Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Interchange of vaccine products, Urticaria
Clinical narrative: Hives; reaction to the Pfizer COVID-19 Vaccine/first 2 step Moderna's then took the first Moderna booster and then this time, on 12Nov...all out of Moderna, would Pfizer be ok?; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 62-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 12Nov2022 as dose 4 (booster), single (Lot number: GL0446) at the age of 62 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "diabetic" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: moderna (Dose: 01), administration date: 07Jan2021, when the patient was 60-year-old, for Covid-19 Immunization; moderna (Dose: 02), administration date: 04Feb2021, when the patient was 60-year-old, for Covid-19 Immunization; moderna (Dose: 03 (Booster)), administration date: 04Sep2021, when the patient was 61-year-old, for Covid-19 Immunization; flu vaccine vii (DOSE NUMBER UNKNOWN, SINGLE), administration date: 04Nov2022, when the patient was 62-year-old, for Immunization. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (medically significant) with onset 12Nov2022, outcome "unknown", described as "reaction to the Pfizer COVID-19 Vaccine/first 2 step Moderna's then took the first Moderna booster and then this time, on 12Nov...all out of Moderna, would Pfizer be ok?"; URTICARIA (medically significant), outcome "not recovered", described as "Hives". The event "hives" required physician office visit. The patient underwent the following laboratory tests and procedures: Allergy test: (Dec2022) Unknown results. Therapeutic measures were taken as a result of urticaria.  Clinical course: This consumer is the patient who reported having a reaction to the Pfizer Covid-19 Vaccine. She initially had her first 2 step Moderna's then took the first Moderna booster and then this time, on 12Nov she went to (Facility Name withheld), they said they were all out of Moderna, would Pfizer be ok So both her husband and she said yes; he had no reaction; but she did have a reaction. She took the Pfizer Covid-19 Vaccine at a (Facility Name withheld) in (Facility Address withheld). She explained she had only been to his urgent care 2-3 times. For the first time she went, they gave her shots and a pill for the hives; but they gave her prescription meds that didn't work both times until she started seeing an allergist. The allergist has been performing allergy tests since December to see what's causing it, but caller told them she is pretty sure it is from the covid vaccination. 2 Moderna's and First Moderna booster: Clarification of product names/Lots/NDCs/Expiries: Not provided, call disconnected abruptly, call back attempts unsuccessful. Prescription meds that didn't work both times. Was just speaking to an agent (Name withheld) and got disconnected. She was reporting an adverse reaction she has had since 12Nov2022 since she took Pfizer booster shot. She gave previous agent her address and email. While waiting for agent to call her back after disconnect, caller called (Facility Name withheld) to get the information that the pharmacist had written on the card. Clarified product as Pfizer Covid Booster Shot. The (Facility Name withheld) store number is #. That is where she got the booster. The reaction is that she has been suffering from hives since she took booster. At first she thought it was because she had the flu vaccine on the fourth and then on the 12th she had the Covid booster. She wasn't sure which was causing it. She had Moderna all along. Her husband scheduled her at (Facility Name withheld) and she didn't realize they didn't carry Moderna and only had Pfizer. Her husband was fine. Caller doesn't know the exact date the hives started, but it was soon after she got the shot. She bought Benadryl and started taking Benadryl and that wasn't working. Days and days went on and they got so bad she went to Urgent Care. When they saw her hives, they gave Decadron shot, steroid shot, and a steroid pill because it was so bad. It was like bubble wrap, but hives. It was from breast, arms, part of stomach, and calf areas. Basically it was form calves up to her upper body. Flu Vaccine: Caller doesn't have any information for the flu shot such as the name, manufacturer, or LOT number. It was given at primary care doctor and she will see him tomorrow. She has been to urgent care twice. She is diabetic and sees her doctor quarterly. The pharmacist told her it was the Pfizer bivalent vaccine. Didn't give her the NDC or EXP.  