Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Rash, Rash erythematous
Clinical narrative: inflammation; sometimes I get a reaction in my ears if it flares up and gets hot/first shot it was really hot like a boil; sometimes I get a reaction in my ears if it flares up and gets hot/first shot it was really hot like a boil; skin is dry from being inflamed; skin is dry from being inflamed; skin reaction red rash under both armpits; skin reaction red rash under both armpits; swelling in arm; soreness in arm; This is a spontaneous report received from a contactable nurse (patient). A 67-year-old female nurse reported for herself that she had received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number: EM9809), via an unspecified route of administration in left arm on 09feb2021 14:00 at single dose for prevent the covid virus. Medical history included female surgery. Concomitant medication included colecalciferol (D3) at 3000 iU, daily, macrogol 3350 (MIRALAX) at alternate day for female surgery. The patient's had a past drug included included Zyrtec for seasonal allergies like dust and stated that she took no Zyrtec at all for either shots. The patient stated that she takes macrogol regularly every other day for the last 5 years for a female surgery and her female surgeon says she needs it to stay out, but the ingredient is also in macrogol. The patient reported that she had both vaccinations and had the rosy arm pits red rash and sometimes she get a reaction in my ears if it flares up and gets hot. For 5 weeks she was taking children's Benadryl. The patient had a quicker reaction with the second dose and still had some lingering effects from the first dose when I got the second. On 09Feb2021 she had swelling in arm after shot and has been using a cool cloth on it and was better by the next day. The patient reported she still feels it though and it has been five weeks and she tries to turn arm and can still feel it but it is not bad. The patient stated a day later she had her first skin reaction which was a red rash under both armpits. The patient stated she waited because she wanted to see what reactions she would have with second dose. The reaction from first dose happened for three weeks. It was reported that she had been taking liquid Benadryl everyday sometimes during night and also cold wet compresses in armpits has helped with inflammation. The patient stated she called primary care doctor and talked to nurse to see if she should try some other medication before second shot and the nurse recommended, she should not get second shot that she should see an allergist. The patient stated she asked the nurse about the quality of first and second shot working together if she had waited and not got second shot and the nurse told her she would have to come back at least four days after the second shot was due or it would not work together. The patient stated she went ahead and got the vaccine and it has not been life threatening as of now. The patient stated she saw an allergist three days after second shot. The patient had rosy red inflamed armpits and when it would flare up her ears would get warm feeling, very hot, but not anywhere else and it was just mainly bilateral armpit and then sometimes ears would get hot. The patient then stated she would take Benadryl. The patient stated her primary care physician told her to try to take Allegra 24 hours but caller stated it did not work that it only worked for 12 hours and not the full 24 hours. The patient took the Allegra medication on Sunday morning and that it worked for her for about 12 hours and she knew she could not take any more Allegra but the Benadryl seemed to help. The patient reported her Allergist felt she made the right decision since her events are not life-threatening since it is not respiratory.  It was reported that the Allergist saw her armpits agreed the children Benadryl was working and that she should stick with that. The patient then stated but it is not going away been like this the whole time since 02Mar2021 and still having a reaction in her armpits. The patient stated after the second shot the flare up was quicker because first shot was already in system still. The patient stated it is not a flare up like when someone cannot eat seafood and stuff like that. The patient stated she wanted to wait for second dose before contacting Pfizer to see what would happen. The patient stated she is really blossoming under the armpits and they are rosy, red but no blisters and her skin is dry from being inflamed all this time. The patient squeezes a rag under her armpits and that it is better during the day than at night, it is worse at night. The patient was only taking 20 mL of Benadryl in the morning and then evening before bed. It was reported that with the first shot right at the beginning she had to take Benadryl in the middle of the night as well but got to where she was taking it 12 hours apart before second dose. It was reported that she hopes she is not having to walk around with compresses in the summer as it is easier when it is cold and that she hopes this fazes. It was reported that she was noticing since she had not taken a shower or hot bath this morning that she had rosy red cheeks like a rosy red U on her face. The patient did not experience any swelling or soreness with second shot. The patient stated she experienced ears would get warm feeling very hot only six times and it was usually at night or in the morning from the second shot. The patient stated every once in a it while flare up from the first. The patient stated the hurt was always in the center of armpit not in the armpit. Caller stated thank goodness she can still shave. The patient stated past couple of days her skin has been dry. The patient stated she has used hand cream but is afraid to put anything else on it because of reaction. and she will probably put cream on it so it does not crack, it is very dry and it has not been dry like this. The patient stated she has been putting water on at night which could have dried it out. The patient stated soreness in arm happened right after first shot. The patient stated she did not want to double up on Allegra as she was not sure what the reaction would be. The patient stated the medical ingredient was Fexofenadine HCL 180 mg antihistamine and stated she only took one pill as it did not work. The patient was taking Children Benadryl 20mL and would take at least every 6 six hours and was trying to hold off to now taking it 12 hours and will use cold compress if she has to. The patient stated she had the Pneumonia shot and never had swelling. The patient was not recovered from soreness in arm, skin reaction red rash under both armpits, skin is dry from being inflamed and recovering from inflammation, outcome was unknown for sometimes I get a reaction in my ears if it flares up and gets hot/first shot it was really hot like a boil and swelling in arm. The reporter assessed events are related to drug. The outcome of the event inflammation was recovering, ear discomfort, Feeling hot, swelling in arm was unknown and rest of the events was not recovered.