she had a little spot on her leg and she said it was dry and flaky and its like itchy/after I took the second dose, the starter doses, I got one of those psoriasis spot on my leg; This is a spontaneous report received from a contactable reporter(s) (Nurse), Program ID. The reporter is the patient.  A 56-year-old female patient received BNT162b2 (BNT162B2), as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "COPD" (ongoing). Concomitant medication(s) included: STIOLTO RESPIMAT taken for chronic obstructive pulmonary disease; FLU VACCINE VII taken for immunisation; PNEUMOCOCCAL VACCINE taken for immunisation. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for Covid-19 immunization. The following information was reported: PSORIASIS (non-serious), outcome "unknown", described as "she had a little spot on her leg and she said it was dry and flaky and its like itchy/after I took the second dose, the starter doses, I got one of those psoriasis spot on my leg". Therapeutic measures were taken as a result of psoriasis.  Additional information: The patient was calling about the Pfizer COVID-19 vaccine. The patient mentioned that she already talked to several different doctors and nurses about her condition. She said that she had always been a healthy person and all of her life, she hardly ever had a cold or flu and she was 56-year-old and she was very active, very athletic through all her life. She also said that she had come down with COPD and she takes general inhalers and also she mentioned, she had received the first and second dose for the Pfizer COVID-19 vaccine and also the booster for the vaccines. After she got her second dose, and she was fully dosed, she noticed that she had a little spot on her leg and she said it was dry and flaky and its like itchy and the first time she had it, she didn't pay any attention. She mentioned that she had good immune system before receiving the vaccine. Patient immunity was already high and had a good immune system. The patient took the second dose, she got one of those psoriasis spot on leg and after. Nobody in the family got psoriasis. It was really weird all of a sudden patient got it. The patient was just wondering if immune system got overactive because of that and if so. Lot number and expiration date was not reported the patient don't have it in front of her. The patient was handicapped and  can't look for it. The patient did not receive other vaccines within four weeks prior to COVID vaccine. The patient had a few months prior to that a flu shot and pneumonia shot prior to this. The patient was currently in stage COPD and was taking inhaler (Stiolto) and on oxygen. The doctor gave a topical ointment to try and rub  to stop the itching. It was the Hydrocortisone cream (lot number: 2DT0439 and expiration date Mar2024) but that was probably about it. The patient was taking vitamins, folic acid things like that and B12. It was reported that, the psoriasis, the patient had do think so just because the way it came on and she never had issues, she never had it before and didn't get it until she started getting the COVID shots. So it been almost, it was 22 now, so it had been well over a year and every time she get a booster or shot, the patient get it more and more quickly. It kind of heat it up and I think its just makes immune system get active.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.