Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Nervousness, Peripheral swelling, Rash
Clinical narrative: Her arm was red, swollen; Her arm was red, swollen; she had a rash to the elbow on her left arm/she developed a rash after this dose.; she watched the rash spread across her upper chest; It developed blistering, like chicken pox; she was nervous; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 72-year-old female patient received BNT162b2 (BNT162B2), on 26Jan2022 as dose 4 (booster), single (Batch/Lot number: unknown), in left arm for covid-19 immunisation. The patient's relevant medical history included: "Lymphoma" (unspecified if ongoing), notes: The patient has a history of Lymphoma not Leukemia. The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (Dose 2, No reactions to these first 2 doses), administration date: 03May2021, for Covid-19 immunization, reaction(s): "No reactions"; BNT162b2 (Dose 1, No reactions to these first 2 doses), administration date: 12Apr2021, for Covid-19 immunization, reaction(s): "No reactions"; BNT162b2 (Dose 3,1st redo dose with no reaction), administration date: 05Jan2022, for Covid-19 immunization, reaction(s): "No reactions". The following information was reported: ERYTHEMA (non-serious), PERIPHERAL SWELLING (non-serious), outcome "unknown" and all described as "Her arm was red, swollen"; RASH (non-serious), outcome "unknown", described as "she had a rash to the elbow on her left arm/she developed a rash after this dose."; RASH (non-serious), outcome "unknown", described as "she watched the rash spread across her upper chest"; BLISTER (non-serious), outcome "unknown", described as "It developed blistering, like chicken pox"; NERVOUSNESS (non-serious), outcome "unknown", described as "she was nervous". Therapeutic measures were taken as a result of rash, rash, blister.  Caller was a cancer patient with lymphoma and leukemia. Her oncologist was recommending cancer patients to get the Pfizer Bivalent Vaccine. Caller wants to know if it's okay for her to take it. She wants to know more medical information about the vaccine. She had her 2 shots vaccine from Pfizer and she had some allergic reactions to the vaccine to her arm. Patient was calling regarding if she should receive the Pfizer-BioNTech COVID-19 Vaccine, Omicron Bivalent booster dose. The patient has a history of Lymphoma not Leukemia. Caller states she received the Pfizer Covid vaccine primary series in 2021 while she was receiving chemotherapy. Doses were given on 12Apr2021: 1st dose and 03May2021: 2nd dose. No reactions to these first 2 doses. She state she became a member of the Society, they had research where she could sign up and they could see whether blood cancer patients, receiving certain therapies, were producing antibodies from the vaccine. Astrazenica made Evusheld , "which gave us our antibodies." (unique to organ transplant and blood cancer patients) the medications these patients were taking at the time they received their Pfizer Covid Vaccines blocked the efficacy of the Pfizer Covid vaccines. The caller states she did not produce any Antibodies from the 2 Pfizer vaccines she had previously received. The caller states "in the meantime I got in on Immunotherapy at Clinic, called CAR-T cell ( where they take your T-cells out and send them to a lab where they reprogram your immune system.", received on 20Sep2021, and then waited 100 days. Caller states she then started her Pfizer "primary series redo" on 05Jan2022 (1st redo dose with no reaction) and then 21 days later on 26Jan2022 she received the 2nd redo Pfizer vaccine dose again and she developed a rash after this dose. The nurse "injected it very high on my arm." Her arm was red, swollen and she had a rash to the elbow on her left arm. She states she watched the rash spread across her upper chest, both sides, but not below or on my breasts. It developed blistering, like chicken pox, and they said take benedry, maybe tylenol too. It lasted 3 weeks, after 1.5  to 2 weeks she started putting peroxide on the rash. May have used alcohol before the peroxide. Then she was suppose to get a booster dose on 02Mar2022 she got a Moderna booster dose. She had no rash but her right arm swelled, like a golf ball sized lump under her right upper arm. I did not call Moderna. By the time I was due for 2nd booster I got 2 injections of Evusheld at the clinic and 2 shots in my buttocks, in Jul2022. A week later she developed a little tiny rash on the inside of her leg just above her right knee and then a few days later she developed the same rash on her other leg. Those injections are the actual antibodies that are injected into my body, suppose to be good for 6 months. Caller states they are no longer giving this Evusheld because it does not protect from the 2 new variants. Doctor wants her to get the bivalent, last Thursday she left a message for her doctor, because it was recommended and she was nervous about getting the Pfizer booster dose after having a prior rash reaction. Called Pfizer previously and spoke to an RN about side effects at agent after the 26Jan2022 when she developed rash probably called Pfizer sometime in Feb and the RN "told me I probably reacted to the1 of the 2 preservatives in the Pfizer vaccine". My family have all had the bivalent vaccine doses and we wear our N95 masks and get groceries delivered. "My Oncologist and she knows I had the rash and still wants me to take the bivalent." The Doctor's nurse called her on 17Nov2022 and in Sep her PCP, for BP check, had flu shot and pneumonia shot in Sep2022. Her PCP mention getting the bivalent booster dose, but referred her to her oncologist. "If I don't develop antibodies do I risk the rash again?" Caller states she was treated with "Bryanzi" I got my t-cells back with the medicine. Been in remission for one year. Caller was in the hospital for 7 days. (newer drug for lymphoma) ( CAR-t cell) and Rutuxen ( was pre Bryanzi) 2016-2018 was received by the caller every 8 weeks and then I was good until 2020 when the Lymphoma came back and I had 4 more one per month treatments with a chemo drug and Rutuxen for 4 months . Feb2020 to May2020 and it did not work. She was then in a trial in Jan2021, she was given a pill called 401 and developed fluid in her lungs and her body could not tolerate the medication. When she received her T-cells in Sep2021 they were given along with the the Bryanzi. Caller was in the hospital for 7 days. My immune system was manipulated. Currently in remission for 1year and 3 months.  The information on the batch/lot number for [BNT162B2] has been requested and will be submitted if and when received.