Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Rash macular
Clinical narrative: Then she got the booster shot and the rash spread again; This is a spontaneous report received from contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient.  A 75-year-old female patient received bnt162b2 (BNT162B2), administration date 29Nov2021 (Lot number: FD0809) at the age of 75 years as dose 3 (booster), single for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose1, LOT: EN6198), administration date: 24Feb2021, when the patient was 74 years old, for COVID-19 immunization, reaction(s): "she had kind of like a rash where every pore at the bottom part of her leg was red", "She says then she noticed she had two spots, one on her upper right leg thigh and that was red spots also the size of maybe a half dollar and she also had one spot on her stomach that was about the same size."; Bnt162b2 (Dose2, LOT: ER8730), administration date: 24Mar2021, when the patient was 74 years old, for COVID-19 immunization, reaction(s): "She says she had red spots on her back and then red blotchy stuff.", "rash started to spread and went to all of her leg upper, with some on her back that spread really bad", "Granuloma annulare", "she is still taking it simply because everything gets so dry, that this keeps it so it is moist.". The following information was reported: RASH MACULAR (non-serious) with onset 2021, outcome "not recovered", described as "Then she got the booster shot and the rash spread again". The event "then she got the booster shot and the rash spread again" was evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of rash macular.  She got her first COVID-19 shot 24Feb2021 then approximately a week and a half later, though she thinks sooner than when she noticed it, she had kind of like a rash where every pore at the bottom part of her leg was red. She said then she noticed she had two spots, one on her upper right leg thigh and that was red spots also the size of maybe a half dollar and she also had one spot on her stomach that was about the same size. She says her second Pfizer COVID-19 vaccine dose was 24Mar2021, and then the rash started to spread and went to all of her leg upper, with some on her back that spread really bad. She says she had red spots on her back and then red blotchy stuff. She says it was at that time she went to the dermatologist who gave her some ointment to take. She was given the ointment in Jul first by her primary care doctor who gave her a couple of small tubes to put on the two little spots, and this didn't really do anything. She says her dermatologist gave her the same thing as a bigger container, which by that time she had the rash all over her body. Patient said the ointment, she was given for treatment was Triamcindlon (documented as provided), NDC/LOT/EXP: unknown. she was still taking it simply because everything gets so dry, that this keeps it so it was moist. She says she doesn't put it on as she was supposed to as two times a day, though she did in the beginning. She says after Nov they just decided she really didn't need to put it on twice a day, just once or whenever it was needed to keep it moist. She says it didn't show any sign of doing anything. She stated that other treatment she was taking a pill, which then the rash started to kind of go away, but then she got the booster shot and the rash spread again. She says the pills she was taking was Hydroxychloroquine 200mg tablets, she takes one twice a day by mouth and that has seemed to help. On 14Jul2021 was when she took that the first day, when she had also seen the dermatologist. The rash started in Mar2021, but it didn't really do anything really at the time, she hadn't seen anybody and didn't think anything of where it came from. She says what they have diagnosed her with is somewhat related to a medicine change, but she hasn't changed anything. She says that her primary care doctor took some biopsies, and also her doctor sent her what explained it could be Granuloma annulare. She said she sees her doctor in Apr, so that was given to her in Apr, and they took one biopsy of her arm, which at that time it was on her arm too. She clarifies that it was sometime in Apr that she got this paper that says what they think it was. She says the only other thing was when she got the booster shot after the rash had started to go away, with her spots fading and stuff a little bit. She says she got the booster dose and it spread again to areas it hadn't been prior. She says it was on her arms before this and also kinda on her back but was more or less back and back of her arms. She says thank goodness it didn't itch, the dermatologist, took pictures and told her when she was there last month that she has everything documented.   No follow-up attempts are possible. No further information is expected.