Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: Lichen Planus of the nails; nails, fingers and toes protrusion growing out of the flesh of her feet and fingers; Actual nail material coming right to her finger tissue and it was growing right through that; destructive lesions in her fingers; this also affected her hearing and inner ear so; it will cause like a sharp pain in her inner ear; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 68-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 24Sep2022 as dose 5 (booster), single (Batch/Lot number: unknown) at the age of 68 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure high" (ongoing). Concomitant medication(s) included: FLU [INFLUENZA VACCINE] taken for immunisation, on 24Sep2022 as dose number unknown, single; LISINOPRIL taken for hypertension; TOPROL. Vaccination history included: BNT162b2 (Dose 4 (Booster)), administration date: 02Apr2022, when the patient was 68-year-old, for COVID-19 Immunization, reaction(s): "it got worse"; BNT162b2 (Dose 3 (booster)), administration date: 22Oct2021, when the patient was 67-year-old, for COVID-19 Immunization, reaction(s): "Hallucinating", "Lichen Planus", "This disorder has also affected her hearing and her inner ear", "a sharp pain in her inner ear", "losing her hair", "Nose bleeding", "Staggering"; flu shot, administration date: 14Sep2021, when the patient was 67-year-old, for Immunization; Bnt162b2 (Dose 2), administration date: Apr2021, when the patient was 67 years old, for COVID-19 Immunization; Bnt162b2 (Dose 1), administration date: Apr2021, when the patient was 67 years old, for COVID-19 Immunization. The following information was reported: LICHEN PLANUS (non-serious), outcome "not recovered", described as "Lichen Planus of the nails"; NAIL BED DISORDER (non-serious), outcome "unknown", described as "nails, fingers and toes protrusion growing out of the flesh of her feet and fingers"; INGROWING NAIL (non-serious), outcome "unknown", described as "Actual nail material coming right to her finger tissue and it was growing right through that"; SKIN LESION (non-serious), outcome "unknown", described as "destructive lesions in her fingers"; HYPOACUSIS (non-serious), outcome "unknown", described as "this also affected her hearing and inner ear so"; EAR PAIN (non-serious), outcome "unknown", described as "it will cause like a sharp pain in her inner ear". The events "lichen planus of the nails", "nails, fingers and toes protrusion growing out of the flesh of her feet and fingers", "actual nail material coming right to her finger tissue and it was growing right through that" and "destructive lesions in her fingers" required physician office visit.  Additional information: About the one from 2022 because it got worse it was worse. The patient stated that she was losing her hair, nose bleeding, staggering, couldn't hear, hallucinating. Name a symptoms and she stated that she probably had it. She went to ear, nose and throat and they didn't see anything. She went to neurology, they don't know. Then she started one in her fingers and her nails. She went to the dentist because her mouth was completely infected, it was filled with lesions. The next one she got that was in last Apr2022 and then Oct2022 is when nails, fingers and toes protrusion growing out of the flesh of her feet and fingers. Actual nail material coming right to her finger tissue and it was growing right through that. They still are. She was looking right on, it's like a crunch and she has to clip them off. They are like claws and they catch everything. When she had the boosters she had the autoimmune disorder and the thing on her nails has got to the point where there is destructive lesions in her fingers. The patient stated that it's kind of been a long 2 years for her and it was not really plainly obvious that, she was having some issues that she feel that those were from the Covid vaccine (clarified as Pfizer Covid19 vaccine). She had two shots in Apr2021, the primary in the beginning and then 3 boosters. She had the first two, the primary vaccine was given by the board of health at a college in next town and then the 3 boosters were all at a pharmacy. It didn't really made sense to her until this past Dec2022. She had been in the dental office since Apr2022 because of an autoimmune disorder called Lichen Planus. So usually for the last 2 years, it had attacked her mouth tissue, the mucosa and this 'part' fall in September (no date reported). She had been to numerous doctors and one doctor that said that they did agree that it's possible that it could have been from the vaccines. She had been to a dozen of doctors and she don't really know for sure, if it could be the vaccine but it's pretty obvious that when she had the vaccines, and the boosters she had the autoimmune disorder and the thing on her nails has got to the point where there is destructive lesions in her fingers. She also stated that this also affected her hearing and inner ear so, sometimes she didn't get everything that's been said and it will cause like a sharp pain in her inner ear so if she stop talking and will interrupt.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.