skin color is not normal, and that there's something growing on her forehead/covered in white patches; She had spots on her abdominal area, 3 spots. Her joints are still swollen.; Had back pain, soreness on arms, and back of neck and swollen blue like inflammation.; Had back pain, soreness on arms, and back of neck and swollen blue like inflammation.; saw new huge spots on back of her neck and on her back like growing so fast now, she has spots 75 present on her body, she is covered in white patches; Had too much Vitamin D/extreme deficiency of Vitamin D; joints are still swollen, swelling arms like inflammation from the inside.; Her glucose was a little high; Had back pain, soreness on arms, and back of neck and swollen blue like inflammation.; still wasnt feeling well; vitiligo; I took a test and I still have ANA-positive autoimmune disease.; Was diagnosed with rheumatoid arthritis at 41 years old.; In November going for huge patch loss of hair and dizziness; In November going for huge patch loss of hair and dizziness; She had an extreme sore throat for 2 months and lost her voice.; She had an extreme sore throat for 2 months and lost her voice.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 40-year-old female patient received BNT162b2 (BNT162B2), on 10Aug2021 as dose 1, single (Batch/Lot number: unknown) at the age of 40 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "ADHD" (unspecified if ongoing); "BCG" (ongoing), notes: had BCG and she still has marks. Concomitant medication(s) included: ADDERALL taken for attention deficit hyperactivity disorder (ongoing).  The following information was reported: ALOPECIA (non-serious) with onset Nov2021, outcome "recovering", DIZZINESS (non-serious) with onset Nov2021, outcome "recovered" and all described as "In November going for huge patch loss of hair and dizziness"; AUTOIMMUNE DISORDER (medically significant) with onset 2022, outcome "not recovered", described as "I took a test and I still have ANA-positive autoimmune disease."; RHEUMATOID ARTHRITIS (medically significant) with onset 2022, outcome "not recovered", described as "Was diagnosed with rheumatoid arthritis at 41 years old."; VITILIGO (non-serious) with onset 2022, outcome "unknown"; SKIN DISORDER (non-serious), outcome "not recovered", described as "skin color is not normal, and that there's something growing on her forehead/covered in white patches"; JOINT SWELLING (non-serious), outcome "not recovered", described as "She had spots on her abdominal area, 3 spots. Her joints are still swollen."; BACK PAIN (non-serious), outcome "not recovered", PAIN IN EXTREMITY (non-serious), SWELLING (non-serious), outcome "unknown" and all described as "Had back pain, soreness on arms, and back of neck and swollen blue like inflammation."; OROPHARYNGEAL PAIN (non-serious), APHONIA (non-serious), outcome "recovering" and all described as "She had an extreme sore throat for 2 months and lost her voice."; RASH MACULAR (non-serious), outcome "not recovered", described as "saw new huge spots on back of her neck and on her back like growing so fast now, she has spots 75 present on her body, she is covered in white patches"; VITAMIN D ABNORMAL (non-serious), outcome "unknown", described as "Had too much Vitamin D/extreme deficiency of Vitamin D"; MALAISE (non-serious), outcome "not recovered", described as "still wasnt feeling well"; ARTHRITIS (non-serious), outcome "not recovered", described as "joints are still swollen, swelling arms like inflammation from the inside."; BLOOD GLUCOSE INCREASED (non-serious), outcome "unknown", described as "Her glucose was a little high". The events "i took a test and i still have ana-positive autoimmune disease.", "was diagnosed with rheumatoid arthritis at 41 years old.", "skin color is not normal, and that there's something growing on her forehead/covered in white patches", "she had spots on her abdominal area, 3 spots. her joints are still swollen.", "in november going for huge patch loss of hair and dizziness", "had back pain, soreness on arms, and back of neck and swollen blue like inflammation.", "vitiligo", "she had an extreme sore throat for 2 months and lost her voice.", "saw new huge spots on back of her neck and on her back like growing so fast now, she has spots 75 present on her body, she is covered in white patches", "had too much vitamin d/extreme deficiency of vitamin d", "still wasnt feeling well", "joints are still swollen, swelling arms like inflammation from the inside." and "her glucose was a little high" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Antinuclear antibody: (unspecified date) Positive, notes: positive for inflammation for