Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Pruritus, Rash, Rash pruritic
Clinical narrative: little red bumps (red pinpoint dots) on the head, 10 days later it came up in the arms and  knees; very uncomfortable and have some tingling also; very uncomfortable and have some tingling also; had an atopic dermatitis; her head began itching and as she scratched it more, it made it worse; her head began itching and as she scratched it more, it made it worse; Other times it was sore; her symptoms sound like an allergic reaction; rash to both arms, chest and knees; 5-6 days later she started having sever itching and little red bumps (red pinpoint dots) on the head; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: E78730, Expiry date: not reported), via an unspecified route of administration, administered in Arm Left on 25Mar2021 08:10 (at the age of 61 years) as dose 1, single for COVID-19 immunisation at Walmart. Medical history included obesity. The concomitant medications were not reported. No history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. Adverse event did not require a visit to Emergency Room/Physician Office. No prior vaccinations (within 4 weeks). No relevant family medical history. The patient experienced 5-6 days later she started having sever itching and little red bumps (red pinpoint dots) on the head on Mar2021, 10 days later it came up in the arms and knees, they were very uncomfortable and have some tingling also. she applied some cream may be hydrocortisone, 2 applications of it on an unspecified date. It was getting a little better now. Patient wanted to know about any reports of that. She stated she has heard people having the covid arm and big bump at the injection site, but this is different. One week later, her head began itching and as she scratched it more, it made it worse. She knew this was not normal. She had curly hair and did not wash it every day. When she began to itch and scratch, she had her husband investigate her head. He saw red pinpoint dots and little raised areas. The more scratching, she made her want to scratch more. The scratching didn't relieve the itching, she felt little bumps, and she knew it wasn't normal. It started a few days before he looked at it, it may be started around the 1st, a week from the vaccine, or maybe the day before that, but she wasn't paying attention. A couple of days after it started on the 3rd, she realized that this is not normal, and he took the pictures. She believed a week later, on 10Apr2021, late at night, she noticed a rash on her left arm. Her head still itched. The rash on her arm went to her elbow, on the top of her arm about a half inch down, there were lots of little red bumps, she didn't know that after she started to scratch the bumps would appear. Her husband suggested she had an atopic dermatitis. She started thinking about what has changed. The next day, those got worse, she broke out in more of those bumps all along the other forearm, terrible itching, scratching made her want to scratch more, she knew she shouldn't. Other times it would tingle, other times it was sore, other times she wouldn't notice it, but to look at it, she thought what was going on. There was a dot under both knees, 2 dots on her chest, she doesn't have skin problems, she had been dealing with it, thinking if it would get better. She had some cream she had been using that was recommended by her husband. Her arms were better, but still saw red dots, looked better after she applied 2 doses of the cream, it was not itching then. She did not have issues with her skin, and this is all over and has made her be miserable. She is scheduled for the next vaccine on Thursday at 0800. On 10Apr2021 it began on her left arm. On 11Apr2021 it was on the left and right arm, 2 spots on her chest and one on each knee. They all felt the same, but on the arms, it was clustered and on one arm it ran on her whole forearm. Yesterday it was more tolerable. She was able to wash and dry the areas and put some lotion on it and got a little relief. Today was even better, it was not all gone, but it was resolving. Besides the itching, pain, and discomfort she felt fine. She was miserable trying not to scratch and then felt them tingling. She knew about Covid arm, where it got sore and red around the arm, but this wasn't that. She was asking if this was something people were experiencing, what she was describing. She added, her arms were not looking as inflamed, she saw the red of where everything was and when she touched it, it made it itch more. It was much better, much less red on the one arm. She could still see it, the other one looked much less red, but she can still see it, on the one arm and on her chest, looks the same, the spots on her knees never looked that bad, nor was she wanting to scratch them, she could kind of feel them tingling. Her knees never looked that bad and they look the same, but her arms did. The cream she is putting on was advised by her husband and he said it would help, but wouldn't make that huge a difference, it would give some relief from itching, but he thought maybe it was starting to trend better. She was hoping it would be gone as quickly as it came on. It was looking and trending better. She had been putting ice on the areas last night and made it felt better. When it began, it was horribly itchy, not just if you were going to scratch your back, you started to scratch, you knew you shouldn't be, but there was this feeling to, and it didn't help. She talked to a WalMart pharmacist today. It was suggested that her symptoms sound like an allergic reaction, and for her doctor to decide if she should get the second vaccine. She has been trying to get into a dermatologist for this reason. Therapeutic measures were taken as a result of the events. The outcome of the events was resolving.  No follow-up attempts are needed. No further information is expected.