Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Herpes zoster, Laboratory test
Clinical narrative: Fever; Chills; Fatigue; Numerous cold sores that appeared on my bottom lip that were extremely large and kept swelling; Starting on my top lip and kind of going up like into my left nostril but it was worse on the bottom; Broke out in a rash on my chest, extremely red, itchy, a real bad, red rash/ Rash went to my arm and next, it went to the top of my legs, the calves of my legs, started some on the top of my feet; Rash on my arms, legs and feet was a smaller rash, very itchy but not as red as had been on my chest; Feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry; Couldn''t wear shoes; It was horrible; It was all over my feet but mainly the soles of my feet, ankles, toes, extremely uncomfortable and deep itching/Having some itching in that spinal area and the place on my breast; Shingles on my feet; Second one hurt when it went in; It hurt immediately; Feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry; Couldn''t wear shoes; It was horrible; Feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry; Couldn''t wear shoes; It was horrible; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: not reported) via an unspecified route of administration on 26Jul2021 as (age at vaccination 78-year-old) dose 2, single for covid-19 immunization. The patient medical history included blood pressure measurement from an unknown date and unknown if ongoing Verbatim: Blood pressure , blood cholesterol from an unknown date and unknown if ongoing , Cholesterol, asthma , thyroid disorder from an unknown date and unknown if ongoing, hypersensitivity from an unknown date and unknown if ongoing Verbatim: Allergy, surgery from May2021 to May2021 , stent placement from 2003 to an unknown date verbatim: I had that in 2003 and that was from 75 percent blockage. Concomitant medication included hydrochlorothiazide, triamterene (TRIAMTERENE HCTZ) taken for blood pressure measurement, start and stop date were not reported; ezetimibe (EZETIMIBE) taken for an unspecified indication, start and stop date were not reported; vitamin e nos (VITAMIN E NOS) taken for an unspecified indication, start and stop date were not reported; colecalciferol (VITAMIN D3) taken for an unspecified indication, start and stop date were not reported; flaxseed oil [linum usitatissimum seed oil] (FLAXSEED OIL [LINUM USITATISSIMUM SEED OIL]) taken for an unspecified indication, start and stop date were not reported; fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]) taken for an unspecified indication, start and stop date were not reported; ascorbic acid, betacarotene, biotin, calcium lactate, choline bitartrate, chromium nicotinate, colecalciferol, cyanocobalamin, dexpanthenol, dl-selenomethionine, folic acid, inositol, magnesium lactate, manganese gluconate, nicotinamide, potassium citrate, potassium iodide, pyridoxine hydrochloride, retinol palmitate, riboflavin phosphate, thiamine hydrochloride, tocopheryl acetate, zinc gluconate (MULTI VITAMIN & MINERAL) taken for an unspecified indication, start and stop date were not reported; choline fenofibrate (TRILIPIX) taken for blood cholesterol, start and stop date were not reported; montelukast (MONTELUKAST) taken for dyspnoea, start and stop date were not reported; levothyroxine sodium (LEVOTHYROXINE SODIUM) taken for thyroid hormones decreased, start and stop date were not reported; pantoprazole (PANTOPRAZOLE) taken for gastric ulcer, start and stop date were not reported; metoprolol tartrate (METOPROLOL TARTRATE) taken for an unspecified indication, start and stop date were not reported; ramipril (ALTACE) taken for an unspecified indication, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for an unspecified indication, start and stop date were not reported; tizanidine hydrochloride (ZANAFLEX) taken for an unspecified indication, start and stop date were not reported. Historical vaccination included first dose of (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: not reported) via an unspecified route of administration in left arm on 26Jul2021 as dose 1, single for covid-19 immunization. On Jul2021 the patient experienced fever, chills, fatigue, numerous cold sores that appeared on my bottom lip that were extremely large and kept swelling; starting on my top lip and kind of going up like into my left nostril but it was worse on the bottom, broke out in a rash on my chest, extremely red, itchy, a real bad, red rash/ rash went to my arm and next, it went to the top of my legs, the calves of my legs, started some on the top of my feet, rash on my arms, legs and feet was a smaller rash, very itchy but not as red as had been on my chest, feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry; could not wear shoes, it was horrible, it was all over my feet but mainly the soles of my feet, ankles, toes, extremely uncomfortable and deep