Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Peripheral swelling, Rash pruritic
Clinical narrative: First dose: She felt a little tired; her leg swelled up; 15-16 days after receiving the first dose of the covid vaccine, she developed a rash. The rash moves around her body. The rash is itchy. The rash hurts a little bit.; the rash does hurt a little bit; This is spontaneous report from a contactable consumer (patient). A 74-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ER8727), via an unspecified route of administration in left arm on 25Mar2021 at 10:40AM as 1st dose, single for COVID-19 immunization. Medical history included hives, rheumatic fever, cataract surgery and lobectomy. The patient received shingles vaccine in 2018 and pneumonia vaccine. Concomitant medications were not reported. It was reported that she had no symptoms from the first dose, maybe she felt a little tired. 15-16 days after receiving the first dose of the COVID vaccine, on 9 Apr 2021, she developed a rash. The rash was itchy. She has not changed anything about her life style. She has not changed where she lives, laundry soap, or diet. In the past, if she has had hives, they have been very little. The rash on her now is moving around. The rash moves around from her bra line, stomach, back and left side of her neck. The left side of her neck is also itching. The rash does not hurt. Clarified that the rash does hurt a little bit. She describes that she wants to scratch the rash, clarifies that it almost feels like poison ivy where she wants to itch it. On 12 Apr 2021, she went to see a nurse practitioner. The nurse practitioner prescribed her a high dose hydrocortisone cream USP 2.5% (Lot number: AC11168, Expiration date: 20 Nov 2021) and it did not do much good. It only helped a little bit, whenever she was using it together with Benadryl. The rash also moved to the back of her neck, and side of her neck. She was excited that maybe the COVID vaccine aggravated the shingles vaccine she received in 2018. She received the second dose of the COVID vaccine (Lot number: ER8731), via an unspecified route of administration in left arm on 15 Apr 2021 at 10:40AM. Before she received the second dose of the COVID vaccine, she showed her rash to the nurse at the hospital. The nurse at the hospital said that she saw redness and bumpiness, but the nurse recommended her to go ahead and get the second dose of the COVID vaccine. The nurse stated that she was surprised they did not give caller a steroid shot. She happened to have a routine yearly appointment with her dermatologist on 21 Apr 2021. By then, the rash had gotten worse because she had to stop taking Benadryl. She had to stop taking Benadryl because it was making her blood pressure go high. Since stopping Benadryl, the rash got worse, and was itching and swelling up. Benadryl lot number: unknown. She states that it was written in white writing and she can not read it. Benadryl NDC: 50580-226-51 Benadryl expiration date: unknown. The dermatologist prescribed her an antihistamine and a cream. The very next day, Thursday 22 Apr 2021, the rash was almost better. From 22 Apr 2021 to 26 Apr 2021 she was doing good, and not bad at all. She still had hives in little places that would move around. The rash had not gone to her legs or top of feet. The rash was basically around her waistline. She has been using cold packs and taking two antihistamines a day. She was doing pretty good for a couple of days, until the right side of her leg swelled up. The rash is still there, and it hurts. She is continuing using the antihistamine cream and cold pack. She was anxious to see if her rash gets worse about 15 days after receiving the second dose of COVID vaccine. Since her rash appeared about 15 days after receiving the first dose of the COVID vaccine. Her doctor told her that her rash could very well be from the COVID vaccine. Her doctor told her that the COVID vaccine could have aggravated something in her body. Whenever she was five years old, she survived rheumatic fever. She has never had any problems with the shingles vaccine or pneumonia vaccine. She does not get the flu vaccine. The COVID vaccine did not affect her arm at all. She was only a little tired. She is tired now. She thinks that she might be tired now because she is taking an antihistamine. Antihistamine name, lot number, NDC and expiration date: not provided. Her dermatologist said that he did not want to give her a steroid shot, because that would be one more thing to add. Her dermatologist also said that a steroid shot might not last long enough. The morning the rash had moved. The rash was worse on the right side, upper part of her leg, towards her hip. The rash was also on her buttocks. All other areas are okay this morning. She does not have any allergies to mediations. She has been through several surgeries here and there. She has never had anything like this happen before. This is the first time she has ever experienced anything like this. She first noticed it whenever she was outside working in the yard. The rash started on her knee. She had been kneeling over a little bit. She put some old cortisone cream on the rash on her knee and then it went away. On 10 Apr 2021, the rash was really bad. It will still there on 11 Apr 2021, and she could not get an appointment with her primary care physician. She would say over all that the moving rash is generally getting better. Expect for this morning, whenever it came back on her right side. She knows that the rash is not from her laundry detergent. She knows that the rash is from the COVID vaccine. Because of her age. Her and her husband both received the COVID vaccine. Her husband did not have any symptoms, and her husband is older than her. Her husband went through cancer treatments. She was calling to report symptoms after receiving the COVID vaccine. She was asking if she called the right place to report her symptoms. She was calling about the Pfizer COVID vaccine. She does not think Primary / Prescribing Healthcare Professional Info is necessary to include because she has not seen her primary care physician about her symptoms. Her and her husband talked to people who had COVID that were younger than them. Those people told her and her husband that they did not want to catch COVID. Those people missed a lot of work because of COVID. Her and her husband wanted the J&J COVID vaccine at first. Her and her husband were going to wait to get it, but it was not offered in their area. She was really glad that her and her husband chose to get the Pfizer COVID vaccine. She got the COVID vaccine because she does not want COVID. She does not have any medications, medical history or testing that she feels is relevant to include. She had cataract surgery years ago. She has a chip in her breast from a lobectomy. Caller did not wish to clarify or provide any more information. She asked to not include that in the report, because it was not relevant. All of her surgeries were years ago. Patient visited Physician Office. because of her rash. She was asking if other people have reported a rash. She saw on the internet that other people had rashes. The outcome of the event itchy rash was recovering and outcome of the other events was unknown.   No follow-up attempts are needed. No further information is expected.