Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Ear swelling, Immunisation, Investigation, Lip swelling, Pruritus
Clinical narrative: The 3rd dose of the vaccine administered on 02Oct2021; head to leg rash/ had it on his head, back, arms and legs; swelling in his face, lips and even his ears; swelling in his face, lips and even his ears; swelling in his face, lips and even his ears; He has got some welts or something on there; vein problem on his right ankle; itch never went away; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 80 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 10Feb2021 (Lot number: EN6201) at the age of 80 years as dose 2, single and administration date 02Oct2021 (Lot number: FG3592) as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "allergic to is poison oak" (unspecified if ongoing), notes: The only thing he is allergic to is poison oak; "Prostate cancer" (unspecified if ongoing), notes: prostate cancer in his 50s but he was cured. There were no concomitant medications. Vaccination history included: Bnt162b2 (Dose:1, single, Lot number: EL3302), administration date: 20Jan2021, when the patient was 80 years old, for COVID-19 Immunization. The following information was reported: IMMUNISATION (medically significant) with onset 02Oct2021, outcome "unknown", described as "The 3rd dose of the vaccine administered on 02Oct2021"; VEIN DISORDER (medically significant) with onset 2021, outcome "recovered", described as "vein problem on his right ankle"; PRURITUS (medically significant) with onset 2021, outcome "recovering", described as "itch never went away"; RASH (medically significant) with onset Aug2021, outcome "not recovered", described as "head to leg rash/ had it on his head, back, arms and legs"; SWELLING FACE (medically significant), LIP SWELLING (medically significant), EAR SWELLING (medically significant) all with onset 2021, outcome "unknown" and all described as "swelling in his face, lips and even his ears"; URTICARIA (medically significant) with onset 2021, outcome "unknown", described as "He has got some welts or something on there". The events "vein problem on his right ankle", "itch never went away", "head to leg rash/ had it on his head, back, arms and legs", "swelling in his face, lips and even his ears", "swelling in his face, lips and even his ears", "swelling in his face, lips and even his ears" and "he has got some welts or something on there" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: investigation: (unspecified date) unknown results; (2021) nothing was discovered, notes: he is not allergic to anything. Therapeutic measures were taken as a result of vein disorder, pruritus, rash, swelling face, lip swelling, ear swelling, urticaria. Clinical course: The patient had the first Pfizer Covid vaccine on 20Jan2021 and looking at his card, he sees written of what looks like lot EL3302; he stated later in the call that his patient card has no expiry dates or NDC numbers written on it. There were no prior vaccinations (within 4 weeks) and no additional vaccines administered on same date of the Pfizer suspect. When the patient was asked about the time his Pfizer Covid vaccine dose was administered, he stated he does not know, and he is age 81 and think it had to be around midday. Stated then what happened is sometime after that, which had to be some months later, he started having a rash and has had the rash ever since. The patient had three doses of the Pfizer COVID19 vaccine. It seems that it appeared after his second dose. His second dose was on 10Feb2021. The rash started in Aug and he had not yet had the 3rd dose of the Pfizer Covid vaccine which was administered in Oct2021. He is kind of at the end of his resources and did make an effort and went to two dermatologists, his regular physician and one "allergist", and had all kinds of tests on his arms and back and they discovered he is not allergic to anything and they do not have a diagnosis for him. He also had a DNA test done on an unknown date. He's waiting to hear back from one of the dermatologists. Nothing else other than what was mentioned earlier bothered him. He claims to be a pretty healthy 81-year-old "dude". He is happy he took the vaccines but doesn't want to be itching. He wanted to know if anyone else has reported something similar, if other people have an ongoing rash and if it might be related to the vaccine and if there is anything, he can do about it other than letting the Pfizer Covid vaccine run its course since he had the three injections of the vaccine. He also wanted to know how long it might last and if anyone else has had a similar side effect lasting for months. The only thing they gave him that gave him a little relief was a steroid shot that one of the doctors that was his dermatologist gave him and that was the only thing they gave him, and the itch never went away totally and after some of the steroid thing went away, the rash is coming back and is a little stronger. He discussed this with his doctors and one said it is a good question and to check it out and he has not heard from them and discovered with his allergist and dermatologist, they do not seem to have any answers and mentioned they think the rash is somehow connected to the Pfizer Covid vaccine and they said well they do not know something and might want to investigate further and he would rather have the vaccine than have Covid and if there is a solution or not; states on a handout he got when he got the Pfizer Covid vaccine, that there are signs of severe allergic reaction can include 5 things and one of those things was a bad rash all over the body. He also clarified and stated that in regard to the steroid shot being the only thing that gave him a little relief, the only treatment he had was the steroid shot of some kind and he does not know information on it and has no name of the steroid, no lot, expiry date or NDC to provide; states his dermatologist gave the steroid shot to him and that was his doctor. On his patient card for the Pfizer Covid vaccines, there is a number written on the bottom of the card and it is 7-2/17, and he does not know what that means. Things started happening regarding the rash maybe Aug2021 and the rash is ongoing and it kind of went through where it became worse, and he got the steroid shot and the rash got better, and the rash is now getting worse again. He added that the rash is from his head to his legs and his head is really bad and at times it itches, and he has got some welts or something on there and on his back and on his arms and legs, so the rash is basically all over his body. States he has not had any other shot other than the steroid shot. States the only thing that was going on at the same time was that it must have been sometime during the year and he is in pretty good condition and his health is pretty good but he had a little vein problem on his right ankle and had the vein break on there and was going through the process of healing and went to his vein people who referred him through the wound center place through a local hospital for treatment for that and now it is healed up and so forth and he does not believe that is related to this; states it was kind of a vein problem and he went to the vein clinic with phone number # and there was a concern about healing and possibly once that is done he will do some kind of treatment for that vein and probably guesses it is a new kind of treatment where they put glue or something in the vein and causing it to shut off and he does not need that immediately. States he did not start any new medications and hasn't really taken anything and the only thing that the doctor said when he went to see the doctor and his primary care doctor at one point and does not know whether the doctor gave him some antibiotic pills and he took those for a while and went to the dermatologist and that doctor said the antibiotic pills would not help him for the rash so he stopped taking the antibiotic pills and still has them and they are Doxycycline HYC 100mg tablets in an orange pharmacy bottle so he states he has no lot number to provide; states there are still 5 pills of the Doxycycline in there and they gave him 28 tablets; states he did not take the full dosage of the Doxycycline and now the only thing he has taken is Allegra and the dermatologist told him to take Allegra in the mornings and if the itching was really bad to take Benadryl, states for the Allegra, it has lot number 19G209T and expiry date Dec2021 and the Benadryl has lot 1852354 with expiry date Feb2023.  No follow-up attempts are possible. No further information is expected.