Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: spots where she bleeds from scratching; red spots on her arms that weren't there before. She wouldn't call those spots a rash; itching kept her up all night/ She was up all night; rash and welts and the rash was moving up in her face; welts; hands started itching/itching moved up her arms and down her legs and then her whole body was itching; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 05Feb2021 13:30 (Lot Number: EN5318) as single dose for covid-19 immunisation. Medical history included high blood pressure and did have surgery in Jan2021, a week before she received the Covid 19 vaccine. She had screws placed in her foot. Her foot had been injured from being twisted too many times. It was an old injury. Concomitant medications included atenolol; omeprazole; venlafaxine; and hydrochlorothiazide, valsartan (VALSARTAN/HCTZ TEVA); all ongoing. Probably about 15 years ago, she received a flu vaccine where her husband worked. His place of employment offered flu vaccines to employees and their families every year. She went to get the flu vaccine and that was probably around 9:00AM and by the time she got off work that day she was so sick with the chills that she crawled into bed. It felt like she had the flu. The next day she felt better just worn out. She hasn't had a flu vaccine since then. She received her first Covid 19 vaccine on 05Feb2021 and about 20 minutes after (05Feb2021 13:50), she received the vaccine her hands started itching and she didn't think a lot about it. As time wore on, the itching moved up her arms and down her legs and then her whole body was itching. By Sunday, 07Feb2021 she had a rash and welts and the rash was moving up in her face. She went to the emergency room on Sunday, 07Feb2021 because the rash was on her face. She was getting scared. She was miserable. She was taking Benadryl and it wasn't doing anything for her. The emergency room gave her a Benadryl injection and liquid steroids and prescribed 2 epinephrine pens (Epi-pens) in case she started to have problems breathing. She did not have trouble breathing. She also received pills to help with her itching. She was still taking those pills because she was still itching. As of 23Apr2021, it was still persisting nothing has improved slightly. It keeps her up at night, making her miserable, and described it as severe. She had spots where she bleeds from scratching.  She was up all night two days ago because the itching was so bad.  The pills do help but she has to work so she can not take too many or she will be asleep at her desk. Patient hoped that Pfizer would have something to tell her healthcare provider about what to do for her. She was advised by her doctor to not get the second Covid 19 vaccine.  She went to her family doctor about a week later and explained what had happened with the Covid 19 vaccine and her doctor was able to review her emergency room visit paperwork. Her primary care doctor prescribed more of the pills for itching because she had gone through the pills that the emergency department prescribed. She reported that the rash has improved but at times, all of a sudden, she'll start itching and it's the type of itching that she can't stop scratching. With scratching it will grow into welts and a rash and then it goes away. She doesn't like to take the pills prescribed for itching because she doesn't like to take medicine. The itching kept her up all night in different parts of her body. The itching will ease down and then the itching will stop and then probably a good hour will pass and the rash will go away. The only thing that was left to see was where she scratched on her body. She still has red spots on her arms that weren't there before. She wouldn't call those spots a rash. The pill she was prescribed for itching is Hydroxyzine 25mg take one by mouth every 6 hours as needed for itching. This one helps but she doesn't want to take it because it can make her tired and she has to work. Outcome of the event "hands started itching/itching moved up her arms and down her legs and then her whole body was itching" was not recovered while unknown for other events.