Age: 42.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash
Clinical narrative: rash developed on my neck it was widespread/rash got worse; itching; dizziness worse; sweating profusely; having crazy fever dreams; fell while walking through the house due to the dizziness; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 42-years-old female patient (patient was not pregnant at the time of vaccination) received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ew0179, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 08Jun2021 at 17:30 pm (age at vaccination was 42 years) as 1st dose, single for COVID-19 immunization. Medical history included rheumatoid arthritis, COPD and asthma. Concomitant medications were not reported. The patient received other medications within 2 weeks of vaccination. The patient previously took Doxycycline and experienced allergy. The facility where the most recent COVID-19 vaccine was administered was Pharmacy or Drug Store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient got the Pfizer vaccine for COVID on last Tuesday 08Jun2021. Last Wednesday the rash started. On 09Jun2021 at 08:00 am, a rash developed on patient's neck. On 10Jun2021, it was widespread, so she went to urgent care. Thursday it was so bad she went to urgent care got a steroid shot and bumped her daily steroids up to 20 mg and steroid cream three times a day. She got a steroid shot, 20mg of oral steroids for the next week and a steroid cream for the itching. The rash got worse over the weekend. On Monday, the dizziness started. She fell. Sunday night/Monday morning the dizziness woke her up many times and she was sweating profusely and having crazy fever dreams. Monday morning she fell while walking through the house due to the dizziness. She called her husband home from work to help her. They went to see her PCP, at 2 that day, the 14th. He added hydroxyzine 25 mg every 6 hours to help knock this thing out. Her husband came home and took her to PCP and he added hydroxyzine 25 mg four times a day. It didn't get better to the dermatologist -on Wednesday. Doubled steroids added more antihistamines. No improvement. She needed help. Tuesday it was worse, they called the PCP again he said go to a dermatologist. On Wednesday the 16th she went. He doubled the steroids to 20mg twice a day. Advised that she go to intern6-18 Friday the 18th she went, internal medicine. She got IV shot solumedrol. Referred to ER. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The patient received treatment with rx meds, 2 shots so far. The device date was reported as 18Jun2021. The outcome of the events was not resolved.  No follow-up attempts are needed. No further information is expected.   Follow-up (18Jun2021): New information received via a contactable consumer (patient) included: Updated the clinical course.