Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex, Lichenoid keratosis, Pruritus, Pustule, Rash erythematous
Clinical narrative: lichenoid reaction from pemphigus foliaceous; Lichenoid dermatitis; They are itchy; she had outbreaks on both of her nipples and also on her pubic area; The reaction would start as small raised areas that would eventually form white pustules in the middle of it and if left alone; If it got scratched off, a scab would come; It was all over her body in sporadic area; The old outbreaks that turned into dry skin patches, she is getting little bumps in them; there are red marks in various places; This is a spontaneous report from a contactable consumer (patient) and contactable physician. A 75-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: unknown), via an unspecified route of administration on 17Feb2021 at single dose for COVID-19 immunization. Medical history included stenosis, acid reflux from an unknown date and unknown if ongoing. Concomitant medication(s) included valaciclovir hydrochloride (VALACYCLOVIR HCL) taken for herpes simplex, levothyroxine sodium (SYNTHROID) 5x a week taken for thyroid, marijuana (MARIJUANA) taken for sleep, minocycline hydrochloride (MINOCYCLINE HCL) 15mg 2x a day, methylprednisolone acetate (METHYLPREDNISOLONE [METHYLPREDNISOLONE ACETATE])4mg 2x a day, famotidine (FAMOTIDINE ACID REDUCER) 20mg, vitamins, fexofenadine hydrochloride (ALLEGRA), and 2% mupirocin;sucralfate. On 18Mar2021, patient experienced an outbreak on her face. On Friday (19Feb2021), patient went to a dermatologist and she was prescribed with topical and oral steroids. She described her outbreak to be a lichenoid reaction from pemphigus foliaceous (from pathology report). Patient said that she had outbreaks on both of her nipples and also on her pubic area. The reaction would start as small raised areas that would eventually form white pustules in the middle of it and if left alone, it would go away but leave a mark like a cigarette burn. She said her outbreaks are getting smaller and smaller. She has pictures. She went to dermatologist and two pathology tests were taken at two different times. After 5 days, she took a steroid. After taking the medication for a week the outbreak continued and worsened. She got new outbreaks in semi large areas. The outbreak would come as a single bump that looked like a mosquito bite. Then a mini pustule would come up. If it got scratched off, a scab would come. It was all over her body in sporadic area. She had outbreak in pubic hairs, both nipples, various spots on her arms, legs, back, and buttock. They are itchy. The old outbreaks that turned into dry skin patches, she was getting little bumps in them. If it was a small spot it may be a little bump and in cluster. They are not coming to a pustule head, but they are itching. There are little bumps in general or in cluster spots there would be maybe one or too little bumps that itch. They come up and go away and then come back again. They look like remanence of a cigarette burn. They are circular and there are red marks in various places. Patient was prescribed an antibiotic for the immune reaction because of pustules. The antibiotic was Minocycline HCL. She took 50mg twice a day, 12 hours apart. She didn't take any calcium or magnesium with it. She didn't drink milk or anything with it because of calcium. The events lichenoid reaction from pemphigus foliaceous and Lichenoid dermatitis was considered as serious due to medically significant. The outcome of the events was not recovered.   Information on the lot/batch number has been requested.