she had a reaction in the mouth, in the cheeks and in the side of her mouth, her lips is all cracking and she has this white spots in her mouth and it hurts; Hers is not gone away, it's gone worse; she had a reaction in the mouth, in the cheeks and in the side of her mouth, her lips is all cracking and she has this white spots in her mouth and it hurts; Hers is not gone away, it's gone worse; she has a hard time talking and eating; it's painful when she talks; she had a round red circle on her thigh that she got right after the shot too; that hasn't gone away either; After she took the first shot she got a bigger reaction; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP).  A 79-year-old female patient received BNT162b2 (BNT162B2), as dose 1, single (Lot number: EL8982), as dose 2, single (Lot number: EL9264) and on 03Sep2021 as dose 3, (booster) single (Lot number: EW0191) at the age of 79 years for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: CHAPPED LIPS (non-serious), STOMATITIS (non-serious), outcome "unknown" and all described as "she had a reaction in the mouth, in the cheeks and in the side of her mouth, her lips is all cracking and she has this white spots in her mouth and it hurts; Hers is not gone away, it's gone worse"; ORAL PAIN (non-serious), outcome "unknown", described as "she has a hard time talking and eating; it's painful when she talks"; RASH MACULAR (non-serious), outcome "unknown", described as "she had a round red circle on her thigh that she got right after the shot too; that hasn't gone away either"; HYPERSENSITIVITY (non-serious), outcome "unknown", described as "After she took the first shot she got a bigger reaction". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of chapped lips, stomatitis, oral pain, rash macular.  Additional information: Reporter stated that calling for my wife (name) about the Pfizer COVID shot. She had a reaction in the mouth, in the cheeks and in the side of her mouth, her lips is all cracking and she has this white spots in her mouth and it hurts and she has a hard time talking and eating and every time we took the shots, first two shots were okay and after she took the third shot she got a bigger reaction so we want to know if you can get me some help about that. Reporter stated this was for (Name withheld) though, her mouth was okay. she had a small reaction to the first, now it's gone away (further clarifications unknown hence, split not made by). Hers was not gone away, it was gone worse. Reporter stated, And it was painful when she talks. We want to report this and we have had before and after this anything we can do for it because doctors don't seems know what can they do for her. Reporter stated she could give you all the numbers from it. The first one was EL looks like 8982 and the second one was EL9264 I think it is, looks like 4 or 9. And the third one EW I do not know how it writes like 0191. Reporter further stated she would like to have a call back on this so we could talk to them what can be done on this mouth issue because the last shot was giving 03Sept2021 and it was still giving her problems. Reporter was informed that call back request will be mentioned in the report. Reporter stated better if calling on phone we were, listen she was 81 and she was on 80 and they were old people they don't look at mail too often so better if called on phone she would appreciate that. Reporter stated this mouth was bothering her, she have a tough time talking and eating with it so, they need help. Doctor didn't seems to knew what they have to do with it. Medical history: Reporter stated no, she was not suffering from anything else. she thought the reaction was in the mouth and also she had a round red circle on her thigh that she got right after the shot too, she also mentioned that, that hasn't gone away either. Lab test: Reporter stated she went to the doctor for blood testing but nothing comes up on there, it was just regular information that they have before but they don't seem to know anything about this. Treatment: Reporter stated they don't know what they treating with about this. They said put cold ice in there which will help bring it down and make little more comfortable for a few and after words it comes back and then we did salt water, one salt water was that and we use backing soda if sometimes, some people told to use that, that was better they had it was gone. Prior vaccination: Reporter stated they had the flu shots after that (further details were not clarified appropriately hence, suspect captured conservatively as unspecified flu shot). She already had that in the mouth and mark on that so, she already had that reaction.  Follow-up attempts are completed. No further information is expected.