Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Limb discomfort, Pain, Pruritus, Rash
Clinical narrative: pain; UTI; Rash; swollen; itching; burning; Tender arm; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN6198) via an unspecified route of administration, administered in Arm Left (Left upper arm) on 20Feb2021 15:45 (at the age of 74 years old) as dose 1, single for COVID-19 immunisation. Medical history included arthritis from an unknown date and unknown if ongoing (The patient has it in her hands, knees, left ankle more than the right, back, still hasn't stopped. She has not had her shot on 6-9 months for her back, in fact she will probably get scolded if she calls and makes an appointment. Diagnosed with arthritis in her 30s. The caller has the orthopedic type, not the bad type, the type that slowly progresses), colon cancer from an unknown date and unknown if ongoing (The patient was diagnosed 5 years ago this April. The patient had surgery and she came out cancer free, the caller did not have to do chemo or anything). Concomitant medication(s) included meloxicam (MELOXICAM) taken for arthritis, start and stop date were not reported. Patient did not received other vaccine within 4 weeks of COVID vaccine. The patient experienced rash, swollen, itching, burning on 24Feb2021, tender arm on 21Feb2021, pain, UTI on an unspecified date. Reported as, first shot 20Feb2021 and shortly after that, probably 4 days in, the patient ended up starting with a rash on her face, it blistered and then a rash on her Left side of her face and neck. A doctor said her immune system might be down. Patient was a senior and wants to get the vaccine. The patient was not prepared for the rash and the pain because it came on so fast. She has gained a little weight because of Covid. The rash started coming in a little at a time but the she did not have any pain in her arm, she thought she was going to be golden. She went to the doctor on 01Mar2021. The rash was from halfway of her face all on the left hand side on her chin and to the small of her neck, the bottom was red and itchy. They put her on a strong medicine on 05Mar2021, because the first one was not quite enough, so she got two new prescriptions on 05MAR2021. Monday she started Cephalexin 500mg once every 8 hours, no lot, or expiration, she got it at the pharmacy, it was in a pharmacy bottle. She also had a cream Mupirocin 2%, no lot or expiration, it was from the pharmacy, she had to wait and extra day for that. She only used the cream for that week. On 05Mar2021 the she stopped the other medications per her doctor. The patient doctor then started the patient on Clindamycin 300mg and 150mg together, one every 8 hours and Ciprofloxacin 500mg once every 12 hours. No lot or expiration on either medication, the medications were in a pharmacy bottle. She went back to her primary care provider on 08Mar2021 and her doctor added Benadryl to help with the itching and it helped. She stayed on these medications for 10 days. She mentioned that the next morning after she received that vaccine, her arm where she received the vaccine was tender where she laid on it wrong but this has improved. Four days later patient face broke out and she still have a problem with that. It was itching, swollen, and burning. she went to the doctor on the 1st and was given Cephalexin 500mg and a cream mupirocin 2%. She went back the 5th and they changed the medication to clindamycin 300 mg and 150 ciproflaxin 500mg. They did recommend to take Benadryl. Adverse event resulted in physician office visit. The patient underwent lab tests and procedures which included urine analysis: uti on an unspecified date. Therapeutic measures were taken as a result of rash, tender arm, pain, swollen, itching, burning, UTI. Outcome of the event rash and tender arm were resolving and unknown for other events.  No follow up attempts are possible. No further information is expected.