Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Lymphadenopathy, Pruritus, Rash macular, Vaccination site pain
Clinical narrative: After 2nd COVID-19 vaccine shot on April 16, 2021 felt within 5 minutes like heat across my back/scapula regionfrom injection site.  Did not feel this with 1st shot.; Within 2 days noticed"spot" on my arm, NOT A RASHnear injection site that looked to be aswirl mark from internal burn. At onset, spot was a bit itchy.; Lymph nodes were still swollen inarmpits and what felt like left sideneck.; However when this spot is squeezedor massaged, there seems to beresidual pain on left side as if at theactual injection point,into neck, back of head and and intothe back around scapula.; At onset, spot was a bit itchy.; This is a spontaneous report from a contactable consumer, the patient. A 48-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0158) via an unspecified route of administration in the left arm on 16Apr2021 at 13:00 (at the age of 48-year-old) as a single dose for COVID-19 immunisation. Medical history included anemia. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any medication within two weeks of vaccination. The patient was unaware of any known allergies to medications, food, or other products. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6208) via an unspecified route of administration in the left arm on 26Mar2021 at 13:00 (at the age of 48-year-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 16Apr2021, after 2nd COVID-19 vaccine, the patient felt within 5 minutes like heat across her back/scapula region from injection site. She did not feel this with 1st shot. Within 2 days noticed "spot" on her arm, not a rash near injection site that looked to be a swirl mark from internal burn. At onset, spot was a bit itchy. Lymph nodes were still swollen in armpits and what felt like left side neck. She noticed that the spot seemed to be "removable" perhaps not permanent due to when it was squeezed or massaged, it somewhat disappeared. However when this spot was squeezed or massaged, there seemed to be residual pain on left side as if at the actual injection point, into neck, back of head and and into the back around scapula. The patient questioned "Have you seen anything that looks like this? Photos can be made available". No therapeutic measures were taken as a result of these events. Since the vaccination, the patient had not been tested for COVID-19. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the event spot was a bit itchy at onset was recovered on an unknown date in Apr2021.  The clinical outcome of the events sensation of heat, spot like rash, swollen lymph nodes and vaccination site pain were not recovered at the time of the report.   No follow-up attempts are needed. No further information is expected.