Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dry throat, Dysphagia, Erythema, Livedo reticularis
Clinical narrative: Burning skin; I just looked at my skin and my arms were starting to turn red; discomfort in knees; marbled skin; hard time swallowing; throat was so dry; pain in arm; getting blotchy, raised bumps on knee, and her tongue was big; getting blotchy, raised bumps on knee, and her tongue was big; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 69-year-old female patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 12Jan2024 as dose 1, single (Lot number: HM7006) at the age of 69 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure" (unspecified if ongoing), notes: .; "Covid", start date: 2021 (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 3 (BOOSTER), SINGLE , NDC, lot, expiry: 33026BD), administration date: 18Nov2021, when the patient was 66-year-old, for COVID-19 immunization; BNT162b2 (DOSE 2, SINGLE , NDC, lot, expiry: ER8729), administration date: 15Apr2021, when the patient was 66-year-old, for COVID-19 immunization; BNT162b2 (DOSE 1, SINGLE , NDC, lot, expiry: EN6204), administration date: 18Mar2021, when the patient was 66-year-old, for COVID-19 immunization. The following information was reported: DYSPHAGIA (non-serious) with onset 12Jan2024, outcome "not recovered", described as "hard time swallowing"; SKIN BURNING SENSATION (non-serious) with onset 15Jan2024, outcome "not recovered", described as "Burning skin"; ERYTHEMA (non-serious) with onset 15Jan2024, outcome "unknown", described as "I just looked at my skin and my arms were starting to turn red"; ARTHRALGIA (non-serious) with onset 15Jan2024, outcome "unknown", described as "discomfort in knees"; RASH MACULO-PAPULAR (medically significant), SWOLLEN TONGUE (medically significant) all with onset Jan2024, outcome "unknown" and all described as "getting blotchy, raised bumps on knee, and her tongue was big"; LIVEDO RETICULARIS (non-serious) with onset 15Jan2024, outcome "unknown", described as "marbled skin"; PAIN IN EXTREMITY (non-serious) with onset Jan2024, outcome "unknown", described as "pain in arm"; DRY THROAT (non-serious) with onset Jan2024, outcome "unknown", described as "throat was so dry". The events "burning skin", "i just looked at my skin and my arms were starting to turn red", "discomfort in knees" and "marbled skin" required physician office visit and emergency room visit. Therapeutic measures were taken as a result of rash maculo-papular, swollen tongue, dysphagia, dry throat, arthralgia, livedo reticularis.  Clinical course: Caller wanted to report her experience after her most recent Pfizer Covid shot. She got the Comirnaty 12+ Covid vaccine this past Friday, 12Jan2024.  She has had all the previous vaccines and has had Covid before. Twenty minutes later was having a hard time swallowing, no problem breathing. Her throat was so dry she couldn't swallow. She took one 25mg of benadryl from the pharmacist, didn't seem to go away.  She states she very sensitive and she does seem to get reactive.  Last time she had the shot she had a little skin thing but nothing too much.  Nothing happened Saturday or Sunday. She had some pain in arm but thought it was from overextension. Then Monday started she to get reaction that went to urgent care. She was getting blotchy, raised bumps on knee, and her tongue was big. She went to the urgent care and got steroid shot.  She said she is sensitive to medicine so she got a pediatric dose. She had taken some benadryl, some on the way over. Then everything come down, and she picked up some benadryl to have on hand, and take for 4 days. Yesterday she felt better so she kind of forgot about it. Yesterday evening she had burning inside her hands and it burns inside and everything. She took some more benadryl and they also given her 7 pills of cetirizine 10mg, took a long to start working.  The cetirizine took a long time to start working. She had burning in head back of neck head and throat still very tight. She set her alarm clock 4 hours later took another 50mg of benadryl went back to sleep.  Then the burning was there again, and she took another 50mg of benadryl, about an hour ago.  The burning is on the sides and insides.  Its like she isn't able to suppress it like before. Additionally, patient hasn't seen HCP in a year and a half, doesn't go to doctor Hard time swallowing started in 20 minutes of getting vaccine, throat felt funny, so ingested first. Still feels funny, at first stated worsened because experiencing other symptoms now. Then clarified and confirmed hard time swallowing has been consistent, persisting, hasn't really gone away. On 15Jan2024, she had burning and also had marbled skin and discomfort in knees which started 15Jan2024. Caller stated because caller was dumb, because caller has had Covid. Caller is a massage therapist so is in a room with 1 person at a time. Caller started hearing about different people getting Covid, so caller thought, just do it because doesn't want to give it to anyone. Clarified and confirmed caller had Covid 1.5 or 2 years ago, prior to receiving the Pfizer Comirnaty 12 and older vaccine. But had Covid boosters and Covid shots, clarified had a total of 3 doses of the Pfizer COVID vaccine. Caller got Covid in the summer of 2021 caller thinks.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400017415 same patient, different vaccine dose/event;