feeling tired; fatigue got worse; intense itching under both arm pits; a rash that spread across her chest and she could feel bumps; a rash that spread across her chest and she could feel bumps; she slept a great deal of the day.; was a little out of it; This is a spontaneous report from a contactable consumer (reported for herself). A 73-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9264/Batch number was not reported), dose 1 intramuscular, administered in arm left on 08Feb2021 (at 10:00 to 10:15) (at the age of 73-years-old) as dose 1, single for covid-19 immunisation at hospital. Medical history included rash (rash or hives), urticaria (rash or hives), ongoing psoriatic arthropathy psoriatic arthritis that causes joint pain, arthralgia from an unknown date and unknown if ongoing (psoriatic arthritis that causes joint pain), ongoing obesity, ongoing hypertension (Verbatim: High blood pressure). Concomitant medications included other medications. The patient previously received ibuprofen and experienced anaphylactic reaction (Patient had an anaphylactic reaction to Ibuprofen after taking it regularly she went to the emergency room and they treated her with epinephrine). On 08Feb2021, the patient experienced feeling tired, fatigue got worse, intense itching under both arm pits, a rash that spread across her chest and she could feel bumps, she slept a great deal of the day and was a little out of it. The clinical course was as follows: Patient did not have any side effects at the hospital or when she drove home. She started feeling tired a about an hour after she got home. She stated that she knows that fatigue is a side effect, and it did not bother her. Later the fatigue got worse, she spent most of the afternoon on the couch and she was a little out of it. She said that when she woke up from her nap, she had intense itching under both arm pits. She used an over-the-counter anti-itch cream with cortisone and it helped somewhat. She later had a rash that spread across her chest and she could feel bumps. She said that it did not reach her neck and she did not have any issues breathing. She said that she has had allergic reactions in the past and she suspects that is what this was. She has never had an allergic reaction to a vaccination but has had reactions to a number of other medications. She said that it is usually a rash or hives and that she had one severe reaction in the past. She had an anaphylactic reaction to Ibuprofen after taking it regularly she went to the emergency room and they treated her with epinephrine. She said that basically, she is concerned about having a more severe reaction with the second dose. Is it contraindicated for her to get the second dose. The consumer said that what was different was that her symptoms started later, or a couple of hours after she got the shot she started itching. She had no unusual joint pain, fever, or injections site swelling. She feels a little tired today. Caller said that she also has psoriatic arthritis that causes joint pain. She did not have any uptick in the joint pain she normally feels though. She said that she still itches a little bit, but not like it was. It started several hours after the shot. The rash came after the itching in her armpits. She cannot see the rash, but it stills feels a little itchy. She can still feel the bumps a little bit, but there is not any redness. She stated that she takes other medications, but she does not think they had any bearing on what happened to her. The patient underwent lab tests and procedures which included body Height: shrunk a little bit on an unspecified date in 2021. Therapeutic measures were taken as a result of event included treatment with over-the-counter anti-itch cream with cortisone. was a little out of it was resolved on 08Feb2021, fatigue got worse, intense itching under both arm pits, a rash that spread across her chest and she could feel bumps were resolving and feeling tired, she slept a great deal of the day were unknown.  Follow-up attempts completed. No further information expected.