Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Biopsy, Condition aggravated, Haematocrit increased, Magnetic resonance imaging
Clinical narrative: rash; severe itch; More pain around her back and left shoulder blade; She went to Physical Therapy, but that makes her back pain worse; She went to Physical Therapy, but that makes her back pain worse; She has a hematocrit issue where her levels are always a tiny bit higher, never changes; Red spot in center of back; This is a spontaneous report from a contactable consumer or other non-health care professional reported for herself.   A 76-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL9263, Expiry date: not reported), via an unspecified route of administration, administered in Arm Right on 11Feb2021 (age at vaccination was 76 years) as dose 2, single for COVID-19 immunization. Medical history included herpes zoster, stated that she has had shingles on her right side twice, from her spine around her side to her ribs. Cannot remember exact dates. The reporter stated that the second time was about 20 years ago and left her with shingles neuralgia, ongoing back disorder, back issues, disc problems state she has had this condition for years, atrial fibrillation. The patient concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EJ1685, Expiry date: not reported), via an unspecified route of administration, administered in Arm Right on 08Jan2021 (age at vaccination was 76 years) as dose 1, single for covid-19 immunisation. In Feb2021, the patient experienced rash, severe itch, more pain around her back and left shoulder blade, she went to physical therapy, but that makes her back pain worse, she went to physical therapy, but that makes her back pain worse, she has a hematocrit issue where her levels are always a tiny bit higher, never changes, red spot in center of back. The patient underwent lab tests and procedures which included biopsy: unknown results in 2021, haematocrit: unknown results in 2021 slightly elevated hematocrit but never goes up, magnetic resonance imaging: unknown in 2021, x-ray: unknown in 2021. The patient was unable to transfer as caller remotely disconnected the call. Patient had developed a rash on the arm, from her shoulder to her elbow for a couple of weeks. Patient used Benadryl and cortisone cream on rash. The reported said "it's really bad" and that not long after, experienced side effects with severe itch on her left shoulder blade that was so bad and that it is been horrible for 8 months now and never had anything like this before does have back issues. The patient wants to get the booster dose, but doctors would not tell her if there were a chance that the vaccine caused it and that it was going to be up to her to take the risk or not and afraid to get it and not to get it. The reporter mentioned she is 77 and that her husband got booster. The reporter said her husband has COPD and that even for that reason, she does not want to have Covid and have him exposed to it and said does not know what to do with the booster. The patient told this has been going on for 8 months already and her one of her doctors recommend pain medicine but another said "no, they would say you need a muscle relaxer "and added that her dermatologist did a biopsy on the center of her back where patient had a red spot but not a rash, said they are just like little lines, told she has been to physical therapy for her back also said she is on the care of a rheumatologist who wants to put her on a medication that starts with an which she later on said was Hydroxychloroquine. The consumer mentioned that her hematologist who she sees because of her slightly elevated hematocrit but never goes up, just watches it wants her to wait 2 months because she does not want me to take medicine, she does not think it's needed. Caller said that since her symptoms came after the vaccine, this is a possibility that it might be from Comirnaty. Reporter mentioned again that her rheumatologist wanted me to put on Hydroxychloroquine but warned her that that could blind her. She mentioned again that she does not know if she should take the booster. The reporter said she has been to a cardiologist, dermatologist, and other doctors and clarified she is not asking for compensation. She said she is had this paperwork that said to do this, call up Pfizer. Reporter seriousness for Worried since they are talking on television like people may have to get a Covid Vaccine booster every year was unspecified. Approximately 2 weeks after the vaccine patient started having more pain around her back and left shoulder blade. After reviewing the call recording it was confirmed the callers last name is withheld. This was confirmed and captured accurately as provided by the call handler. The outcome of rash was recovered in 2021, event back pain worse and back and left shoulder blade were not recovered and outcome of remaining events was unknown.  Follow-up attempts completed. No further information is expected.