Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Pruritus, Rash
Clinical narrative: Booster dose: rash on both forearms, from his wrist up to and on his biceps on both arms/rash on his left leg about 4 inches above his left knee; it mildly itches; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 77 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 21Oct2021 13:30 (Lot number: EW0153, Expiration Date: 21Oct2021) at the age of 77 years as dose 3 (booster), 0.3 ml single for covid-19 immunisation. Relevant medical history included: "Chronic obstructive pulmonary disease" (unspecified if ongoing), notes: Diagnosed 6-7 years ago. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, Lot Number / Expiry Date: EK4176/13Jan2021, Anatomical Location:  Left arm), administration date: 13Jan2021, when the patient was 76 years old, for Covid-19 Immunization; Bnt162b2 (DOSE 2, SINGLE, Lot Number / Expiry Date: ET9262/ 03Feb2021 , Route, Anatomical Location:  Left arm), administration date: 03Feb2021, when the patient was 76 years old, for Covid-19 Immunization, reaction(s): "Second vaccine: rash break out between his knees and ankles on both legs". The following information was reported: RASH (non-serious) with onset Nov2021, outcome "not recovered", described as "Booster dose: rash on both forearms, from his wrist up to and on his biceps on both arms/rash on his left leg about 4 inches above his left knee"; PRURITUS (non-serious) with onset Nov2021, outcome "not recovered", described as "it mildly itches". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of rash, pruritus.  Additional Information: It was reported that Batch/lot number: ET9262, Dosage text: 30mcg/0.3mL, left arm, Date of start of drug: 13Jan2021. Caller states he got the first shot in January and second one on 03Feb2021. Six days after the second shot in February, he had a rash break out between his knees and ankles on both legs. The rash did not itch and never bothered him at all. He never had a rash of any kind like that in his life. He didn't know whether it was from the vaccine or it was just a coincidence or what. He states the rash went away within 4 or 5 weeks, it never once bothered him. The caller received his Pfizer booster dose on 21Oct2021. In early November, he broke out in a rash on both forearms, from his wrist up to and on his biceps on both arms. The rash was only there, it was not on the back of his hands. The caller states the rash started in early November and it mildly itches, but won't go away. He has tried over-the-counter cortisone stuff and anti-itch stuff, which will calm it briefly for a little a while. However, the rash has not gone away. Caller adds in addition to the rash on his forearms that developed in early November, on his left leg about 4 inches above his left knee, there is one spot of a rash that is a little bit smaller than a dime and it itches also and won't go away. That is the only other place he has a rash other than his forearms. Time the Vaccination Was Given: 17:30 is the time printed on the card but it was more like 13:30 in the afternoon. When probed for Lot number, the caller mentions the vaccine record card has tiny print and he has to get a magnifying glass. The caller also mentions it has EXP: 13Jan2021, which is the date he received the vaccine. He makes the comment he guesses it expired the same day he got it. Vaccine Name: Second dose Lot Number / Expiry Date: ET9262/ 03Feb2021, Caller mentions the Lot number for the second dose has even smaller print than the first one. He states he guess eyeglass companies make them use small print. He confirms the expiration date is the same date he received the vaccine, 03Feb2021. Additional Vaccines Administered on Same Date of the Pfizer Suspect If applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect was None. Patient did not require emergency room visit. Caller mentions he went to his dermatologist in Nov2021 for his yearly check up. He also went to his Urologist in November and they checked him out and did a blood draw. Prior Vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) was none. Caller mentions he did the standard flu vaccine sometime in November. He knows something was put out about getting the flu vaccine at the same time, but he waited a couple of weeks still. Relevant Tests was none. He mentions he had no other vaccines or scans. He just had the blood draw at the Urologist and other than that, he hasn't had anything since last July.   Follow-up attempts are completed. No further information is expected.