Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Burning sensation, Fatigue, Injection site erythema, Livedo reticularis
Clinical narrative: Some mottling, with white spots.; Fever; tiredness; Temperature 2 1/2 degrees above my normal (99.9 vs. 97.4); rash; red spots below that, merged into pinkish patch.  Day after grew redder and larger (3x4).  Kept growing larger and redder over next days.; A bit itchy; more of a burny sensation; Redness at site/Eventually. 8 days after vaccine: faded but still obvious, and reddish, especially after shower. Fainter next week, but still large.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 69-year-old male patient received BNT162b2 (BNT162B2), on 28Apr2022 at 14:00 as dose 4 (booster), single (Lot number: FP4554) at the age of 69 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Hypoglycemia" (unspecified if ongoing); "possible CLL." (unspecified if ongoing); "Eczema." (unspecified if ongoing); "Low IGG." (unspecified if ongoing); "known allergies: Grass pollen" (unspecified if ongoing); "known allergies: Grass pollen" (unspecified if ongoing); "known allergies: cats" (unspecified if ongoing); "known allergies: dust" (unspecified if ongoing). Concomitant medication(s) included: KEPPRA [LEVETIRACETAM]; VITAMIN D [VITAMIN D NOS]. Vaccination history included: Bnt162b2 (other vaccine same date product:Pfizer, other vaccine same date lot number: 32030BD, other vaccine same date vaccine date:28Apr2022, other vaccine same date dose number:3, other vaccine same date vaccine location: Left arm), for Covid-19 immunization; Bnt162b2 (other vaccine same date product: Pfizer, other vaccine same date lot number: ER8733, other vaccine same date vaccine date: 28Apr2022, other vaccine same date dose number: 2, other vaccine same date vaccine location: Right arm), for Covid-19 immunization; Bnt162b2 (other vaccine same date product: , Pfizer, other vaccine same date lot number: EN6202, other vaccine same date vaccine date: 28Apr2022, other vaccine same date dose number: 1, other vaccine same date vaccine location: Left arm), for Covid-19 immunization. The following information was reported: PRURITUS (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "A bit itchy"; PYREXIA (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "Fever"; ERYTHEMA (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "Redness at site/Eventually, became 6x7 reddish area, towards elbow.  8 days after vaccine: faded but still obvious, and reddish, especially after shower.  Fainter next week, but still large.  19 days (!) still there"; LIVEDO RETICULARIS (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "Some mottling, with white spots."; BODY TEMPERATURE INCREASED (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "Temperature 2 1/2 degrees above my normal (99.9 vs. 97.4)"; SKIN BURNING SENSATION (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "more of a burny sensation"; RASH (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering"; RASH MACULAR (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "red spots below that, merged into pinkish patch.  Day after grew redder and larger (3x4).  Kept growing larger and redder over next days."; FATIGUE (non-serious) with onset 29Apr2022 at 07:00, outcome "recovering", described as "tiredness". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of livedo reticularis, pyrexia, fatigue, body temperature increased, rash, rash macular, pruritus, skin burning sensation, erythema.  Additional information: The patient had fever and tiredness next day. Temperature was 2 1/2 degrees above his normal (99.9 vs. 97.4), redness at site, red spots below that, merged into pinkish patch. Day after grew redder and larger (3x4). Kept growing larger and redder over next days. A bit itchy, more of a burny sensation. Some mottling, with white spots. Eventually, became 6x7 reddish area, towards elbow. 8 days after vaccine, faded but still obvious, and reddish, especially after shower. Fainter next week, but still large. 19 days, still there and a few spots itchy again. This was similar to his reaction to second COVID vaccination, had fever the next day, but rash began 5 days after vaccine and lasted only 16 days before vanishing. The patient did not receive any other vaccine within four weeks prior to COVID vaccine. The patient did not had COVID prior to vaccination. The patient was not tested for COVID post vaccination.  No follow-up attempts are possible. No further information is expected.