Sex: F
Vaccine: RSV
Symptoms: Injection site dryness, Injection site erythema, Injection site infection, Injection site injury, Injection site pain
Clinical narrative: her arm kind of was itching/itchy right at the site of the injection; scaly right at the site of the injection/ very dry and scaly, skin is frail; now its infected; Its a little bit red but not much, mildly red; pain at injection site; The affected area is about a quarter inch in diameter, and an eighth of an inch raised; This is a spontaneous report received from contactable reporter(s) (Pharmacist) from medical information team.  An 89-year-old female patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 05Oct2023 as dose number unknown, single (Batch/Lot number: unknown), in arm for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE ERYTHEMA (non-serious) with onset 2023, outcome "unknown", described as "Its a little bit red but not much, mildly red"; VACCINATION SITE SWELLING (non-serious) with onset 2023, outcome "unknown", described as "The affected area is about a quarter inch in diameter, and an eighth of an inch raised"; VACCINATION SITE PRURITUS (non-serious) with onset 2023, outcome "unknown", described as "her arm kind of was itching/itchy right at the site of the injection"; VACCINATION SITE INFECTION (non-serious) with onset 2023, outcome "unknown", described as "now its infected"; VACCINATION SITE PAIN (non-serious) with onset 2023, outcome "unknown", described as "pain at injection site"; VACCINATION SITE DRYNESS (non-serious) with onset 2023, outcome "unknown", described as "scaly right at the site of the injection/ very dry and scaly, skin is frail".  Additional information: Pharmacist was reporting that patient stated a few days later (after vaccination), she noticed her arm kind of was itching. She wasn't even thinking about having the shot. She didn't even look at it, she just reached up there and she scratched it. Patient described it as scaly. Pharmacist asked patient if it was a scab, and patient told him no, it was just scaly and she just scraped it with her fingernail. That's what he's guessing is the whole problem, that she scratched it and now its infected. Now it was scaly and itchy right at the site of the injection. Pharmacist was only made aware of this today (06Nov2023) when patient came in this morning. He has a picture of it on his cell phone. The affected area is about a quarter inch in diameter, and an eighth of an inch raised and perfectly round. Patient came in today and then went next door to see an MD, and doctor send over the antibiotic cephalexin. Patient has not picked up medication yet. Pharmacist told her it looks like its infected. Pharmacist said doesn't look like there is puss. It looked dry to him, scaly, didn't look angry. It's a little bit red but not much, mildly red, very dry and scaly, skin is frail. It didn't seem like there was an issue at the time as far as pain at injection site or itching right after the vaccine.  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.