Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Erythema, Pruritus, Rash, Rash macular
Clinical narrative: Rash; She states that now the caller is having streaks, lines, and stripes that are red and warm; She states that now the caller is having streaks, lines, and stripes that are red and warm; it was 5-6 pimples in a row; blotch on her face; hands and soles of feet were itching/ streaks that itch and come and go; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP and Physician) from medical information team. The reporter is the patient.  A 74 year-old female patient received bnt162b2 (BNT162B2), administration date 08Apr2021 (Lot number: ER8729, Expiration Date: Jul2021) at the age of 74 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "shingles" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Batch/lot number: ER2613 , Dosage text: first dose injected in her left arm, Date of start of drug:18Mar2021, Expiry Date:Jul2021), administration date: 18Mar2021, when the patient was 74 years old, for covid-19 immunization. The following information was reported: PRURITUS (non-serious) with onset Jul2021, outcome "unknown", described as "hands and soles of feet were itching/ streaks that itch and come and go"; RASH (non-serious), outcome "unknown", described as "Rash"; SKIN WARM (non-serious), ERYTHEMA (non-serious), outcome "unknown" and all described as "She states that now the caller is having streaks, lines, and stripes that are red and warm"; ACNE (non-serious), outcome "unknown", described as "it was 5-6 pimples in a row"; RASH MACULAR (non-serious), outcome "unknown", described as "blotch on her face". Therapeutic measures were taken as a result of pruritus, rash, skin warm, erythema. Additional Information:The patient states that she received both doses of the COVID-19 vaccine and since then she had been having breakouts that started on her hands and with the soles of her feet itching. patient states that now she is having streaks, lines, and stripes that are red and warm, and they come and go. Patient states that she has taken pictures of her break out and would like to send them to Pfizer. Patient states that she has had various types of break outs and they have been on-going since April. She states that she is going to a Dermatologist for the break outs and that her regular doctor feels that her immune system is overloaded with whatever it is fighting. She states that she does take Zyrtec and it makes the rash go away but it does make her drowsy. She states that the break outs have been happening since 8Apr2021. She states that the rashes she saw online are not like the rashes she has been experiencing. She states that she read online that the rashes should go away after 1-2 days but hers have been going on for months. Patient stated that it started after her last shot on April 8th, three weeks after that. Patient hands and the soles of her feet were itching then she had various breakouts throughout her body that were not hives. She says that she has streaks that itch and come and go, they appear then 10 minutes later they are gone. She says that they are warm. She says she has been to her doctors, two internists, and now she is going to a skin doctor but because the rashes don't last she has been taking picturesPatient said her doctors have run blood tests, and her doctor feels it is her immune system overreacting and causing weird breakouts that are lines, stripes, and streaks. She says that the first breakout happened after her hands and soles of her feet were itching, those looked like little pimples after that, weird red breakouts. She says she had allergies growing up, and this felt like the beginning of a hive reaction. She says the itching of her feet and hands went away, then 3 days later her left arm had a short line of like pimples, like the beginning of shingles, which went away, and then the weird breakouts of lines, streaks, and circles began that itch and it lasted three hours. She says that she went to one doctor and while she was talking to her she saw it then it disappeared while they were still talking, they come and go. She says that she looked through 68 different slides of rashes/breakouts and it didn't look like any of those. She says she thought it would stop eventually and go away but evidentially it hasn't stopped at all, and has taken different shapes now.  She says the first time, the reaction was on her left arm, the row, which her doctor saw was following her blood vein, it was 5-6 pimples in a row. She says she never had that since on her left arm, ever since then it has been red marks, streaks, lines, and crisscrossing. She says every now and then it looks like a hive shape. She says she had one blotch on her face one time, and once her left ear was red and real warm.Patient stated that her doctor said to take antihistamines, which in the past for her allergies was usually Benadryl. She says she took Zyrtec: UPC: Not provided, LOT: Expiry number: Apr2023, it knocks her out, she can't stand it. She says she has also put calamine on it, Caladryl spray, and the calamine does help. She says it is typically at night when she is quiet laying there to feel a burning almost. She says Claritin isn't as bad, but Zyrtec she takes within a half an hour, and everything is gone, it stops. She says she has days when she gets nothing, or a little bit, or nothing at all. She says these are rare, when she doesn't have breakouts. She says she had a bad breakout to her left arm, and now that is all clear, and hives don't clear up like that. She says she has also had shingles in the past and they don't clear up like this. She says that these disappear totally, she can look at them fading and going away. She says she can feel them because they are hot, which she never had with hives, it is not something outside, this is coming from inside her, she can feel it getting warm and breaking out, then 10-30 minutes later it is gone. No further details provided about Caladryl, Claritin, or Benadryl. Patient says she never had these breakouts until she had the COVID shot, this is not a typical reaction. The Physician reported in response to the HCP letter sent that include: Did the patient provide information to you regarding the reported adverse event(s) with the use of the product was Yes. If yes above, do you consider the Pfizer product had a causal effect to the adverse event was no; she was diagnosed with unrelated (illegible) though no need.  No follow-up attempts are possible. No further information is expected.