my waist line and inside thighs in my groin area/extremely itchy and painful; A few weeks later my bottom lip blew up; urticaria/clear visible lumps; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 42-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 01Dec2022 at 17:45 as dose 4 (booster), single (Lot number: GH9697) at the age of 42 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "I had COVID-19 in Jun2022", start date: Jun2022 (unspecified if ongoing), notes: if covid prior vaccination: Yes, Patient had COVID-19 in Jun2022; "Kidney stone" (unspecified if ongoing); "Surgery on left knee (ACL reconstruction Plus meniscus repair)" (unspecified if ongoing), notes: Surgery on left knee (ACL reconstruction Plus meniscus repair); "Surgery on left knee (ACL reconstruction Plus meniscus repair)" (unspecified if ongoing), notes: Surgery on left knee (ACL reconstruction Plus meniscus repair); "high cholesterol" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: BNT162b2 (Dose number: 3,, Lot number: FL3197,, Administration time: 06:15 PM,, Vaccine location: Left arm,), administration date: 13Jan2022, when the patient was 41-year-old, for COVID-19 Immunization; Covid-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for COVID-19 Immunization; Covid-19 vaccine (DOSE 2; MANUFACTURER UNKNOWN), for COVID-19 Immunization.  The following information was reported: LIP OEDEMA (disability) with onset 01Dec2022 at 19:00, outcome "recovering", described as "A few weeks later my bottom lip blew up"; RASH (disability) with onset 01Dec2022 at 19:00, outcome "recovering", described as "my waist line and inside thighs in my groin area/extremely itchy and painful"; URTICARIA (disability) with onset 01Dec2022 at 19:00, outcome "recovering", described as "urticaria/clear visible lumps". The events "my waist line and inside thighs in my groin area/extremely itchy and painful", "a few weeks later my bottom lip blew up" and "urticaria/clear visible lumps" required physician office visit and emergency room visit. Therapeutic measures were taken as a result of rash, lip oedema, urticaria.   Clinical course: Facility type vaccine was pharmacy or Drug Store. No other vaccine in fourweeks. Other medications in twoweeks no Just vitamins (multivitamin, ginko biloba). 2 hours after receiving the booster, patient had a severe rash on his waist line and inside thighs in his groin area. It was extremely itchy and painful with clear visible lumps (patient have pictures). Since then, patient continue to have this rash. almost daily. A few weeks later his bottom lip blew up as if he had an anaphylactic reaction and waited outside ER because patient was able to breathe. Patient went to urgent care and the APRN told him patient have urticaria and prescribed steroids. Since then, patient told his family doctor and patient taking 2 benadryl and applying calamine lotion whenever the rash occurs which was typically after dinner or after work around 5 pm daily. The urticaria was now moving to different locations on his body including his arm pit and penis now. Patient can't leave home without having benadryl and calamine lotion with him. Patient received treatment as Methylprednisone, daily Benadryl, calamine lotio. Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Disability or permanent damage. Covid prior vaccination was yes. Covid tested post vaccination no. Known allergies were not that patient was aware of. Patient was going to see an allergist in Feb. Patient had COVID-19 in Jun2022. Kidney stone. Surgery on left knee (ACL reconstruction plus meniscus repair), high cholesterol.