Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Paraesthesia, Pruritus, Pustule
Clinical narrative: (doctor) was not sure whether or not he might get a staph infection, a viral infection; (doctor) was not sure whether or not he might get a staph infection, a viral infection; thought he had a mosquito bite; area on the opposite side of his body, on the left hand side, he noticed that there were several small pustules; the area was raised, it was red, it was warm; Pain; extremely uncomfortable; It was very, very itchy and the area felt like it got itself swollen; It was very, very itchy and the area felt like it got itself swollen; irritation; Initially an area under his left arm which was very swollen it appeared to be filled with fluid of some type/thought it was edema/now had it under his right arm, it's probably impacting lymph system; This is a spontaneous report from a contactable consumer (patient wife).  A male patient of an unspecified age started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EH9899, expiration date not reported), via an unspecified route of administration on 03Jan2020 16:00, at a single dose for Covid-19 immunization.  Medical history included heart bypass 15 years ago and some orthopedic problems.  The patient's concomitant medications were not reported.  The patient previously took codeine and epinephrine experienced sensitivity. On 03Jan2020, the patient had an injection the Pfizer vaccine in county (not clarified further) (place name withheld) which is the (place name withheld) area on Sunday at approximately 4:00 PM EST. He has no significant medical problems other than the prior history of, he had heart bypass 15 years ago and some orthopedic problems, but nothing else other than that. She had never had any adverse reactions to any medications although he has, he shouldn't say, he does have a sensitivity to Codeine which he reported and Epinephrine which he had a sensitivity to also. He got the vaccine after waiting three and half hours in line and they went off, last night that would be Sunday night, several hours later he noticed an odd sensation and did not really take a look at it, he thought he had a mosquito bite perhaps as they live in (place name withheld) and they live in the land that has lots of mosquito, so he didn't pay too much attention to it. Approximately four hours after the injection, he was going to go to bed and removed his shirt and found that the area on the opposite side of his body, on the left hand side he noticed that there were several small pustules, the area was raised it was red it was warm, it was on the opposite side under his arm on his chest he was extremely uncomfortable. It was very, very itchy and the area felt like it got itself swollen and he shared with his wife, the wife suggested that he contact the physician of course he didn't contact, his primary physician said he can see a dermatologist and sent images and yesterday he went to see a dermatologist, so prophylactically he took the 25 mg of diphenhydramine hydrochloride (BENADRYL) and also 2 acetaminophen (EXTRA STRENGTH TYLENOL) and he treated the pain and itching with ice. He slept with an ice bag and woke up just in morning and in New Year they were able to see a dermatologist, he thought it was dermatological. He was concerned but not overly concerned with the area pretty swollen. He saw a dermatologist yesterday, and gave him a topical treatment, the dermatologist gave him three different, naproxene (NAPROSYN), the other one is Triamcinolone Acetonide cream now the irritation he got the MUPIROCIN ointment now as the dermatoligist told him to do, continue what he was doing as he was comfortable, The dermatologist took some specimens from the pustules and send them to lab and she (doctor) is not sure whether or not he might get a staph infection, a viral infection he was not sure. Initially there was an area under his left arm which is very swollen it appeared to be filled with fluid of some type, he was not sure what was it. He thought it was edema but when he popped it, it felt very much like fluid not like blood but it is some type of fluid filled area most likely his wife said the size are greater and less that it was yesterday and that seems to go down over the last night but not all the way it's decreased by what 20%, 30%, 40% he can't tell, alright 50% but now he has it under under right arm, it's probably impacting his lymph system and he put a call into his cardiologist. So he was asking now what does he do. The outcome of the events were unknown.