itching and the hives on my face / I look like some 'leper'; itching and the hives on my face / I look like some 'leper'; Rash; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 71 year-old patient received bnt162b2 (BNT162B2), administration date 26Oct2021 15:00 (Lot number: EW0185) at the age of 71 years as dose 2, single for covid-19 immunisation; prednisone (PREDNISONE), from 2021 (Batch/Lot number: unknown) to 2021 at 20 mg. Relevant medical history included: "allergic to polysorbate 80" (ongoing). There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, Lot/Batch number: FF2588), administration date: 04Oct2021, when the patient was 71 years old, for COVID-19 immunization, reaction(s): "throat tightness", "my mouth tingling", "my lips were swollen", "chest tightness". The following information was reported: PRURITUS (non-serious), URTICARIA (non-serious) all with onset 27Oct2021 03:30, outcome "unknown" and all described as "itching and the hives on my face / I look like some 'leper'"; RASH (non-serious) with onset 2021, outcome "unknown", described as "Rash". The action taken for prednisone was unknown.  Additional information: Reported that, Registered Nurse, the Patient (Pt) spoke last week about reaction to the first COVID vaccine and that is why Pt gave all the information which given previously, then said Pt have to talk to somebody at another number but they did not open until 8 'o' clock, it's after 8 'o' clock. Pt have already filled, then given information and somebody else prior to last week and now Pt had a reaction to the second vaccine (further clarification unknown hence marked as initial report in tab) which, Pt is a nurse and work for withheld and the rule was if you did not get the vaccine you are going to get fired  and when Pt went in there to get the vaccine with director with, the chief nursing officer want to hear Pt reaction to the first vaccine, she was like just checked Pt and director said no Pt had to have it, so they called the director of the employee health, she came up and took me to downstairs and pre medicated Pt with Prednisone first and then gave it to me and Pt was fine and then that was like 3:30 in the afternoon and then 3:30 in the morning Pt woke up with itching and hives and went back and saw her she gave me more prednisone 'which last time in' the weekend and now the rash, the hives and the itching are worse. Pt spoke to somebody last and gave you all my information and seriously the chief nursing officer withheld because she was the one who was going to give me my injection said Pt should have been 'exempt' and my director said to herself no, no, if she doesn't get this she out of the door on 28Oct. Pt was so upset. Pt look like some 'leper' and this is what happens to Pt when Pt  have an allergic reaction to a medication. Pt can't get into emails, from the 27th that was when it was sent to me this is the time when Pt friend and son was going back on the 28th so guess Pt have to, Pt do not want to have to call back, Pt want to go to this address ASAP because Pt was going to get a lawyer against (Withheld) care because was forced to get this. Pt told them, Pt sent them something for vaccination exemption, they refused it and even when Pt went to get the second after reaction to first, the nursing officer of the entire hospital did not want to give it to Pt, did not. She said, she could exempt Pt. Registered Nurse was informed that the information is with Pfizer but there is no access for that information. Registered Nurse stated, "The first one 04Oct I got that at 8:30 about 8 'o' clock in the evening (time of vaccination) they watched to 30 minutes to 8:30 then I went home at around 12:30 at night that was the first I woke up with my lips, my mouth tingling, my lips were swollen, there was swelling around my mouth like a rope and I had chest tightness and throat tightness and that lasted until 5:15 in the morning so that happens on 05Oct I got the injection in the evening on 04Oct and this happens at 12:30 in the morning on 05Oct. The second one I received probably when I left the employee health office on 26Oct, I left there at around 3:30 in the afternoon and so they gave it to me at around 3 'o' clock on 26Oct and I experience the reaction that woke me up at the itching and the hives on my face on 27Oct at 3:30 in the morning and that also I need to tell you this. When the chief nursing officer said when the chief was going to reject me and my boss said no I had to have this on 28Oct. I was going to lose my job so thing went on and on about it and then the employee health director and her name is (Withheld) (last name) (Withheld) (first name)  she was called to come up, she came up walked me down to the employee health, she gave me a dose of 20 milligrams of Prednisone before giving me the injection not yet before giving me the injection and I was fine so then she asked me the question again and take me to upstairs because they were asking me the questions upstairs and when the second dose and they asked me if I had a reaction to this I said yes I told them had it to the first one and they asked me these questions and they do not want to give it to me so the nurse practitioner (Withheld) asked me the questions again I went upstairs and did not think about it but my emails happened to be opened, she asked me and I have a print out of this and she asked me the same questions and when it came to the one which says did you ever had a previous reaction to COVID-19 vaccine and set up putting yes the way I had told them I asked, she changed it to no, so I contacted her and she stated and I have this in writing that the fact that she gave me the Prednisone first that she has pre-medicated me and the practice she had EpiPens in the office even though I carry EpiPens (further clarification unknown) with me all the time, that was able to down grade my response from a yes to a no (further clarification unknown). "I would say within the last couple of months, I have to say it had to be Jul and Aug, I had lab work done for allergies in regards to If I was allergic to anything in this vaccine, it did come back that I am allergic to polysorbate 80 which is in Johnson and Johnson however there was not a definite lab test for the polyethylene glycol." (Further clarification unknown hence, tab not checked). I am upset because I have to live to this again. It is not your fault it is my body the way it react, my body was hold on to tight for like 3 weeks.  Follow-up attempts are completed. No further information is expected.