injection site was extremely painful; she developed a rash. It looks like the COVID arm; The rash goes from her shoulder to elbow/knotty rash; has throbbing pain.; This is a follow up spontaneous report from a contactable consumer (patient) reported that at the age of 71-year-old female patient received first dose of BNT162B2 (PFIZER BIONTECH COVID 19 VACCINE, Solution for injection. Lot number: EP6955) at left arm via unspecified route of administration on 05Apr2021 (age at vaccination: 71 years) at 09:30 in the morning as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Caller stated that she spoke to someone before she got transferred to you. The agent recorded the report earlier. she had some side effects after receiving the Pfizer COVID vaccine. she received her shot on 05Apr2021. she noticed the injection site was extremely painful. she could not even raise the arm. It went away after some time. The next day on Tuesday 06Apr2021, she developed a rash. It looks like the COVID arm. It was blushy, red and nodey. The rash goes from her shoulder to elbow. She tries putting aloe Vera, but it was not helping. Caller added that it is a knotty rash, and it will not go away. It has throbbing pain. Caller adds that it has gotten a little bit better, but it throbs. It looks worse in the afternoon. Caller added she has not taken anything, she just put aloe vera on the rash. It is on her arm, and it goes to the elbow in big red blotches. Caller wanted to know if she should wait a little longer because it has been ten days since the rash started. The rash started the next day after she received her vaccine, and it does not look like it was going away. Covid arm rash with throbbing pain: The pain is throbbing, throbbing pain. Caller understood at the beginning that she was going to have a reaction, but she thought it would go away by now. Her fear is that she was scheduled for the second dose on 24Apr2021 which is only 9 days from now. Caller wanted to know if she should see anybody or if she should do anything. Caller added that this was not criticism but apparently nobody knows anything about this, about results or what to do. Caller adds her physician will not know what to do about this either. She does not know what her physician can do. She can go see him, but there was nothing that can be done, and Pfizer does not provide medical advice. Caller added that she would like to talk with the medical advisers at Pfizer and that she understands that the nurse she was talking to was gathering data regarding side effects or situations. Caller added she was going to say her problems with her reaction regarding the vaccine. Caller added she can go see her physician, but she thinks he will be on the same board. Covid arm with rash and throbbing: caller adds that she had covid arm, with big red blotches but in her case, there are knots on each blotch and adds that they are bumps and painful. Caller states she has no itching, but it is very painful, throbbing. Caller adds it was to the point that the pain was throbbing. Caller added the blotches go away on one side, and then come down to the rest of the arm. It was her left arm, and limited from the shoulder to elbow. Caller received the first vaccine Monday 05Apr2021 and the rash started Tuesday. It is getting better, but it was also coming down towards her elbow. Caller added she said Covid arm and people should know what that was, because that is a term she learned on the internet when she searched what is going on with her. Caller kept waiting to see if this would go away and it did not. Caller adds that before we go on, she wanted to say that she has not seen her physician about this. Caller adds it is okay to contact him, but she does not know that he would know anything because she has not seen him yet. Caller added the reason was to get vaccinated like everybody else would want to be vaccinated. Patient did not visit Physician office nor Emergency Room since she could not go to the doctor, but she was waiting. Caller added she did not go because she was waiting to see. It was reported patient did not take any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Caller added she has an accent and sometimes people do not understand her, and it was her not them. Caller clarified details. Outcome of the events was unknown.  No follow up attempts are needed. No further information is expected.