent of 12-year-old female, also pharmacist, calling today to see if Pfizer MI had any information regarding the Pfizer COVID-19 Vaccine and any association with skin discoloration. She stated that she already filed a DSU report reference. Mother and father have tried to search on their end as HCP however had not been successful in finding anything similar to their case. They have however found information more so related to COVID arm skin eruptions which did not meet the same clinical presentation. She stated that her daughter has "circular skin colour changes." After the second dose, the patient had skin discoloration mark on left pointer finger and these reactions occurred 3 days after the 2nd dose. Further, reported that three days later had similar skin discoloration mark on left pointer finger. It followed the same presentation. It was light in colour, then darker over the course of a couple days. Followed up with paediatrician who advised patient to get bloodwork. Patient has no petechiae. Nothing indicative of a platelet disorder. On an unspecified date, the patient's bloodwork came back relatively normal; platelets were normal; part of neutrophils and something else was slightly elevated. One of her neutrophils was slightly off, but nothing concerning. The spots are still there, but they have faded. Wondering if Pfizer has heard of this. It did not look like COVID arm that people get. It was a discoloured spot. was not anywhere else. Nothing else was abnormal or associated with those two marks. Caller and her husband were both Pharmacists. Caller used to work in Medical Information. Caller's husband used to work in Pharmacovigilance. They reported that the dermatologist initially said it was a bug bite. Initially thought after first dose it was not as a cause of the vaccine, but since it happened again after the second dose, caller was convinced this was due to the vaccine. The patient's laboratory investigations included Blood work which came back relatively normal; platelets were normal; part of neutrophils and something else was slightly elevated. One of her neutrophils was slightly off, but nothing concerning, on an unspecified date in Jun2021. The outcome of the event skin discoloration was resolving, while the outcome of the other event was unknown.  No follow-up attempts are possible. No further information is expected.