Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Drug ineffective, Laboratory test, Suspected COVID-19, Vitamin D
Clinical narrative: Covid toe; Covid toe; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 56-year-old male patient received BNT162b2 (BNT162B2), on 23Jan2021 as dose 1, single (Lot number: EN5318), on 13Feb2021 as dose 2, single (Lot number: EN5318), in right arm and on 27Jan2022 as dose 3 (booster), single (Lot number: FJ1614) at the age of 55 years for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: DRUG INEFFECTIVE (medically significant), SUSPECTED COVID-19 (medically significant), outcome "unknown" and all described as "Covid toe". The event "covid toe" required physician office visit. The patient underwent the following laboratory tests and procedures: tests: everything was fine; Vitamin D: low in Vitamin D. Therapeutic measures were taken as a result of drug ineffective, suspected covid-19.  Clinical information: Caller stated he was a 56-year-old male calling to report a bunch of adverse reactions after getting the Pfizer Covid-19 vaccine. Caller stated he was told he got Covid toe they presume. Caller also stated he got reactions on the skin of his feet and hands after the booster shot. Caller stated after 1 year and half of dealing with this, his doctor told him to contact Pfizer to report this. Got booster shot, he thought, back in Mar2021. Had to get it from where he worked in Oct2021. Started losing skin of feet, in one foot, the left foot. Doctor said it was severe athlete's foot. When he went to doctor, it totally grew to burn blister and was breaking open. Had to go to hospital to wound clinic and to an infectious disease agent. Dealt with them a couple of months. Then, his right foot broke out into the same thing. Finally, they sent him to dermatology, and said his hands had broken out the same as the feet. They said it was severe psoriasis but it was between his hands and fingers. Finally, with doctor, he told them he had the Pfizer vaccine. They told him he had Covid toe. When caller looked at pictures, it was exactly what he had. They did biopsies of hands and feet. Kept coming back and was getting infections. It was skin infection, didn't have it in his blood or nothing. Reactions on skin of feet and hands: Outcome: Just finally getting over it Still got spots on hands feet, finally starting to clear up. Right hand is clearing up, left hand not clearing up yet. Treatment: They gave all kinds of cream and SAVs. Was a test dummy, they didn't know what he had. Nothing was working. Clarified that when caller previously mentioned going to hospital, that he was not admitted to hospital. Had to go to hospital, to the wound clinic. Saw infectious disease doctor. Wound in the feet was totally peeling and was down to between toes and underneath his feet and couldn't walk. Had to go in every week and do dressings, trying to get back on his feet. Clarified this occurred with both feet. Test results: They did tests and everything was fine. Said he was low in Vitamin D, that is about it. Prior Vaccinations (within 4 weeks): No. Family Medical History Relevant to Adverse Events (AEs): No. Adverse Events: AE required visit to: check all that apply: Physician Office; Hospital for wound clinic. Treatment: Did the event require the initiation of new medication/other treatment/ procedure? Yes. They gave all kinds of cream and SAVs. Was a test dummy, they didn't know what he had. Nothing was working. Had to go to hospital, to the wound clinic. Saw infectious disease doctor. Wound in the feet was totally peeling and was down to between toes and underneath his feet and couldn't walk. Had to go in every week and do dressings, trying to get back on his feet. Clarified this occurred with both feet. Just wanted to make sure to let Pfizer know, he had big exposure to it. Didn't know what was coming out of it, like why the doctor didn't know and that was left out to patients. Sender's Comments: Linked Report(s) : US-PFIZER INC-202300070414 same reporter/patient, different dose/AE.