Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Body height, Fatigue, Pain in extremity, Physical examination
Clinical narrative: itching; he developed a mild rash after the first dose/His rash is all over his body.  He later stated it was on his trunk area including back, stomach, chest and arms.; Left arm sore; tired; fatigued; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 61 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 06Aug2021 13:00 (Lot number: FA7485) at the age of 61 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "diagnosed allergies" (unspecified if ongoing); "compromised immune status" (unspecified if ongoing); "respiratory illness" (unspecified if ongoing); "genetic/chromosomal abnormalities" (unspecified if ongoing); "endocrine abnormalities" (unspecified if ongoing); "diabetes" (unspecified if ongoing); "obesity" (unspecified if ongoing); "Asthma" (unspecified if ongoing), notes: diagnosed 35 -40 years; "Seasonal Allergies" (unspecified if ongoing), notes: when he was working in a dusty environment making cigarettes and mold. Concomitant medication(s) included: FAMOTIDINE taken for gastrooesophageal reflux disease; ADVAIR taken for hypersensitivity; FLUCONAZOLE taken for hypersensitivity. The following information was reported: RASH (non-serious) with onset 08Aug2021, outcome "recovering", described as "he developed a mild rash after the first dose/His rash is all over his body.  He later stated it was on his trunk area including back, stomach, chest and arms."; PAIN IN EXTREMITY (non-serious) with onset 07Aug2021 07:00, outcome "recovering", described as "Left arm sore"; FATIGUE (non-serious) with onset 07Aug2021 07:00, outcome "recovering", described as "tired"; PRURITUS (non-serious), outcome "unknown", described as "itching"; FATIGUE (non-serious) with onset 07Aug2021, outcome "recovered" (08Aug2021), described as "fatigued". The event "he developed a mild rash after the first dose/his rash is all over his body.  he later stated it was on his trunk area including back, stomach, chest and arms." was evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of rash.  Additional information: Received call from consumer regarding the Pfizer COVID vaccine.  He was reading the literature saying it can cause rash and what he has been told is that the rash would mostly be where the injection site is.  His rash is all over his body.  He later stated it was on his trunk area including back, stomach, chest and arms.  His doctor said for some reason people that have a history of asthma with both Pfizer and Moderna, there is something in there to help it last longer, or a preservative, that may be causing the rash with those people.  It is not that bad, just itching.  He got it 2 days after first shot and went to dermatologist for appointment and they gave him steroids and an antibiotic ointment. When he went back 7 days later, it was going away on 22Aug2021. He got the shot because of various reasons and because his loved ones wanted him to get it.  He initially did not want to get it, but his daughter was having surgery and he wanted to be able to be around her after she got home. He also had some friends that had loved ones die from COVID, so he decided to get the vaccine. After the first dose, his arm was a little and sore and he was tired. He had the timeline written down, but doesn't have his paper with him. He thought maybe he got into something, but with the timing being 2 days after the vaccine shot, he thought it may be related. He went to Dermatologist and got Antibiotic ointment and steroid ointment and it started going away. After first dose, he felt fatigued from 07Aug2021 and 08Aug2021.  By that Monday, he was back to his normal self. He stated he just takes normal medications: Famotidine for acid rflux, Advair for allergies and Fluconazole for allergies. That is it. No further details provided. His doctor told him he can't even get Flu or Pneumonia vaccine until this clears up. Vaccination Facility Type Hospital. Vaccine Administered at Facility: No. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): Vaccine Name: Pfizer COVID vaccine Did any AE(s) require a visit/ Emergency Room: No. Physician Office, Yes.  He saw a dermatologist.  PRIVACY Unknown address, phone or email.  He tested him for both times.  One for ringworm and one for a bacterial skin infection. Both came back negative. The doctor said he has had people come in with rashes but not as bad as his.  He did not have any information to report for any of those other people. The 1st time, he gave her Triamcinolone acetonide ointment 0.025% and he put on for 10 days, twice daily. Lot 1FT0372, expiration Apr2023. Total count size is 1 tube 15 grams. It was sealed and intact. The other medication he prescribed was Mupirocin 2% ointment apply to affected area twice daily for 10 days. Lot 433031, Expiration Sep2022.  Total size in 1 tube 22 grams. It was sealed and intact.  The second time he went to his dermatologist, they gave him something stronger.  It was Clobetasol Propionate 0.05% ointment apply to trunk and face twice daily.  Lot K100131, Expiration 28Feb2023. That one has been making it go away.  It is a strong steroid.  He only used the other ones for 7 days.  It was getting better, but not completely. He was been putting this new one on in the nighttime and in the morning. Prior Vaccinations, the patient did not receive other vaccinations within four weeks prior to the first administration date of the suspect vaccine. AE(s) following prior vaccinations: None. Provide other relevant medical history including but not limited to these conditions: diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. Illness/AE: Seasonal Allergies diagnosed when he was working in a dusty environment making cigarettes and mold is the worst.  Asthma diagnosed 35 -40 years ago.  He has not had any problem in 9 years since he retired. Family Medical History Relevant to AE(s): none. Relevant Tests: Ringworm and skin bacteria test and both were negative.  Had yearly physical last week and did blood work and nothing on the lab work that was going on with this rash issue. It could have be environmental but because of the time line being 2 days, he just wanted to check with Pfizer to see if it was related.  He also wanted to know if the rash is related to the vaccine, then how long will it take to get it out of his system.  His doctor said he had dermatitis and would take 4-6 weeks before it should be gone.    Follow-up attempts are completed. No further information is expected.