Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rhinorrhoea, SARS-CoV-2 test, Urticaria
Clinical narrative: itching; brain is on hold; localized injection site urticaria; generalized prickle sensation; Bilateral Wheezing; hoarse voice; Generalized Urticaria; Generalized erythema; coughing so bad she vomited: first dose; broke out in a rash; croupy cough; rhinorrhea/runny nose; This is a spontaneous report from a contactable nurse (patient). This 61-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) in right arm on 22Mar2021 08:00 (lot number EP7534) at single dose for COVID-19 immunisation. Medical history included Latex allergy, Penicillin allergy. Patient previously experienced allergies with allopurinol (ELAVIL) and amitriptyline. Concomitant medications included triamcinolone acetonide (KENALOG), famotidine (PEPCID), and multivitamins. Patient reported that when she first got her vaccine, she broke out in a rash on 23Mar2021, nothing productive, no fever no nothing. She took care of the rash with a little prednisone, antihistamines. She stated the day she got her first one was 22Mar2021. Her arm got red the next day 23Mar2021, nice little whelp around it, her arm started getting kind of bumpy and a little itchy, then she noticed it on her back and her chest then around her waist, just patches, whelps. She started on Hydrocortisone and it just never went away. Then after, started 29Mar2021 or 30Mar2021, she got a croupy cough, the coughing lasted a few weeks, it ended sometime in the end of Apr. She thought it was seasonal allergies, but the coughing was so bad she was actually vomiting from it. She stated she actually thought she had COVID but she didn't run a fever and didn't lose taste or smell, just the way she was coughing and it was in her chest. She stated just some coughing, no fever, no production of anything, just coughing, very raspy. She had a dose pack, she took it, took Benadryl, Antihistamines, the rash was still there, but not as bad. She states the first one stayed on her back and chest and a little bit on her arms, back, arms and so forth. Then the second shot (in her left arm, LOT: ER8732), she was head to toe in a rash and she got the second shot 12Apr2021 in the left arm at 08:00. The rash never even went away, it just got worse. She stated it was serious enough because of all the medication, Benadryl, antihistamines, Atarax. The patient also experienced runny nose in Mar2021. She stated it's like her brain is on hold since the shot. She stated the coughing so bad she vomited started the first of Apr. The cough had just gotten so hard, no matter what kind of cough medicine she took, it just did not help it. She stated flat out croupy cough. Cough Medicine: she just did the Mucinex DM for the congestion and she did Dayquil and Nyquil that type of thing. She stated when she got on the steriods, that did help with that. She stated she was on her fourth dose of steriods, oral steriods, she had one IM dose. She had to go to doctor to get an IM steriod and other three have been oral.  The treatment medication included: Hydrocortisone (EXP: Nov2023, LOT: 20W319, NDC:0031713-03): Cortisone 10. It's the cream she's been using, the itch relief cream, to help relieve the itching. She's been using regular Hydrocortisone cream, she's used a lot of that. Prednisone (LOT: UJ200503B, EXP: Mar2022, NDC: 42806-400-21) pack currently on, she stated this is the third pack of tabs. Prednisone shot: she went to the doctor office and got a prednisone shot the week before last, so last Wednesday on 28Apr2021 or 29Apr2021. Two previous steroid packs. Benadryl (LOT: P83332, EXP: Jun2021): 25 mg tablets, takes two of them about every 3-4 hours. Loratadine (LOT: 0BE2611A, EXP: Oct2021, NDC: 49348-818-56): 10 mg tablets, she takes them first thing in the morning, by mouth. She stated it's been tough between taking magnesium sulfate (EPSOM) salt baths and avena sativa (OATMEAL) baths.  Patient was not seen in the emergency department, no hospitalization required. Respiratory: Bilateral Wheezing, Dry cough, hoarse voice, rhinorrhea. Dermatological/Mucosal: Generalized Urticaria, Generalized erythema, generalized pruritus with skin rash, generalized prickle sensation, localized injection site urticaria.  Patient did not receive any recent vaccines for any other conditions prior to the event being reported, did not receive any recent vaccines for SARS-COV2 other than the Pfizer- BioNTech COVID-19 Vaccine prior to the event being reported, did not receive any other vaccines around the time of Pfizer- BioNTech COVID-19 Vaccine vaccination. Lab data included COVID test: unknown result on unspecified date.  The outcome of event rash, itching was not recovered, outcome of cough, vomiting, rhinorrhoea was recovered in Apr2021, outcome of other events was unknown.; Sender's Comments: Based on information available, the reported serious event rash was likely related to the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) due to the temporal relationship and known safety profile of this product.