Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, SARS-CoV-2 antibody test, SARS-CoV-2 test, Skin irritation
Clinical narrative: a lot more pain in left arm; dizzy; rashes on his neck, chest  lower jaw, face and on the back of neck, head and ears and everywhere. He has black marked rashes; itching/ A rash like bubbles, small, leaking, and itching in night; skin irritation; This is a spontaneous report from a contactable other healthcare professional (patient). A 63-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL1284, Expiry date: not reported), via intramuscular route of administration in left arm on 08Jan2021 (at age of 63-years-old) as dose 2, single for covid-19 immunization. Medical history included ongoing perforated ulcer, he had a history of asthma (He was wheezing), severely sick in Mar2020, short term disability, influenza A in Mar2020. Concomitant medications included pantoprazole sodium sesquihydrate (PANTOPRAZOLE); famotidine (PEPCID), both taken for perforated ulcer, start and stop date were not reported. The patient previously received bnt162b2 (COMIRNATY, Formulation: Solution for injection, Lot number: EH9899, Expiration Date: Not reported), via an unspecified route of administration in left upper arm on 20Dec2020 as dose 1, single (at age of 63-years-old) for covid-19 immunisation and he had minor swelling and soreness in his arm following the 1st dose. The patient previously took Singulair, azithromycin, Tamiflu, prednisone, Levaquin, all drugs taken for asthma; Celebrex as needed for arthritis, but was not taking it 1 month prior to getting rash. History of all previous immunization with the bnt162b2 vaccine considered as suspect was none. Additional vaccines administered on same date of the bnt162b2 suspect was none. The HCP received his 2nd vaccine dose on 08Jan2021. Following the 2nd vaccine dose he experienced a lot more pain in left arm, he was dizzy for 3-4 days then started to develop rashes on his neck, chest lower jaw, face and on the back of neck, head and ears and everywhere. He has black marked rashes. A rash like bubbles, small, leaking, and itching in night. Onset of rash reported as in Jan2021, 3-4 days after 2nd dose on 8Jan2021. He used aloe-Vera and 1% steroid cream for the rash. The itching and the skin irritation has been very difficult to deal with in Jan2021. He spent 30 years as a Respiratory Therapist in Emergency Room care and a front line worker and had to take early retirement at 63 y/o. He also has a realtor license. He has been unable to work since Mar2020 at which time he tested positive for Influenza type A. He was too sick to work with patients, His Covid-19 test was negative in May2020 and his Covid antibodies were also negative in Aug2020. Since his 2nd Pfizer vaccine, 3 months ago, he has seen his doctor multiple times. His symptoms get a little better with taking 5 different medications, although this was not what he wants to do. He was asking if Pfizer knows of any other patients that have had these same symptoms and if so what medications or treatments helped with the symptoms?. He really wants to return to work, but cannot due to the extent of his side effects. It's been 3 months since I have these symptoms. It has become a financial and an emotional hardship for him. He was currently, and has for months now, been taking oral prednisone, Allegra, Advil, Flexeril and also corticosteroid cream, and various antibiotics. The HCP states, "I still get SOB when I wear a face mask." He saw his primary doctor for the rash and she prescribed him 1% steroid cream: Prednisone 20mg, before he was only taking this one time a day, but then she prescribed the Prednisone 20mg twice a day and allergy medicine and the rash was not going away. The rash outcome verified with caller as worsened-further described as rash was still itching, maintaining and not going away. He was taking too much Prednisone now and has so much concern about that because of his history of perforated ulcer and he was taking Pantoprazole and Pepcid. He was afraid to go to the hospital. He has worked at the hospital for 30 years. He sees his doctor there. He added he has a history of arthritis, which he takes Celebrex as needed, but was not taking it 1 month prior to getting rash. Caller added in Mar2020, he got severely sick while working in the ICU. He went to the Emergency Room and requested a Covid test, but they did not have them. He was tested and resulted with a positive Influenza A. He went a couple times more to the Emergency Department for the Influenza A. He suffered for 2 months on and off. He has a history of asthma. He was wheezing and received azithromycin, tamiflu, prednisone, Levaquin or something. They thought it was pneumonia but did not know that, so were being over cautious. In May2020 he had a Covid negative test. He had an antibody test in Aug2020 negative result. In Sep2020 his blood work was negative. When he came to Florida and got the Pfizer Covid-19 Vaccine shot, that was when he took early retirement. He had been on short term disability and not working when he was diagnosed with influenza A in Mar2020. He also did not contract Covid in that time-no exposure to known covid patients. Before Mar2020, his own patient, not himself, was not able to wean off the ventilator and was being tested for Covid with nose swabs, but never known to be positive for covid-so caller not exposed as far as he knows. He has an appointment with a pulmonologist in the next 3 weeks. The adverse events did not result in visit to emergency room or physician office. The outcome of the events Rash and Rash pruritic was not recovered while the outcome of rest of the events was recovering.   No follow-up attempts are possible. No further information is expected.