Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: red area was 3 inches or more in diameter and very red, very puffy; getting a really red and really itchy area around the injection site; getting a really red and really itchy area around the injection site; stuffy; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 69-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 29Sep2023 as dose 5 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "allergic to shellfish" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for COVID-19 immunization; Bnt162b2 (DOSE 2, SINGLE), for COVID-19 Immunization; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE), for COVID-19 immunization; Bnt162b2 (DOSE 4 (BOOSTER), SINGLE), for COVID-19 immunization. The following information was reported: NASAL CONGESTION (non-serious) with onset Sep2023, outcome "recovered", described as "stuffy"; VACCINATION SITE ERYTHEMA (non-serious), VACCINATION SITE PRURITUS (non-serious) all with onset 30Sep2023, outcome "recovered" and all described as "getting a really red and really itchy area around the injection site"; VACCINATION SITE SWELLING (non-serious) with onset 01Oct2023, outcome "recovered", described as "red area was 3 inches or more in diameter and very red, very puffy ". Therapeutic measures were taken as a result of vaccination site erythema, vaccination site pruritus, vaccination site swelling.  Additional information: On the morning of 29Sep2023, caller received the most recent Comirnaty 2023-2024 vaccine.  She has had 4 previous Pfizer covid vaccines without incident and didn't even get a sore arm. The day after receiving the 2023-2024 vaccine, she started getting a really red and really itchy area around the injection site. At the end of second day after receipt of the vaccine, the red area was 3 inches or more in diameter and very red, very puffy and itchy, but not hot. The area was dark red and almost bumpy. She tried to treat this reaction with cold compress, but it didn't help, She tried all kinds of oral antihistamines and also antihistamine creams and these didn't help. Approximately 7-8 days after receiving the vaccine the reaction was predominately resolved. She noticed that she had also been stuffy for the duration of this reaction and the stuffiness went away about day 8 when the reaction had also resolved. She is allergic to shellfish. She tried to treat the reaction with cold compresses but it didn't work, so on the 4th day she tried warm compresses twice per day and they made a little bit of difference. She wants to know if this new vaccine is different than the previous vaccines as she had no problems with the previous Pfizer covid vaccines.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.