Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Burning sensation, Contusion, Erythema, Skin discolouration, Skin exfoliation
Clinical narrative: had an allergic reaction to it; cellulitis of left upper extremity; Panniculitis; Persisting pain; Pain in arm; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer (patient). A 52-year-old female patient received the 2nd dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration in arm right, on 09Apr2021 (Lot# EW0162), at single dose, for COVID-19 immunisation. Medical history included rheumatoid arthritis, blood pressure. Concomitant medication included unknown blood pressure medicine. Previously the patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech) on 19Mar2021 at 09:15 (Lot# ER2613) for COVID-19 immunisation with no adverse effect. The patient had an allergic reaction to the 2nd dose of the vaccine. She stated that it burned her skin, her skin came off, skin was burning and i red. She was burning on left arm/extremities burning sensation of. It opened up and made a wound. It spread from her inner arm gone on the top of her breast, it was warm to the touch, it was burning in the inside of her. She had redness that turned into bruising. She could see a red circle and a red circle going down her arm getting bigger and redder. There were bruise marks like a map on her arm. The symptoms were spreading more on her body, and it was redder and warmer to touch. The bottom of her arm where the muscle would be at like the bicep or whatever part this is, was burning to move her arm and just burning. Her arm was on fire. Looking at her chest where her armpit is going to the top of her shoulder there was a red big spot. There were 5 big spots that came overnight going down her right breast. It was red, like a burgundy bruise. It was a burning hot sensation and was hurting inside, not outside. It was burning on the inside, and that was what was making burns come on outside of the skin. While she was in the hospital they diagnosed cellulitis of the left upper extremity. A neurologist  thought she had panniculitis on left arm. The doctors thought it was an infection. The events required emergency room visit and physician office visit such as personal care physician, a wound doctor, dermatologist, neurologist, allergist, epidemiologist and an infectious disease doctor. Therapeutic measures were taken as a result of the events and included treatment with Levaquin 750 mg oral, Vancomycin, steroids, sildersulsadiazine cream, Clobetasol Propionate cream, Silvadene, Polysporin (lot# 1480Z, Exp date 20Apr2022) or Bacitracin, ice, Curad things for her dressing. During hospitalization the patient underwent lab tests and procedures which included blood work,  X-ray, ultrasound all with unknown results. The patient was hospitalized from 13Apr2021 to 20Apr2021 for drug hypersensitivity, skin burning sensation, erythema, skin exfoliation, burning sensation, contusion, wound. Outcome of all events was unknown except for erythema , burning sensation and contusion which was not recovered.