Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation, Skin haemorrhage
Clinical narrative: his skin is falling off like dandruff (white powdery); allergic reaction dermatitis; fungi something matic dermatitis; itching; scratching so bad it is causing him to bleed so bad; scratching so bad it is causing him to bleed so bad; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 67-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose number unknown (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "HIV" (unspecified if ongoing), notes: My husband has HIV and has a compromised immune system; "compromised immune system" (unspecified if ongoing), notes: My husband has HIV and has a compromised immune system. Concomitant medication(s) included: CYCLOSPORINE taken for immune system disorder. Vaccination history included: Bnt162b2 (Primary Immunization series completed), administration date: 2020, for COVID-19 immunization; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER), SINGLE), for COVID-19 immunization. The following information was reported: SKIN EXFOLIATION (hospitalization), outcome "unknown", described as "his skin is falling off like dandruff (white powdery)"; DERMATITIS ALLERGIC (hospitalization), outcome "unknown", described as "allergic reaction dermatitis"; FUNGAL SKIN INFECTION (hospitalization), outcome "unknown", described as "fungi something matic dermatitis"; PRURITUS (hospitalization), outcome "not recovered", described as "itching"; SCRATCH (hospitalization), SKIN HAEMORRHAGE (hospitalization), outcome "not recovered" and all described as "scratching so bad it is causing him to bleed so bad". The patient was hospitalized for skin exfoliation, dermatitis allergic, fungal skin infection, pruritus, scratch, skin haemorrhage (start date: Nov2023). The patient underwent the following laboratory tests and procedures: Biopsy skin: allergic reaction dermatitis to a medication, notes: 2 skin biopsies done and one came back as allergic reaction dermatitis to a medication; Second one came back as fungi something matic dermatitis; fungi something matic dermatitis, notes: 2 skin biopsies done and one came back as allergic reaction dermatitis to a medication; Second one came back as fungi something matic dermatitis. Therapeutic measures were taken as a result of skin exfoliation, dermatitis allergic, fungal skin infection, pruritus, scratch, skin haemorrhage. Clinical course: The patient has HIV and has a compromised immune system and got the Pfizer vaccine for Covid back when it first came out in 2020.  He got the first and second booster of the Pfizer Covid 19 vaccine. Approximately 3-4 months after the vaccine, he developed skin problems and been hospitalized and can't figure what is going on with his immune system.  It has changed his immune system to where his skin is falling off like dandruff (white powdery); it is constantly reproducing faster than normal, skin constantly drops all over and it keeps reproducing. Normal skin would reproduce every 7 days but he is every daily. The itching started on his feet, then skin started cracking, then to his hands then all over his body where skin is falling off like dandruff. They have been to a few different dermatologists and had 2 skin biopsies done and one came back as allergic reaction dermatitis to a medication; Second one came back as fungi something matic dermatitis. The doctors do not think it is related to the maintenance medications, as he has been on those for years. The only thing that he did differently was he got those shots and putting his immune system into overdrive where he is constantly itching and skin falling off. He has been in the hospital in Nov2023, Dec2023 and Jan2024 of this year. He was put on cyclosporine to calm his immune system, and it worked for a few weeks and then it stopped working.  He is back to constantly itching, can't get any relief and scratching so bad it is causing him to bleed so bad.  His quality of life is terrible.   The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 will be requested and submitted if and when received.