Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Rash pruritic, Terminal insomnia, Urticaria
Clinical narrative: generalized rash all over his body; had blotches and raised areas all over his body; woke him up early in the morning; big red raised welts; general malaise/he didn't feel so good; was feeling awful; He still has little pimples/bumps; Feet and palms itch; still has little bumps all over that they itch; This is a spontaneous report from a contactable consumer (patient's mother).   A 46-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported), via an unspecified route of administration on 14Jul2021 afternoon at the age of 46-year-old as dose 1, single for covid-19 immunisation from pharmacy. Medical history included patient was allergic to metals but not gold; silver metals will leave a blister where they rub the skin, if he wears a silver chain, he gets a rash around his neck, or if his pant button rubs on his belly, it will get blistered so he can't wear a belt. Patient drinks a lot of beer and smokes pot. Patient has a history of doing Meth and Cocaine 15 years ago but he got in to treatment.  He broke his wrist and he is still in the healing process. Patient was on medication to reset the broken wrist, 6 months ago, and he was taking Ibuprofen for pain and a few doses of Oxycodone. Patient had no history of all previous immunization with the Pfizer vaccine and had no additional vaccines administered on same date of the BNT162B2.  On 14Jul2021 right after he got the vaccine, he was complaining that he didn't feel so good, had general malaise and was feeling awful which all lasted for 4 days. On 16Jul2021 (a day and a half later), patient woke him up early in the morning and he was covered in the rash. He developed a generalized rash all over his body that was blotchy and had raised areas and big red raised welts. The reporter states she went in the afternoon to see him and he still had the rash and the worst of it lasted 24 hours. Patient took a cool shower, which helps in response to the events. The rash has since resolved however after 2 weeks, the patient still has little bumps all over that they itch. The patient mother tried to get him to go to urgent care, but he didn't want to go. The reporter stated that it was not an anaphylactic reaction, but rather an intermittent, not mild reaction. It was reported the welts are gone now (Jul2021), but he still has little pimples/bumps over his body and the bottom of his feet and the palms of his hands were itching after the rash went away. Patient did take warm bath and, no other treatment was revised for the patient in response to the events. The events did not result in emergency room or physician office visits. Patient wanted to know if he should receive the second dose of the vaccination series. Patient mother took pictures of the rash, but by the time she took it, it was already in the process of going away.The outcome of the events 'feet and palms itch', "still has little bumps all over that they itch", "still has little pimples/bumps" was not recovering, terminal insomnia was unknown, while the outcome of generalized rash all over his body, had blotches and raised areas all over his body, big red raised welts was recovered in Jul2021, and general malaise and feeling awful were recovered on 18Jul2021.  The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.