Caller clarified that all previous Covid vaccines were Moderna. First dose of Moderna Covid vaccine was given on 07Jan2021 through (Facility Name withheld). The second dose was through (Facility Name withheld) again and was given on 04Feb2021. Received Moderna first booster of Covid vaccine on 04Sep2021 at (Facility Name withheld), #, the handwriting is so bad on the card. She ran out of the Benadryl and doesn't have it to provide NDC/LOT/EXP. (Facility Name withheld) has all the prescriptions she was given at Urgent Care and by the PA and then by allergist. Allergist started her on a cream and said not to take the others. Then that wasn't working and allergist said to stop using those and issues another batch of medication. Caller clarified that she bought Benadryl generic when she ran out of the pill. It was called Aller-Ben, equivalent of Benadryl 25mg tablets. P130329 is on the bottle. EXP: Jun2024. Caller doesn't see a LOT number. This didn't come in a box, only in a clear thing. She also bought Allergy Cetirizine Hydrochloride, 10mg tablet, NDC: EXP: Aug2023, she is unsure if LOT is 1ME1968A. Also took those for hives. There are numbers and letters below the EXP, but caller had to get someone else to read it. Under the EXP is 4H288 C2 F3. Caller clarified that Benadryl, Benadryl generic Aller-Ben, Loratadine, and Allergy Cetirizine Hydrochloride all didn't work for hives. She was also given Famotidine 20mg for Reflux at Urgent Care to take. It is like Pepcid or Zantac. Prescription was from 22Nov2022. LOT number: prescription bottle from (Facility Name withheld). That was the day they gave her the Decadron shot, steroid shot, and pills. That was right before the holidays. Caller assumes steroid shot was Prednisone. She was also given a prescription for 5mg Prednisone to take. That was minimal and it wasn't working the 5mg tablets. Caller doesn't have the Prednisone 5mg tablets to provide NDC/LOT/EXP from as she got rid of the bottles. She was given more Prednisone since then. On 14Dec2022 the allergist gave her Levocetirzine 5mg, LOT: 19223032, EXP: Jun2024. At that time he told her to stop taking the ones that were not working. She had seen him on 05Dec2022 and was given Hydroxyzine HCL 25mg tablets to take one before bedtime. Hydroxyzine HCL 25mg tablets are in pharmacy bottle and she has no LOT to provide. It is an amber colored bottle. Prednisone 20mg tablets was the second bottle. She was to take 2 by mouth for 6 days. LOT number: product in (Facility Name withheld) pharmacy bottle. The doctor gave her that on 21Dec2022 to go to (Place Name withheld). Also gave her Hydroxyzine HCL 50mg tablets on 21Dec2022 because the others weren't working. It is everyday. She is in really bad shape. Some of the bottles she has thrown away because they were empty. Hydroxyzine HCL was in prescription bottle and she doesn't have a LOT number. She had quantity 6 pills on 31Dec2022 that the allergist gave her of Prednisone 20mg tablets, take 2 tablets by mouth for 3 days. No LOT number as in prescription bottle. She was supposed to see allergist on 09Jan2023 for follow up, but that was cancelled because the lab place was waiting for one more thing to unfreeze her blood to do testing. The blood they are going to test. There is one allergen that hasn't arrived yet to do the complete testing on the blood. She sees allergist on 06Feb2023 and the lab will call her to let her know if blood tested. Caller clarified that all pills and prescriptions were from (Facility Name withheld). She was informed to stop taking meds that weren't working. Right now trying to deal with the hives until she sees him. At 2AM she is taking a cold shower to calm the nerves. She was issued a cream that did nothing for the pain of the hives. Caller doesn't know the purpose of the ointment twice a day. Tacrolimus Ointment 0.1%. She has about 15 boxes. Filled on 17Jan2023 and supposed to be month supply. One tube is only lasting 2 days to put all over her body. NDC; LOT: not on the box, EXP: not on the box. Uses Aveeno baby wash because allergist said not to use anything else. She was prescribed vaincream moisturizing lotion which didn't do anything. Allergist told her to stop taking Triamcinolone Acetonide Cream USP 30 grams 0.1% in the tube. It was supposed to be all over her body too. It said to use twice a day all over body. That was given to her on 14Dec2022. NDC: LOT: at the very end it says