developed fatigue/tired; she went on vacation and slept and wanted to rest and slept again that Tuesday and all day yesterday in the morning and went to sleep at 08:30am to 11:00am; pins and needles on the top of her tongue and bumps all over her skin that itch; she is getting very nervous; she would be crying; bumps all over her skin that itch/she was still having the itching and bumps; that it more like a rash now not just bumps and she is scratching so much that it is welting; that it more like a rash now not just bumps and she is scratching so much that it is welting; that it more like a rash now not just bumps and she is scratching so much that it is welting; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 1 via an unspecified route of administration, administered in right arm on 25Jul2021 (at the age of 42-year-old) (Batch/Lot Number: FA7484; Expiration Date: 30Sep2021) as dose 1, single for covid-19 immunisation. Medical history included ongoing mitral valve prolapse diagnosed at age 10 or 11. The patient had no family medical history relevant to the events. There were no concomitant medications. The patient previously took rogaine (also reported as Rogane) for her pregnancies (prior to the covid vaccine). On 2021, the patient experienced pins and needles on the top of her tongue and bumps all over her skin that itch. She stated that she was still having the itching and bumps, and it was getting worse not getting better. She stated that 2 or 3 days later, the pins and needles was resolved but last Friday she saw 1 bump and she thought it was a mosquito bite.  The past few days, more and more bumps have appeared, and they were really itchy. She stated that nothing she was taking was alleviating the itch. She stated that it was more like a rash now not just bumps and she was scratching so much that it was welting. The rash was coming up all over her body from her neck to her feet. She stated that she was in the same household as two minors and her husband so she knows it was not anything she ate and she was not allergic to anything. She has all these bumps all over her skin and she was getting very nervous in 2021 and does not know if this was related to the shot and she did not know she would be crying and was nervous. The tip of her tongue felt this way and she felt that it would not go away for a good 48 hours and she called the CDC the next day and the person was not a nurse and just did intake and could not provide her with answers. The first symptom she had after the covid vaccine was that when she got the shot the practitioner told her the injection side would feel sore and told her she would have a headache or may not have a headache or fatigue. On 26Jul2021, Monday, the patient developed tired but was not exhausted and it was like fatigue and was ongoing. In Jul2021, she reported that she went on vacation and slept and wanted to rest and slept again that Tuesday and all day yesterday in the morning and went to sleep at 08:30am to 11:00am and did not think of it. She reported that her period was coming in a couple of days and she figured this was PMS but this morning she already slept really well and yesterday and last night slept again and was just a little tired and she was in a deep sleep and not a nap but was just tired. She thought she had mosquito bites with the climate on vacation and had gotten bitten and was back on Monday and not expecting as many bites but they do not look like bites but were little welts all over her legs and arms and she first noticed them on her chest; she did not think of it and thought they were bites but none of her family members have them and the room was sealed so there was no input for mosquitos to get in. She thought the bumps were worse and she ran to Target to get a whole bunch of ointments like Benadryl that were not effective. She felt like more bumps came up and they were like fresh bites and she can't recall when they began but noticed the first one last week on Friday on her chest and kept scratching the bites but bites don't feel like this and she was not thinking they were bites. The Benadryl Itch Relief stick and other products she used were not effective on the bites and she was rubbing alcohol that had no effect on her either and nothing burned and the rubbing alcohol temporarily alleviated the itching. She took another product because she was itching a lot yesterday and it was Hydrocortisone Extra Strength Up and Up. She stated that she was a normal well adult. She was looking for any information on these side effects being related to the vaccine because she was supposed to get the second dose on Sunday, 15Aug2021 and she was nervous about it. The events did not require a visit to the emergency room and physician office. Prior vaccinations (within 4 weeks) was none. Outcome of events bumps all over her skin that itch, more like a rash now not just bumps and she was scratching so much that it was welting, developed fatigue/tired and pins and needles on the top of her tongue and bumps all over her skin that itch was not recovered; and outcome of the rest of events was unknown.