VAERS ID: 2331377

AGE: | SEX: U|STATE: FR

Description

Itchy rash; generalized rash, patchy rash; Skin petechiae, limited to limbs; Macular rash; This is a spontaneous report received from a contactable reporter(s) (Physician) from the Regulatory Authority-WEB. Regulatory number: PL-URPL-3-13688-2021 (RA). A 76-year-old patient received BNT162b2 (COMIRNATY), on 20May2021 at 08:50 as dose 2, 0.3 ml ,single (Lot number: FC0681, Expiration Date: 30Dec2021) intramuscular for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (DOSE 1, MANUFACTURER UNKNOWN), for COVID-19 IMMUNISATION. The following information was reported: RASH PRURITIC (medically significant) with onset 29May2021 at 08:00, outcome "not recovered", described as "Itchy rash"; RASH MACULAR (medically significant) with onset 29May2021 at 08:00, outcome "not recovered", described as "Macular rash"; PETECHIAE (medically significant) with onset 29May2021 at 08:00, outcome "not recovered", described as "Skin petechiae, limited to limbs"; RASH (medically significant) with onset 29May2021 at 08:00, outcome "not recovered", described as "generalized rash, patchy rash". Therapeutic measures were taken as a result of rash pruritic, rash, petechiae, rash macular. Clinical information: On 29MAY2021 at 08:00 the patient developed Generalized, itchy, macular rash with petechiae on lower legs, worsening despite treatment, patchy, itchy rash, with petechiae on the lower legs.Treatment includes unspecified antihistamines and steroids. No follow-up attempts are possible. No further information is expected.

Symptoms

Petechiae, Rash, Rash macular, Rash pruritic

Vaccines

VAX DATE: 05-20-2021| ONSET DATE: 05-29-2021| DAYS TO ONSET: 9
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FC0681 OT Unknown

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:PLPFIZER INC202200843799
FORM_VERS:2
TODAYS_DATE:06-23-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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