V1355, EXP: May2025. Not enough for the whole month because so small and that is why they gave her 15 boxes of the Tacrolimus. It doesn't help. It doesn't lessen the hives and doesn't make the height of hives go away. If she is wearing jogging pants she can feel the hives through those and jeans. The hives are largest on thighs and backs of legs. Caller clarified that none of the creams worked, buts she is still using Tacrolimus until she sees doctor on the 6th. Tacrolimus doesn't do anything to calm the pain of the damage, but right now that is all she has. If she gets desperate she dips into the generic, Aller-Ben. All the over counter stuff she dips into because she has no medication. Caller will fill in her primary care Dr. (Name withheld) when she is seeing him for her diabetes check up. Maybe he can figure out what is going on. The Urgent Care doctors have not been able to do anything except give some temporary relief with steroid shot and Decadron and steroid pill. They had given her 5 or 7 days of Prednisone at that time when she went in on 22Nov2022 to tie her over. It is hard to make it through the day and worse at night. She would say evening to night time they get worse. Part of the thing is to take cold shower when bad. She took cold shower at 2AM two days ago. She takes them sporadically when she can't stand it anymore. Caller clarified that Vanicream is over the counter and is a moisturizing lotion. Vanicream was not to help the hives. After using the sample things of Vanicream, she didn't bother to buy the 16 dollar bottle. It was primarily moisturizing cream because the skin had gotten dry. She used samples and samples did not work, so she did not buy the 16 dollar bottle. Will Pfizer call her If Pfizer needs to speak to her she is available. She works 8AM-4:30PM central standard time. She works as a (Facility Name withheld) agent. When taking reservations her hands are on keyboard. she is not able to scratch the itch she is feeling from hives. She is sitting there full of nerves because she can't do anything, not that the scratching helps with itch. It doesn't do anything. Using over the counter stuff until she sees primary care tomorrow. Today is bad and she can feel through pants and on arms and waist. She took off today. She was doing search on internet. She did a search and she came across something about a guy this happened to. It comes and go and it was long term urticaria which is hives. They called it chronic spontaneous urticaria after the covid19 vaccine. It was an article and it sounded classic to what she is going through. Caller declines report for the guy that had long term urticaria. She only has the website. It was through (Website Link withheld). Started taking Benadryl and that wasn't working, doesn't have to provide NDC/LOT/EXP. Took over the counter allergy relief, the brand called Loratadine 10mg and it wasn't working. NDC: EXP: 20Apr2024, BATCH: AC55568. Caller clarified that Benadryl, Benadryl generic Aller-Ben, Loratadine, and Allergy Cetirizine Hydrochloride all didn't work for hives. Benadryl generic called Aller-Ben, equivalent of Benadryl 25mg tablets. P130329 is on the bottle. EXP: Jun2024. Doesn't see a LOT number. Didn't come in a box, only in a clear thing. Allergy Cetirizine Hydrochloride, 10mg tablet, NDC: EXP: Aug2023, she is unsure if LOT is 1ME1968A. Also took those for hives. There are numbers and letters below the EXP, but caller had to get someone else to read it. Under the EXP is 4H288 C2 F3. Given 5mg Prednisone to take. That was minimal and it wasn't working, NDC/LOT/EXP: she got rid of the bottles. Given Levocetirzine 5mg, LOT: 19223032, EXP: Jun2024, didn't work. Given Hydroxyzine HCL 25mg tablets didn't work, LOT: in pharmacy bottle. Tacrolimus Ointment 0.1% doesn't help. It doesn't lessen the hives and doesn't make the height of hives go away. Has about 15 boxes. Supposed to be month supply, but one tube is only lasting 2 days to put all over her body. NDC: LOT/EXP: not on the box. She had been given Triamcinolone Acetonide Cream USP 30 grams 0.1% in the tube. NDC: LOT: at the very end it says V1355, EXP: May2025. Also prescribed Vanicream over the counter, LOT: unknown. Caller clarified that none of the creams worked. Outcome of Event: she has hives daily. The hives have not improved. She might have one day where she can't spot any. When she can't see in the mirror, she can touch the back of her legs and feel them if she doesn't see on upper body. It is every day.