painful rash/welts randomly on some parts of her body, noting her hands, face and all over her body/parts of her body that were affected: arms, back, chest, face, cheeks, chin, neck and forehead; painful rash/welts randomly on some parts of her body, noting her hands, face and all over her body/parts of her body that were affected: arms, back, chest, face, cheeks, chin, neck and forehead; feel tingly then the welts start about 10 minutes later; her eyes are painful when looking down and up; feeling like the nerves are strained; her eyes get red and irritated and bloodshot; her eyes get red and irritated and bloodshot; her face is deformed; hands are painful and she is unable to lift or turn anyone at work because of her hands hurting/make it hard to use her hands, palms and fingers/hands are painful; Caller stated she had covid skin; hands are painful and she is unable to lift or turn anyone at work because of her hands hurting/make it hard to use her hands, palms and fingers/hands are painful; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19  VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration on 29Jan2021 as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19  VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. On 10Feb2021, she started having a rash and welts on some parts of her body and they were on random parts of her body and the welts come and go. I was reported that it was painful welts that affect her arms, back, chest, legs, face, cheeks, chin, neck and forehead. They were like big mosquito bites and were sometimes itchy but not much and were also painful. The area feels tingly and the welts start about 10 minutes later. It quiets down for a day or two then comes back. It was stated her eyes were painful when looking down and up, and feel strained and the nerves feel strained. Her eyes get red and irritated and blood shot. It was reported that ones on her palms and fingers make it hard to use her hands. The patient took prednisone 5 mg and it did not work and took prednisone 20 mg which helped for a short while, but it caused her blood pressure and blood sugar to go up. The patient saw a dermatologist that prescribed a cream and two allergy medications. But nothing was helping. The patient rested for a while thinking that would help but that did not help. Patient used skin sensitive detergent to help. Patient cut off this and that to see what she was allergic to. The patient stated it bothers her working because her hands were painful and she was unable to lift or turn anyone at work because of her hands hurting and her face was deformed and people look at her weird. Rash/welts repeats again and again. Patient stated that it started in the state (name withheld) and continued when she went to another state (name withheld) and Europe. Patient wanted to know what she can do and said she was paying out of pocket. It was also reported that she did not have any allergies before the vaccine and stated it is not due to pollen, trees or flowers. Patient stated she had COVID skin. The outcome for the events was not recovered.  The lot number for the vaccine BNT162B2 was not provided and will be requested during follow up.