Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: had suspected an auto immune disorder; From her head to her foot and all of her whole body, she has all types of rashes; Itching; Couldn't sleep; hives; dermatitis; She had been crying and it was so itchy.; thought it was shingles; This is a spontaneous report from a contactable consumer (patient). A 45-year-old female patient received bnt162b2 (Pfizer-Biontech Covid-19 vaccine), dose 2 via an unspecified route of administration, administered in Arm Left on 09Jan2021 09:00 (Batch/Lot Number: EL3246) as dose 2, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received dose 1 of bnt162b2 (lot number: EJ1685) at the age of 45 years old on 22Dec2020 for Covid-19 immunization. The patient reported that she was doing good until she got the shot. It was mandatory, because of work. She is healthy and did not want to take the shot. She did not have any good reason not too. She heard good things about Pfizer. She has been reading articles and everything is coming down to the shot. From her head to her foot and all of her whole body, she has all types of rashes, and scabies looking. Started some time in Mar2021, all of a sudden. It erupted in patches. It gradually became more and more and stacking in different parts of the body. It started in her tummy and she thought it was shingles at first. She has pictures she can send if they are eventually needed and she can pull the medical record. It was said that if you were to search rash, what is seen on her whole body is a combination of all rashes. She has scabies looking like skin, shingles looking like skin, cherry, pink, red and bites or whatever, dermatitis looking like skin, and all kinds of rashes. The eyebrow is really scabbing over and really itches. It is really messed up. The last attack on the forearm. It has all come and attacked her whole body and the only thing it has not attacked is her face. She would be depressed. Right now, she is so conscious, everybody is looking at her, thinking like what happened, what is going on. Some people were asking if she had scabies. She thought it was scabies but it was ruled out. It is really decreasing her confidence and she is not stopping until she gets an answer. The first dermatologist she saw gave up and said that it was bed bugs. She bought a new mattress; it was not bed bugs. They thought it was hives and had suspected an auto immune disorder. She did not know if the shot was causing an auto immune response, she had never had that before. She was referred to the specialist. She is under the treatment of a dermatologist. When it was severely bad at one point, she took Prednisone which helps but, she cannot be on Prednisone a long time. She told the doctor she could not because she has picked up a lot of weight. One time, she had a flare up, after the Prednisone, they put her on a couple of more days of Prednisone. After that she said no, because she cannot be on Prednisone all the time. She did not want to give her pills because of her immune system. They tried doing phototherapy but it is not really guaranteed. She did it for about a month. The doctor said it may take 3 to 6 months and is still not guaranteed. She has a bunch of steroid creams and they were prescribing her steroid creams and they were not working. The creams that did not work were Mupirocin ointment 2% 9 EXP: 20Jun2022, LOT: 148399), was a very recent one for her eyebrows, Triamcinolone acetonide 0.5% (EXP: Feb2023, LOT: 1CT0592), Triamcinolone acetonide 0.1% 9EXP: 20May2022, LOT: PTB2032A), Betamethasone Dipropionate ointment (EXP: 31Dec2022, LOT: K100083) and Clobetasol propionate 0.5 ointment (EXP: 30Sep2022). None of these creams had worked and patient had appointment to the dermatologist. Everything was a low dose. She had been calling the nurse in between, every now and then. The doctor had been changing and increasing everything. Some she does not use anymore. At one point they thought it was scabies, so she she did Permethrin cream to rule out scabies. She also had Clobetasol propionate 0.5 was a foam treatment for her scalp. She was taking two Atarax at night and that was not even helping the itchiness combined with the Cetirizine and Benadryl. She cannot be on pills every day. All her life she barely took antihistamine pills or pain pills unless she really needed it. Now it has become a routine because she cannot sleep. She went to the ER a couple of times and they gave her Benadryl. They did not do anything. She had been crying and it was so itchy. They did biopsy and said it was bed bugs. They did skin scraping to rule out shingles and then thought it was dermatitis. They started allergy testing to see if she was allergic to maybe nickel or something. She has been wearing jewelry all of her life and never had any problems. They did about 14 tests. It showed positive AMA nuclear speckle and now she has to do that test every 3 months. When that showed up, they came up with the diagnosis that it might be an auto immune disorder. What kind, she does not know. She was negative for lupus. She was able to get an answer but not 100 percent at the moment. The outcome f the events was unknown.