Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash; Itching; This is a spontaneous report from a contactable consumer (patient). A 64-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration administered in the left arm (reported as left shoulder) on 28Mar2021 (at the age of 64 years old) (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient did not have prior vaccination (within 4 weeks). Medical history included ongoing HIV infection and ongoing chronic obstructive pulmonary disease (COPD). Concomitant medications included bictegravir sodium, emtricitabine, tenofovir alafenamide fumarate (BIKTARVY) taken for an unspecified indication from an unspecified start date and ongoing.  On 29Mar2021, the patient experienced rash and itching. Events were treated with alcohol and peroxide. Additional Context was reported as follows: The patient clarifies he is calling regarding the Pfizer COVID-19 vaccine. He explains when he received a vaccination shot back in the day, it would leave a round circle around the arm. With the COVID-19 vaccine, there is not like a needle hole where the vaccine went in. He can see fingernail print on the top of his arm from where they grabbed and squeezed him, but where the needle hole is supposed to be, he doesn't even see that. He is just concerned because normally when you get a needle injected into the arm, there is usually a speck of blood on the Band-Aid that they put on the injection site, but he had no blood on it. The patient was wondering if the person stuck the needle in him because he didn't feel the vaccine go in or nothing. He clarifies further again he only sees the finger and thumb print of the vaccine administrator- the person could have put the vaccine in him, but he just doesn't see it. The patient states that he was concerned because he received the COVID-19 vaccine on Sunday, then had a round rash on his arm. Is this something that happens? The rash is like a funny looking thing- it looks like a ringworm or something. The patient clarifies he first noticed the rash the following morning, 29Mar2021. The rash itched, but he didn't scratch it, he put alcohol and peroxide on it. The patient explains the rash is still there. When probed for the outcome, the patient states the rash is basically the same, but it is not itching now. The itching was first noticed the afternoon of 29Mar2021.He clarifies when the vaccine administrator squeezed his arm to give the needle, it made a fingernail/ thumbprint from the nail on top of his arm. There is like a little scar as if he had been scratched, where the thumbnail went into the skin. This was noticed the afternoon of 29Mar2021. He clarifies the area now looks like a scratch, like when "you're scratching something, and skin grows over it". He explains this area still itches on his arm. The patient states normally when he gets a needle, he sees a little dot there where the needle goes in. However, it was so fast- he asked the vaccine administrator if she was all done and she said, "all done". He noticed there really was no "needle hole" the following day, 29Mar2021 after he took the Band-Aid off. The band-aid was dry and there was no blood there or nothing. So, that is when he wondered did the person really stick the needle in him or what. Normally when a needle is injected, there is a little speck of blood on the Band-Aid. The Band-Aid that was placed on his arm after COVID-19 vaccine was just dry and was just over his skin. All he sees is a nail print and the round circle of a rash, not a needle hole. He mentions he has had a lot of needles- like a flu shot, pneumonia shot, TB/Tuberculosis shot, and he would usually see a needle hole after those shots. The patient stated maybe this is a side effect of the vaccine, he doesn't know. The outcome of the event rash was not recovered, and outcome of the event pruritus was recovered on 31Mar2021.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.