Redness and rash on ankles and fore arms; Redness and rash on ankles and fore arms; Heaviness or soreness on her arm; Heaviness or soreness on her arm; upper arm itching; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 78-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Lot Number: EL9263), via intramuscular, administered in left arm on 31Jan2021 13:45 (at the age of 78-years-old) as dose 1, single for prevention. Medical history included ongoing high cholesterol and high blood pressure (She was on high blood pressure medication. She did not remember the name or dose for that medication. Both her high blood pressure and high cholesterol were under control), seasonal allergies (have improved considerably) from an unknown date, she gets watery eyes (when the trees start blooming, she gets watery eyes and occasional sneezing), occasional sneezing from an unknown date (Maybe in April or May when the trees start blooming, she got watery eyes and occasional sneezing. Investigation Assessment was no. Concomitant medication included atorvastatin calcium (LIPITOR) for high cholesterol, start and stop date were not reported. Vaccination facility type was Clinic in a school. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 02Feb2021 at 12:00 the patient experienced fore arms and heaviness or soreness. It was reported that, Received call from consumer regarding the Pfizer COVID vaccine. She got 1st dose on 31Jan2021, and other than heaviness or soreness on her arm, she was fine. She got it on Sunday in the afternoon and was fine. She slept ok and Monday she was fine.  On Tuesday around mid-morning to around noon, she noticed from her ankles going up to knees and on her upper arm to elbow, she had a rash. She did not know what it was. She had upper arm itching a little and applied Cortisone 10 thinking it was just a rash. On Tuesday and Wednesday, it was the same and it was not getting any better. On Thursday, she went to her primary care doctor, and he said it was most probably due to the vaccine and said to report it. She went last Thursday to his office. She provided product information for Cortisone 10 maximum strength cream with Aloe. Lot 17H227 and expiration 20Sep, and the rest is missing. Dose 1% hydrocortisone anti itch. The Count size says net weight 1 ounce (28g). The redness and rash on ankles and forearms are getting better. She noticed it at noon on her arms. Physician visit on Thursday Primary care provider. No medical treatment provided, he just advised to take Zyrtec as an antihistamine, and it should go away. It has improved considerably. He also advised to take Benadryl at night 3 days before she has second dose. She has not bought the Benadryl yet. The Zyrtec was 10mg antihistamine Cetirizine HCI orally disintegrating tablets. Lot was so faint, 26617902, but not 100% sure. Expiration Feb2022. She had upper arm itching a little and applied Cortisone 10 thinking it was just a rash. On Tuesday and Wednesday, it was the same and it was not getting any better. She provided product information for Cortisone 10 maximum strength cream with Aloe. Second dose is scheduled for 21Feb2021.  She was at a vulnerable age and decided to get the vaccine. She was on high blood pressure medication. She did not remember the name or dose for that medication. Both her high blood pressure and high cholesterol are under control. Relevant test was not done. Her doctor said it was ok to get second dose, but she just wanted to make sure. The outcome of the events erythema and rash was unknown and other events was recovering.  Follow-up attempts are completed. No further information is expected.