Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Discomfort, Rash, Rash pruritic, SARS-CoV-2 test
Clinical narrative: widespread rash on her arms, torso, stomach, chest, back, neck, face, eyelids, front/back legs/Rash burning; rash itchy; Rash inflamed; rash began on her left arm where she was vaccinated; rash swollen; spots everywhere; uncomfortable; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the parent.  A 21-year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 30Sep2021 14:00 (Lot number: FC3181) at the age of 21 years as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. The patient took concomitant medications. The following information was reported: RASH (non-serious) with onset 05Oct2021, outcome "not recovered", described as "widespread rash on her arms, torso, stomach, chest, back, neck, face, eyelids, front/back legs/Rash burning"; RASH PRURITIC (non-serious) with onset 05Oct2021, outcome "not recovered", described as "rash itchy"; DERMATITIS (non-serious) with onset 05Oct2021, outcome "recovered" (11Oct2021), described as "Rash inflamed"; DISCOMFORT (non-serious) with onset Oct2021, outcome "unknown", described as "uncomfortable"; VACCINATION SITE RASH (non-serious) with onset 05Oct2021, outcome "not recovered", described as "rash began on her left arm where she was vaccinated"; SKIN DISORDER (non-serious) with onset Oct2021, outcome "unknown", described as "spots everywhere"; SWELLING (non-serious) with onset 05Oct2021, outcome "not recovered", described as "rash swollen". The events "widespread rash on her arms, torso, stomach, chest, back, neck, face, eyelids, front/back legs/rash burning", "rash itchy", "rash inflamed", "uncomfortable", "rash began on her left arm where she was vaccinated", "spots everywhere" and "rash swollen" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of rash, dermatitis, discomfort, vaccination site rash, skin disorder. Additional information: The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Family medical history relevant to adverse event included that the patient's mom had psoriasis and her sister had eczema. The patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. On 30Sep2021, the patient received bnt162b2 and in the morning of 05Oct2021 (5 days later), the patient experienced a widespread rash on her arms, torso, stomach, chest, back, neck, face, eyelids, front/back legs  and it was pretty much from head to toe.  It was just pretty much everywhere and really itchy. The patient called her primary physician, who told her to take Cetirizine hydrochloride (ZYRTEC) daily and diphendydramine hydrochloride (BENADRYL) at night if needed. The reporter stated that the rash itched like crazy at first. The rash began on her left arm where she was vaccinated then it spread across her torso and continued down her legs. It was so swollen and inflamed still when the reporter saw the patient yesterday (as reported); the rash wasn't itching as much, but it wasn't getting better so they went to an Urgent care office. The reporter stated that she took pictures of it while at the doctor's office yesterday (as reported). They gave the patient a shot of BETAMETHASONE (CELESTONE) and triamcinolone acetonide (KENALOG) to get the inflammation down on 11Oct2021. The patient was saying that she couldn't hardly wear clothes because it was so uncomfortable; the rash was itching and burning, she felt like it was better on 12Oct2021. She still had spots everywhere, but it was not as itchy. The reporter reported that the patient was scheduled to see her dermatologist on 12Oct2021 and trying to find out if she should get the 2nd shot, she had had such a bad reaction to the first one. The reported reported that the patient was a college student and the vaccine was mandated.  The reporter wanted to know what were the ontraindications to the vaccine which had been reported by others. The patient took concomitant medications for birth control from an unspecified date and ongoing. The report was not related to a study or programme. The reporter reported that the patient already had COVID and she was tested positive on 03Jan2021. Both the patient and her fiance both got it after being exposed at a Party. The reporter wanted to know if the patient maybe have such a strong immune response to the vaccine because she had already had COVID and she was so young. No adverse event following prior vaccinations. Relevant Tests was none (as reported). The reporter did not have the full contact information to provide for the primary care physician.