Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Oral herpes, Pain, Peripheral swelling, Pruritus
Clinical narrative: she had three little dots on the top knuckle like with the cold sore; her joints and hand were swelled/had in her left index finger knuckle, had noticed it swelled so strangely and her; pain; The cold sore began with the itchiness; cold sore/her mouth she has the cold sores; 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 60-year-old female patient (unknown if pregnant) received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 19Oct2023 as dose 1, single (Batch/Lot number: unknown) at the age of 60 years, in left deltoid for covid-19 immunisation. The patient's relevant medical history included: "she is always stressed" (ongoing); "cold sore" (unspecified if ongoing), notes: she has been getting those her whole life. Concomitant medication(s) included: ROSUVASTATIN; LEXAPRO. Vaccination history included: Moderna covid-19 vaccine (Dose Number unknown. Primary Immunization series completed and booster; 10-12 hours after she was tired and slept for a day and was fine), for COVID-19 immunization, reaction(s): "tired". The following information was reported: ORAL HERPES (non-serious) with onset Oct2023, outcome "recovered", described as "cold sore/her mouth she has the cold sores"; PRURITUS (non-serious) with onset 02Nov2023, outcome "recovered", described as "The cold sore began with the itchiness"; ARTHROPATHY (non-serious), outcome "recovering", described as "she had three little dots on the top knuckle like with the cold sore"; PERIPHERAL SWELLING (non-serious), outcome "recovering", described as "her joints and hand were swelled/had in her left index finger knuckle, had noticed it swelled so strangely and her"; PAIN (non-serious), outcome "recovering". Therapeutic measures were taken as a result of oral herpes. Additional information: Patient received Pfizer vaccine on 19Oct2023 and within a week and a half she had a cold sore and she does get those whatever and she is always stressed and then had in her left index finger knuckle, had noticed it swelled so strangely and her joints and hand were swelled and she had three little dots on the top knuckle like with the cold sore and she had already had the shot and also gets cold sores. She takes Valacyclovir and takes that or Valtrex for two days and that is when she starts to notice a cold sore and then it goes away when she catches it before it really starts. Related to the Moderna vaccines all she had was she was tired and after this Pfizer vaccine on the left side of her left hand and her mouth she has the cold sores.  She has never had any physical reaction or no other extra reaction. The cold sore began with the itchiness that started around 02Nov2023 and the cold sore is gone and everything is gone; clarified that for her hand, it is almost completely gone but when she presses on it she can feel like it was sore and the swelling is almost completely done and her mouth sore has been gone for over a week.  The pain started to go away. Concomitant medications: She takes Rosuvastatin and the one small Lexapro at night and began taking those like 10 or 15 years ago.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.