Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain in extremity, Pruritus, Skin exfoliation, Swelling face
Clinical narrative: coughs; her face is so dry and skin is shedding off; her face is so dry and skin is shedding off; eyes were swollen/swollen around eyes; hive like bumps and streaks of red welts on her neck; face was extremely red from her forehead down to chin/ face became swollen and red; her face became swollen/ face was huge/ face swell up; face swell up; it was extremely itchy and painful; itchy face/ itching; sore arm; felt off/ mild lethargic; This is a spontaneous report from a contactable consumer (patient herself). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left arm on 16Apr2021 14:57 (Batch/Lot Number: EW0164) as 1st dose, single for COVID-19 immunisation. The patient had relevant medical history and no concomitant medications. On 17Apr2021, the patient had a sore arm, felt off/mild lethargic but that was an expected result of a vaccine injection. Two weeks later in the evening on 03May2021, she had something that had never happened before. She experienced sudden onset itchy face, it felt warm, and her face was extremely red from her forehead down to chin. Her face became swollen, red and itching. This came on quickly. Her face was huge, swollen around eyes, itching like crazy. She was just sitting on couch after dinner and started itching all of a sudden. When she went to the bathroom to see, her face was the reddest and she looked like a tomato and her face was swelling. Her eyes were swollen the next morning and she had hive like bumps and streaks of red welts on her neck. Patient stated 'I got a terrible case of hives and my face swell up and it was extremely itchy and painful I mean really bad, I have never anything like this happen in my life.' Her face was literally on fire it was itching terrible, it was very swollen my eyes, where to the point that  you could  barely  see out of them. The next day, she took a diphenhydramine (BENADRYL) but that did nothing. She confirms she got the first shot on Tuesday, 04May2021. The Benadryl, she confesses she threw it out because she hadn't used any since 2015 and it was expired. She did get a brand pack but did use this one. She has no UPC, Lot, or Expiry. The Benadryl didn't phase it. On 05May2021, it started to develop on the top of her hands. On 06May2021, she contacted the doctor and got an appointment where she was given prescribed prednisone - 20 mg for 3 days to treat it. It was in a pharmacy bottle, a round peach tablet, and says use before 06May2022 but there is no NDC, manufacturer, or Lot on the bottle. When she got the medication on Thursday she was told to take it only in morning because she could get jittery, people cant sleep sometimes when taking it at night. She started it Friday morning. She reported she got jittery from prednisone but that the swelling started going down. The patient coughs during the call and remarked the prednisone made her hoarse for some reason. After using the prednisone, she got funny things on her arm that looks like the measles. She started to develop a rash on her forearms that resembled measles and developed water blisters in between her fingers and down at her ankle. It was between her wrist and elbow on the underside of her arms. She was also really itchy over her body. There were water blister outbreaks on her ankles and between finger. She noted this was after the prednisone. Patient stated 'I am still itchy and stuff like as far other places on my body now the things are erupting.' She had an appointment with dermatologist next Wednesday. The redness, swelling and itching on her face has resolved at this point but her face was shedding. She explained that her face was so dry and skin was shedding off. She had not been outside and worried would she have a reaction to things since this has happened. It was noted she saw a nurse practitioners and next week she will have a head to toe dermatologist appointment. She was forwarding the information from this event to the dermatologist to review with her normal appointment that was scheduled months ago. She wanted to know if this had been reported before and if she should get the second dose of the vaccine after having this reported reaction. Patient stated 'At this point, I don't plan on pursuing going for the next injection until I get some really solid data about what is happen here that I had this kind of reaction. I have number or references going to find Pfizer vaccine I have various things in whatever but I yet to come across anybody that had just particular reactions.' She didn't take any lab test. They didn't draw any blood or anything like that they just looked at her face and stopped by. She was hoping to get blood drawn to try to figure out what happened here. Outcome of 'her face became swollen/ face was huge/ face swell up, itchy face/ itching, and face was extremely red from her forehead down to chin/ face became swollen and red' was recovered in May2021; while outcome of remaining events was unknown.  No follow-up attempts are possible. No further information is expected.