Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Optic nerve disorder, Pain, Pain of skin, Pruritus
Clinical narrative: Herpes zoster (shingles) with involvement of my optic nerves; Herpes zoster (shingles) with involvement of my optic nerves; Burning and pain on brow, scalp and around orbit of my eye; Burning and pain on brow, scalp and around orbit of my eye; Burning and pain on brow, scalp and around orbit of my eye; Burning and pain on brow, scalp and around orbit of my eye; Burning and pain on brow, scalp and around orbit of my eye; Burning and pain on brow, scalp and around orbit of my eye; 2-3 days after injection noticed a small red itchy spot over my right brown; 2-3 days after injection noticed a small red itchy spot over my right brown; 2-3 days after injection noticed a small red itchy spot over my right brown; I attributed to a bug bite/rash with itching; Booster; This is a spontaneous report received from contactable reporter(s) (Pharmacist). The reporter is the patient.  A 31 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 09Nov2021 08:45 (Lot number: FC3184) at the age of 31 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Asthma" (unspecified if ongoing); "Chickenpox" (unspecified if ongoing), notes: Had chickenpox at age 4; "Environmental allergies (dust mites, tree pollen, grasses)" (unspecified if ongoing); "Environmental allergies (dust mites, tree pollen, grasses)" (unspecified if ongoing); "Environmental allergies (dust mites, tree pollen, grasses)" (unspecified if ongoing); "Environmental allergies (dust mites, tree pollen, grasses)" (unspecified if ongoing); "Environmental allergies (dust mites, tree pollen, grasses)" (unspecified if ongoing); "Environmental allergies (dust mites, tree pollen, grasses)" (unspecified if ongoing). The patient took concomitant medications. Past drug history included: Bactrim, reaction(s): "hives/urticaria", notes: Known allergies: bactrim (hives/urticaria). Vaccination history included: Bnt162b2 (Pfizer-Biontech Covid 19 Vaccine, Lot number: EK5730, Administration time: 01:00 PM, Vaccine location: Right arm, Dose 1), administration date: 24Dec2020, when the patient was 30 years old, for COVID-19 Immunization; Bnt162b2 (Pfizer-Biontech Covid 19 Vaccine, Lot number: EL3246, Administration time: 03:30 PM, Vaccine location: Left arm, Dose 2), administration date: 14Jan2021, when the patient was 30 years old, for COVID-19 Immunisation. The following information was reported: IMMUNISATION (non-serious) with onset 09Nov2021 08:45, outcome "unknown", described as "Booster"; ERYTHEMA (non-serious), PRURITUS (non-serious), RASH MACULAR (non-serious) all with onset 11Nov2021, outcome "recovering" and all described as "2-3 days after injection noticed a small red itchy spot over my right brown"; RASH PRURITIC (non-serious) with onset 11Nov2021, outcome "recovering", described as "I attributed to a bug bite/rash with itching"; BURNING SENSATION (non-serious), PAIN (non-serious), PAIN OF SKIN (non-serious), EYE PAIN (non-serious), SKIN BURNING SENSATION (non-serious), EYE IRRITATION (non-serious) all with onset 15Nov2021, outcome "recovering" and all described as "Burning and pain on brow, scalp and around orbit of my eye"; HERPES ZOSTER (non-serious), OPTIC NERVE DISORDER (non-serious) all with onset 17Nov2021, outcome "recovering" and all described as "Herpes zoster (shingles) with involvement of my optic nerves". The events "2-3 days after injection noticed a small red itchy spot over my right brown", "2-3 days after injection noticed a small red itchy spot over my right brown", "2-3 days after injection noticed a small red itchy spot over my right brown", "i attributed to a bug bite/rash with itching", "burning and pain on brow, scalp and around orbit of my eye", "burning and pain on brow, scalp and around orbit of my eye", "burning and pain on brow, scalp and around orbit of my eye", "burning and pain on brow, scalp and around orbit of my eye", "burning and pain on brow, scalp and around orbit of my eye", "burning and pain on brow, scalp and around orbit of my eye", "herpes zoster (shingles) with involvement of my optic nerves" and "herpes zoster (shingles) with involvement of my optic nerves" were evaluated at the physician office visit and emergency room visit. Therapeutic measures were taken as a result of erythema, pruritus, rash macular, rash pruritic, burning sensation, pain, pain of skin, eye pain, skin burning sensation, eye irritation, herpes zoster, optic nerve disorder. Patient received treatment for the adverse events with antiviral valacyclovir 1 gram po TID x 7 days. Clinical course: Facility where the most recent COVID-19 vaccine was administered was workplace clinic. The patient received other medications within 2 weeks of vaccination (unspecified details). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. 2-3 days after injection noticed a small red itchy spot over patient's right brown. Patient was attributed to a bug bite/rash with itching. 6 days after injection started having severe burning and pain on brow, scalp, and around orbit of my eye. 8 days after vaccination was diagnosed with herpes zoster (shingles) with involvement of optic nerves. Was prescribed valacyclovir 1 gram TID and had to get ophthalmology follow up. The reported AEs resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The events were reported as not serious and seriousness criteria included none.  Follow-up attempts are completed. No further information is expected.