Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoimmune disorder, Condition aggravated, Urticaria
Clinical narrative: Breaking out in my auto-immune; red welts; This is a spontaneous report from a contactable consumer (patient). A 92-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN6201, 30Jun2021), via an unspecified route of administration in the right arm on 21Feb2021 at 12:30 (at the age of 92-years-old) as dose 2, single for COVID-19 immunization. Medical history included ongoing neuropathy in hands, she has had neuropathy for 3 years at least and ongoing autoimmune condition, she was diagnosed with the autoimmune condition at least 5 years ago. Concomitant medication(s) included gabapentin taken for pain from an unspecified start date and ongoing, she has been taking gabapentin for at least 5 years, quinapril taken for high blood pressure from an unspecified start date and ongoing, she has been taking quinapril for at least 5 years, apixaban (ELIQUIS) taken because she was getting blood clots in lungs, from an unspecified start date and ongoing; vitamin d3 taken for keeping the bones in order, she has been taking Vitamin D3 for at least 5 years, from an unspecified start date and ongoing, prednisone taken for autoimmune condition, she has been taking prednisone 1 mg daily for about 5 years. Patient reported that her dose was increased to prednisone 5 mg daily in Mar2021. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9261, Expiry date: 31May2021), via an unspecified route of administration in the right arm on 24Jan2021 as dose 1, single for COVID-19 immunization. Patient reported that she has the auto immune system and that since Feb2021 when she had her Covid-19 vaccine, she has been broken out, patient reported that she wanted to know if there was a possible relation between getting the Covid-19 vaccine and breaking out in her auto-immune. Patient reported that she began breaking out in her auto-immune about a week after receiving the second dose of the Covid-19 vaccine on 21Feb2021. Patient reported that as she was reporting on 19Apr2021, red welts had come out, red welts had come out on different parts of her body since Feb2021. She has had the welts on her neck and on her face, on 19Apr2021, she was breaking out in welts on her arms. Patient also reported that she has had welts behind her legs and that the welts break out anywhere, reported that the welts are just ongoing. Caller reported that the welts are breaking out the same as when they first started. Patient reported that was the second time that she really had a break out of her auto-immune condition, reported that she had a visit with her primary care physician on 13Apr2021 for a regular checkup and that she has had 3 visits with her dermatologist, one in the office and 2 that have been virtual, with another virtual appointment on Wednesday, 21Apr2021. Patient stated that her dermatologist had been prescribing her 1 mg of prednisone daily for at least 5 years, on her last visit, her dermatologist increased her prednisone to 5 mg, the dosage increase of the prednisone was supposed to be temporary, but the dosage increase had not helped or changed anything since the breakout of her auto-immune condition. Patient reported that her auto-immune breakout was still the same and that she was not sure what the dermatologist was going to order. Patient reported that the pharmacy label on the bottle of prednisone BH2371487, but was not able to provide any further product details or identification of the number provided. Patient also reported that she has not had a breakout of her auto-immune condition in quite some time. The event resulted in physician office visit. The clinical outcome for the events was not recovered.  No follow-up attempts are possible. No further information is expected.