Adverse Event Reporting
| VAERS ID | 1254370 |
|---|---|
| Gender | Unknown |
| Age | 65 |
| StateCode | NC |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EN6201 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-02-11 |
| Onset | 2021-02-15 |
| Condition | Life Threatening Permanent Disability |
Symptoms
- Rash
- Pruritus
- Alopecia
- Weight decreased
- Weight
Current Illness
Blood pressure high
Preexisting Conditions
Medical History/Concurrent Conditions: Heart attack; Stomach discomfort
Other Medications
METOPROLOL SUCCINATE; HYDROCHLOROTHIAZIDE; ESOMEPRAZOLE MAGNESIUM
Previous Vaccinations
Allergies
Laboratory Data
Test Name: weight; Result Unstructured Data: Test Result:loss
Write-up
Itching; Losted all my hair; Weight loss; I had rash that started on my chest/ The rash has gotten worst has taken over entire body; The initial safety information received was reporting only non-serious adverse drug reactions.
Upon receipt of follow-up information on 07Apr2021, this case now contains serious adverse reaction.
Information processed together.
This is a spontaneous report from contactable consumers (including the patient).
A 65-year-old patient of an unspecified gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EN6201) intramuscular on 11Feb2021 10:00 at a single dose for COVID-19 immunization.
Medical history included ongoing blood pressure (high) from Jan2015 and stomach (discomfort).
Family history of heart attack.
Concomitant medications included ongoing metoprolol succinate taken for blood pressure (high) from Oct2020; ongoing hydrochlorothiazide taken for blood pressure (high) from 2020; esomeprazole magnesium taken for stomach from 2020.
On 15Feb2021, patient had rash that started on the chest.
Patient contacted the doctor and dermatologist.
The rash has gotten worst has taken over entire body.
Prescribed a cream but it was getting worst.
Before the 1st short patient was fine, never took the second one.
Advise doctor of the rash.
Patient needed help.
Suffering from an all over body rash.
Still have rash, pimple like pumps all over body better but not gone.
"After Covid shot, skin covered with rash, even in my hair.
Losted all my hair, face and damaged too.
Still not feeling good.
Never had the Covid virus never been tested".
It was further reported that on Monday 15Feb2021- rash started on chest.
Made Dr.
Appt 16Feb2021 Doctor was not sure what was causing rash gave the patient something for Itching- referred me to dermatologist.
Saw Dermatologist on 19Feb2021 and she did not know what it was either.
Prescribed the triamcinolone acetonide - virus still have new bumps still appearing.
"Weight loss look a mess.
Just said that I was healthy and now I am a mess".
The event rash was considered serious, Life-threatening Persistent / Significant disability / Incapacity.
The facility where the vaccine was administered was in a clinic.
Outcome of the event rash was recovering, while unknown for the other events.