autoimmune disease; Biopsy: (unspecified date) Unknown results, notes: he went back a week later for 2 more; (Jul2022) Unknown results, notes: had 3 biopsies. started Jul2022 to Sep2022; (Aug2022) Unknown results, notes: had 3 biopsies. started Jul2022 to Sep2022; (Sep2022) Unknown results, notes: had 3 biopsies. started Jul2022 to Sep2022; (Oct2022) Unknown results, notes: he went back a week later for 2 more; Biopsy kidney: (unspecified date) normal; Blood glucose: (unspecified date) High, notes: little high but not concerned; Blood test: (unspecified date) good, notes: everything is good; (Jan2021) Unknown results, notes: In January she had a lot of blood work, October she got it; (Oct2021) Unknown results, notes: In January she had a lot of blood work,October she got it; (12Nov2021) Unknown results, notes: Had bloodwork on 10Nov2021 with results 12Nov2021; (21Jan2022) Unknown results, notes: More labs on 21Jan2022; (14Feb2022) Unknown results, notes: last drawn on 14Feb2022,; B12: (unspecified date) Normal; (14Feb2022) Unknown results, notes: had 12 types done; Liver function test: (unspecified date) normal; Nasopharyngeal swab: (unspecified date) Improved, notes: throat and voice are improved; Vitamin D: (unspecified date) too much, notes: Had too much Vitamin D; (unspecified date) deficiency, notes: extreme deficiency of Vitamin D. Therapeutic measures were taken as a result of autoimmune disorder, rheumatoid arthritis, skin disorder, joint swelling, alopecia, dizziness, back pain, vitiligo, pain in extremity, swelling, oropharyngeal pain, aphonia, rash macular, vitamin d abnormal, malaise, arthritis, blood glucose increased.  Clinical course: Caller would like to know if she was still eligible to receive the second dose of the primary series of the COVID-19 vaccine. Many people told her not to get it, so she did not. They also told her to get Moderna, but she didn't want to because that could bring her new side effects. The Pfizer-BioNTech COVID-19 Vaccine and Comirnaty (COVID-19 Vaccine, mRNA) were given for the primary series. The vaccine was administered as a 2-dose series, 3 weeks apart. However, it did not specify any maximum interval. The patient asked If she get a second dose, will she recover from her skin color and her health issues. Caller stated that there was something growing on her forehead. As per transferring agent caller has a couple of questions: was there any way of removing the vaccine from her body? Could the vaccines she received in the country (BCG) be interfering or reacting?  She did not receive the second dose of the primary series and thought the first dose prepared your body and the second dose elicits the immune response. Caller confirmed the previous information. The patient got her first dose in Aug2021. She took a test and she still had ANA-positive autoimmune disease. That happened right after the Pfizer COVID-19 vaccine, and she still had that. It was scary. Caller mentioned that her skin color was not normal, and that there was something growing on her forehead. She had been trying to cover it with a long fleece, but she was working in the beauty industry. Her appearance was important to her. Caller would like to know if there was anyone else that she could talk to (outside of Pfizer The patient received Dose 1 at left arm around noon. This report was not related to a study or programme. Other Conditions were reported as no. Investigations was reported as yes. NDC number of Pfizer COVID vaccine, dose 1 was unknown. Reason for no lot number: of Pfizer COVID vaccine, dose 1: Complainant does not have the product with them at the time of call. Upon follow up on same day, she got the Pfizer vaccine, first dose, a year ago and didn't get the 2nd dose. After the first dose she had all kinds of health issues popping up. She was now 41 years old and has had so many doctor appointments. She thought she could handle it herself. In Jan she had a lot of blood work, in Oct she got it. In Nov going for huge patch loss of hair and dizziness, like when she tried to get up from bed too fast everything was like moving so she would lay down or put her head down for like 2 seconds and was fine. Had back pain, soreness on arms, and back of neck and swollen blue like inflammation. Doctors did blood work, and it came back autoimmune disease all of a sudden and extreme deficiency of Vitamin D. They gave her ointment for her joints and muscles. She still wasn't feeling well and went back a month later. The last time she went for new reason. She had spots on her abdominal area, 3 spots. Her joints are still swollen. 