Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: broke out in another rash above her anal area, and this was worse; felt itching when she got up the next morning; extremely sore and achy; welts; white heads; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: ER8737, Expiration date and NDC number was unknown) via an unspecified route of administration on 08Apr2021 as dose 2, single (at the age of 59-years-old) for COVID-19 immunization. Medical history included was hemorrhoids due to poultry/hemorrhoids trouble occasionally, 5 foot 6 inches but she is shrinking (shrinking was prior to COVID vaccine, it was old age), allergy to mushrooms, cats, dogs and bred dogs, highly allergic to birds (eats chicken and eggs and she has a love bird because it was a rescue and had been traumatized. Patient stated that she can handle birds, eggs, and chicken in moderation. Patient had had scalloped corn that required egg, also had deviled eggs and roasted chicken for Easter dinner), sinus infection from 18Nov2020 to unknown if ongoing, tested negative for COVID-19 on 18Nov2020. Patient went back to the doctor because she thought she had developed pneumonia and was short of breath and was retested for COVID-19, result was negative on 25Nov2020 (patient thought she was developing into pneumonia and was rechecked and did not had pneumonia nor COVID) and hemorrhoid trouble occasionally from unknown date to unknown if ongoing. Patient was not heavy set. Patient was big boned and has large upper, that is hereditary from her mom and aunts. They are not fake. Historical vaccine included patient received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: EN6199, Expiration date and NDC number was unknown) via an unspecified route of administration on 12Mar2021 as dose 1, single (at the age of 59-years-old) for COVID-19 immunization and broke out in a severe rash across her chest, tiny pinpoint bumps that developed white heads on, it was red itchy bumps and by evening they had white head peaks, were very strong, like hard and very painful and very sore and also received first shingles vaccine and tetanus vaccine on 27Oct2020 (was all done the same day and in the same arm), flu shot and pneumonia shot (guesses was given probably between Sep2020 and Nov2020) and booster to the shingles shot was on 07Jan2021. They had been waiting for her to get over the sinus infection before giving her the flu shot and pneumonia shot. Patient had pneumonia shot, flu shot, tetanus shot, and shingles vaccines after she had the sinus infection. Patient had all of them so close together even though it was not 14 days prior to COVID-19 shot, patient does not know if it was all of it combined. Patient did not know if the COVID shot has a poultry base like the flu shot, when she got the COVID shot they ask if she had any vaccines in 14 days and she had not. Patient previously took Preparation H for hemorrhoid trouble (doctor said not to ever use Preparation H because it was horrible, stopped using that a long time of ago), Desitin for hemorrhoid trouble and was on medications for pain management, she takes high doses of ibuprofen. Patient does not take narcotics. They said not to take it prior to the vaccination. Patient had stopped her medications before getting the vaccine. She knows her body and how freaky it is. Her body will cause chaos for no reason. She didn't take anything a week prior to getting COVID shot including her vitamins. On 09Apr2021, after the second dose, patient once again broke out in another rash above her anal area, and this was worse. It was in between the cheeks of her rear end. It did not go into the anal area or near her private parts. It was above the anal area and in between that and the hip area. Patient has the body that she will be the 1 in a million that it will happen to. Patient felt itching when she got up the next morning (Apr2021). Patient stated that the bumps feel very hard and raised. They were almost like peaks. Patient was very clean. Patient looked with a mirror and there were white heads on them. She took a sitz bath and soaked in hot water to get the itching to stop. Then she started treating it with diaper rash cream and Benadryl cream and the itching went away within 24 hours. On Apr2021, it became extremely sore and achy and patient use topical spray to get the pain and stinging to stop. On 12Apr2021 (Monday), 4 days later, and she still has welts. The welts were not doing anything. They were not seeping. They were just sore and hard. Patient does not know if all of it combined was too much or if it was a coincidence. Patient had made Easter dinner and had eggs in what she cooked and then if the COVID shot was poultry based, patient stated that it was odd that the reactions happened after the COVID shot. Patient talked to her doctor's nurse today (12Apr2021) as well. The outcome of broke out in another rash above her anal area, and this was worse, white heads and extremely sore and achy was unknown, not recovered for welts and recovered for felt itching when she got up the next morning on Apr2021.  No follow-up attempts are possible. No further information is expected.