Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Yesterday she started having whole body hives, and a bad red rash that developed under her breast; Yesterday she started having whole body hives, and a bad red rash that developed under her breast; something she ate, soap, powder or something she is allergic to; shingles outbreak; This is a spontaneous report received from contactable reporter (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 57-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 12Sep2022 as dose 4 (booster), 0.3 ml single (Lot number: GL9694) at the age of 57 years, in left arm for COVID-19 immunisation. The patient's relevant medical history included: "sick", start date: Aug2022 (unspecified if ongoing), notes: She has lost a lot of weight, was very sick last month; "lost a lot of weight", start date: Aug2022 (unspecified if ongoing), notes: She has lost a lot of weight, was very sick last month; "Sensitive skin" (unspecified if ongoing), notes: has had sensitive skin for years and years and years and doing everything no dyes no perfumes.; "Sinus problem", start date: Aug2022 (unspecified if ongoing), notes: Had a sinus problem in Aug2022, allergies.; "Allergy", start date: Aug2022 (unspecified if ongoing), notes: They have dry conditions and had a very bad fire with smoke in the air that caused allergy problems. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Batch/lot Number: EW0180), administration date: 05Jun2021, when the patient was 55-year-old, for COVID-19 Immunization; BNT162b2 (Dose 2, Batch/lot Number: EW0198), administration date: 26Jun2021, when the patient was 55-year-old, for COVID-19 Immunization; BNT162b2 (Dose 3, Batch/lot Number: 330258D), administration date: 23Dec2021, when the patient was 56-year-old, for COVID-19 Immunization; Flu vaccine (She had the regular Covid shot and gets a flu shot every year and has never had a reaction in her life), for Immunization. The following information was reported: HERPES ZOSTER (non-serious) with onset Sep2022, outcome "unknown", described as "shingles outbreak"; RASH ERYTHEMATOUS (non-serious), URTICARIA (non-serious) all with onset 20Sep2022, outcome "not recovered" and all described as "Yesterday she started having whole body hives, and a bad red rash that developed under her breast"; HYPERSENSITIVITY (non-serious) with onset 20Sep2022, outcome "unknown", described as "something she ate, soap, powder or something she is allergic to". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Patient called in about the Pfizer COVID-19 Bivalent booster dose. On 20Sep2022, she started having whole body hives, and a bad red rash that developed under her breast. She received the booster dose on the 12th and was wondering if she should go to regular doctor or dermatologist. She had the current Pfizer booster shot on 12Sep2022 and waited at (withheld) for 15 minutes to see if she would have a bad reaction and had none. On 20Sep2022, she didn't know if it's something she ate, soap, powder, or something she was allergic to. She asked if that could be from the Pfizer booster shot or something she was allergic to. She had never had a bad reaction in her life. She tested COVID 2 weeks ago as there was a COVID outbreak at the facility where she works and she was negative. She didn't know if it is something she ate in the last 2 days or if she developed a food allergy or it was the body wash from the dollar store. She threw that away. It could be a number of things. She had been doing everything normal. She couldn't think of anything else causing hives or very bad rash under her boobs. She never had a bad reaction before. She got the shot at (withheld) and stayed 15-20 minutes to be sure and went home and didn't have a sore arm or a bump on her arm. No prior vaccinations (within 4 weeks) and no adverse events following prior vaccinations. She had no family medical history relevant to adverse events and no relevant tests done. She wanted to ask a silly question if it could be shingles outbreak and if she should get to her regular doctor or a dermatologist. She was confused about what to do.