2 doctors checked and saw the swelling arms like inflammation from the inside. She was diagnosed with rheumatoid arthritis at 41 years old.  She was still ok with that and was going to manage it. She didn't get COVID.  After Jan they saw the spots but don't know what they were from. They were growing dramatically fast. The patient went to urgent care and was told 200 mg antibiotics and they didn't help and over the counter didn't help. Caller clarified it was for fungus, it was a common antifungal antibiotic that you use for females also. Caller did not have name, NDC lot expiry to provide for over the counters or antibiotics. After that she woke up the next day and saw new huge spots on back of her neck and on her back like growing so fast now, she has had spots 75 present on her body, she is covered in white patches. She gave up healing herself and tried to get a treatment but was so expensive no one wants to cover. She was mad, she could not deal with this anymore. States now her forehead has had patches on it, there were white patches there now. Stated she was from a different country. She was from country where she was born and had BCG and she still has marks and did not know if that was part of it, she was vaccinated then. Her father and mother did research on the vaccines from when she was little and maybe that interfered.  She was sent to dermatologist and had 3 biopsies and they could not tell and sent her to skin cancer research, and they do not accept new patients. The biopsies started Jul2022 to Sep2022. What made her mad, her spots were less when they did the biopsy, and it took a month to get the results. She had to go in for an appointment to get them and the spots were still growing. They said they still didn't know and needed 2 more biopsies and she went back a week later for 2 more. Waited another month and a half and they said it was mycosis or vitiligo from autoimmune disease. They made the decision it was vitiligo but are not 100% sure and want her to go to the Cancer resource place and she got a letter from them that they don't accept new patients.  The patient weight of patient was dramatically going up.  She had to wait for appointments in Oct or Nov. Had doctor appointments in Dec, Jan and Feb. Had bloodwork on 10Nov2021 with results 12Nov2021. More labs on 21Jan2022 and last drawn on 14Feb2022, had 12 types done. Hair was growing a little bit and sticking out and no dizziness. Has muscle and joint pain still there and back was worst. The patient was taking Gabapentin 200 overnight and Tylenol 800 and lots of vitamins especially D3 35000Iu's. She went for the third appointment and the doctor was touching her muscles and they wer swollen and a little bluish and that still happened. First noticed beginning of Nov2021 a week or 2 after the vaccine. Still happening. At first, she thought it was stairs or dogs or this or that. She ignored it and it got more intense.  Spots on her abdominal area beginning Dec2021 were small and ignored them. She had 3-4 and showed the doctor and didn't know it was and had no clue. Was given eczema cream and cream for alopecia. It went from small spots to her whole back, front, neck, arms, legs and now on her forehead. It's growing nonstop and the white spots have looks like white hair. The white hair in natural spots is dark.   Sore throat was great after that. It lasted 2 months and began at the beginning of this. She lost her voice at the same time. On 25Mar2022 she was trying to figure out why she had a throat like that, and voice was not back. They did a swab test and talked to nurse. Her throat and voice are improved. The patient was diagnosed with rheumatoid arthritis. Her back, wrists back of neck, she saw rheumatology right away and had to move in Mar2022. There was a lot of persons there and it's hard to make an appointment there. Her insurance is trying different places now.  She was  pretty healthy, was athletic and eats healthy.  They did every name of blood work, even sexual disease bloodwork. About 1 month ago had more again trying to get help and figure out if it's her liver or kidneys and they did more bloodwork, and everything is good. Her glucose was a little high but not concerned. Had too much Vitamin D, told she is taking too much right now but not concerning. Her kidneys, liver and B12 are normal. Had positive for inflammation for autoimmune disease.  She has been more concerned about her skin than rheumatology.  Vaccination Facility Type was pharmacy or drug Store. The patient did not have Prior Vaccinations (within 4 weeks). Family Medical History Relevant to Adverse Events were  none. The patient had seen doctors and urgent care.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.