Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mobility decreased, Musculoskeletal stiffness, Psoriasis, Psoriatic arthropathy, Rash
Clinical narrative: patch of bumps in the small of her back/The first thing that happened was that she broke out in rash on her upper left chest and shoulder area; large, scaly red patches/lesions; it looks like eczema on her legs (from knees to ankles); This is the spontaneous report form a contactable consumer (patient). This 72-Year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL3246) intramuscular in left arm on 08Jan2021 around 1-2pm at single dose for COVID-19 immunization.  Medical history included atrial fibrillation, hypertension both from 2010 and ongoing. Concomitant products includes regular prescribed medications which are primary for atrial fibrillation and hypertension, however she had been on these medications for years. Patient was in the military and she previously received many vaccines from cholera to smallpox and beyond for immunization, never had a reaction. No Additional Vaccines Administered on Same Date of the Pfizer Suspect. Prior Vaccinations (within 4 weeks) was none. No AE(s) following prior vaccinations. Patient received her first dose on 08Jan2021, and about 8 or 9 days later, after the shot, she had the first reaction. The first thing that happened was that she broke out in rash on her upper left chest and shoulder area. She kind of thought she was going to have to change laundry detergent, she had contact dermatitis because it never spread until a day or two later. She then had a patch in the small of her back and then, her legs from her knees to ankles broke out. She confirmed there was no rash on her thighs, it was just from her knees to ankles. It was not was not just a red rash, there were bumps. The bumps were not particular itchy. The ones on her chest began to resolve after about almost a month. The ones in the small of her back resolved.  The caller's doctor gave her some steroid cream for all of these areas. However, her legs are still not cleared up. She still had lesions there. She was now going to a dermatologist and was told it looks like eczema. However, she can't have eczema because she was 73 years old (as of reporting date) and she had never had it before. It looked and was like eczema, but the eczema treatments are not working.  She clarified the bumps in her legs are better in some ways, but its different in others. For some reason instead of staying as little bumps, the bumps developed into some large, scaly patches. It's those scaly patches that are red and nasty looking which was what the dermatologist had been treating.  The topical steroid cream the patient believes was "Mometaesone". She was also prescribed Ammonium Lactate lotion which kind of helps with the scaliness that the area produces. She made the comment now that she got these red lesions, it really was messing with her shorts wearing. Patient explained that it was a strange rash some of which she still have on chest, the small of back and from knees to ankles, the ones on legs have never really resolved, its pretty ugly and the dermatologist said it looks like eczema. But patient never had eczema. No require a visit to emergency room for the events, while resulted physician office visit, she had seen a dermatologist. Outcome of the events was not recovered.  No follow-up attempts are needed. No further information is expected.