itching/having some itching in that spinal area and the place on my breast, shingles on my feet, second one hurt when it went in; it hurt immediately, feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry, could not wear shoes. it was horrible, feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry. Could not wear shoes, it was horrible. Had surgery prior 4 weeks vaccination  Additional Context: Consumer stated, I received the vaccine on 26Jul2021 and I had, within 1 day, within 24 hours, I was having fever, chills, fatigue that continued a couple of days and then I had numerous cold sores that appeared on my bottom lip that were extremely large and kept swelling and were starting on my top lip and kind of going up like into my left nostril but it was worse on the bottom. I called my primary care doctor and got medication to have treated that and it was a 5-day treatment to be taken twice a day. As that was getting better, I broke out in a rash on my chest, extremely red, itchy, a really bad, red rash. I went to urgent care with it and he thought it was contact dermatitis (not clarified further) because I had trimmed a little lemon tree and he thought possibly, I had a reaction from that but I had never before had that type of reaction. He gave me an ointment (treatment) and some antihistamines (treatment) that helped that itching on my chest. Then, the rash went to my arm and next, it went to the top of my legs, the calves of my legs, started some on the top of my feet but this rash on my arms, legs and feet was a smaller rash, very itchy but not as red as had been on my chest. So, I thought it was getting better and then it went to the sole of my feet and for 2 solid weeks, my feet were so swollen, red, hot, peeling, the skin peeling off the skin and skin was extremely dry. I could not wear shoes, I have got pictures of it, and it was horrible, it was all over my feet but mainly the soles of my feet, ankles, toes, extremely uncomfortable and deep itching. Consumer further stated, I kept getting little itchy spots that were breaking out in other areas of my body. Then on my feet, it finally started subsiding. I started putting ointment that was kind of like a Hydrocortisone (Treatment) on my feet and had to rinse off constantly because the skin was peeling off (further clarification unknown, hence not captured as event). As that got better, here it had, the rash had originated to my tarsal but then I started getting that on my right breast and on my back and in that time, I was recovering from spinal surgery (later clarified)) and so it was, in the area where it was kind of up and down that time. So, I do not know if that was a weak area or what, I am still, I am having some itching in that spinal area and the place on my breast. I went to my dermatologist for my annual skin check and there was very little rash left but when I showed him, when I told him that the urgent care doctor said that it was contact dermatitis and then I showed him the shingles on my feet, he said absolutely not. He said this was systemic, this went all over your body and I told him, he asked me, I told him I had the vaccine in like 10 days before I started breaking out and I have had the rash and fever, blisters and he said, it was systemic and he felt like it was caused from the vaccine because he had seen numerous people in his practice that were coming in with skin disorders (further clarification unknown). Rashes had 1 percent with the feet (voice breaking) and with shingles, he said that. Consumer further stated, I went to my neurologist, my neurosurgeon for check-up on my back this week and he also said that it was systemic, it was not contact dermatitis (further clarification unknown). He said, it was within your system throughout your body and when I went to clinic for my breast exam, she of course did not give the opinion but she said that I want your antibodies checked and I was asking her about taking the booster, if I should take the booster because of my age and she sent me to have lab work to check my antibodies and they found them as being very high, 2500 (further clarification unknown). So, she followed up with a note to me on my a patient portal that asked that she would tell that it would be very reasonable based on the fact that I had a reaction to the second dose of the vaccine and that my antibodies on titters was so high, she told me it would be reasonable to wait to have the booster vaccine. So that was kind of where I am right now. The patient underwent lab tests and procedures which included laboratory test: very high, 2500 on 06Oct2021 antibodies, on an unspecified date it was reported that the lab test for lipids: unknown, urine analysis: unknown. Treatment received for the events Holometabola Propionate cream, 0.05 percent and Claritin. The outcome of the events was reported as unknown.    No follow-up attempts possible. No further information expected.