his entire body is hurting; It's flu like symptoms but not really; feeling run down; it's like skin sensitivity/if touch his skin it kind of hurts, more like skin sensitivity versus body ache, touch his arm it hurt; a bilateral inner thigh rash to knee, that was non irritating non itchy but was uniform in pattern; a sore throat but it was like a tickle a throat tickle and then a dry cough; a sore throat but it was like a tickle a throat tickle and then a dry cough; a sore throat but it was like a tickle a throat tickle and then a dry cough; sore arm at injection site; This is a spontaneous report from a contactable nurse (CRNA anesthesia, also the patient). A 39 years old male patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), via an unspecified route of administration at arm on 16Dec2020 at single dose for COVID-19 immunization. The patient's medical history included psoriasis (he took biologic for pre-existing psoriasis), arthritis and that "he thought he had direct exposure". Concomitant medications included unspecified biologic for pre-existing psoriasis. The patient initially called because he was asking that if it was reaction to the injection or if it was possible Covid 19 because he thought he had direct exposure. The patient mentioned "his chest and stuff" and got received a Covid test on 11Dec2020, 02Dec2020 and 24Nov2020 and they were consecutive test and he took these test because they were few of his coworkers down to Covid so he  just wanted to be sure that he was not infected with them, these are all negative. So last result he had for Covid was 14Dec2020 and that's two days before he got the vaccine and they were all negative and "it started like all his activities, it was like going to work, going to get food like at the grocery store or other places for takeout".  He had not been in a situation where he have been gathering with a lot of people or having dinner or lunch and sort of anything like that, just the point that he was not in the one of high risk people. For the possible "side effects similar to covid 19 from vaccine", the symptom presentation/progression per patient were are as follows: the patient initially had sore arm at injection site on the day of injection which was Wednesday (16Dec2020) and then the following day (17Dec2020) he started having a sore throat but it was like a tickle a throat tickle and then a dry cough. On Friday (18Dec2020) he had a bilateral inner thigh rash to knee, that was non irritating non itchy but it was uniform in pattern. And then on Saturday (19Dec2020), he continued to have a dry cough and said he did apply some steroid cream that he has for his psoriasis and the rash is going away/almost gone and reported feeling run down, has skin sensitivity, he said that if touch his skin it kind of hurts, it's more like skin sensitivity versus body ache, when he touch his arm it hurt, it's like skin sensitivity. And then on Sunday (20Dec2020, the date of reporting), he still has cough and his entire body is hurting. It's flu like symptoms but not really. The patient's weight was around 175 pounds on an unspecified date. Therapeutic measures were taken as a result of the events included some steroid cream and over the counter Zicam (its tablet for cold). The outcome of the event dry cough was not recovered, bilateral inner thigh rash to knee was recovering, for the other events was unknown. When probed for the causality between events and the suspect product, the patient said "hope it is not from that" .