her deltoid is pulling from the back all the way to the armpit ever since the injection/ her arm was fatigued and a pulling under her arm like the back of her breast; Rash was reported as worsened.; Rash/This rash started on the side of her arm like towards the front of her breast; the caller's skin broke out to something that like eczema, psoriasis, or a diaper rash; the caller's skin broke out to something that like eczema, psoriasis, or a diaper rash.; the caller's skin broke out to something that like eczema, psoriasis, or a diaper rash.; The break out started on the left side where the caller got the injection; It was like the caller had sunburn that had breaks and blisters.; The things under the caller's arms are so painful; The rash got so bad and the pain was so excruciating because it felt like a sunburn; skin is becoming scarred; the discoloration of African Americans, skin is becoming scarred and discolored from this event; The caller's doctor said the rash was some sort of antifungal or bacteria thing; Once the contusion went away; muscle is sore and fatigued; but the muscle is sore and fatigued/ her arm is fatigued; This is a spontaneous report from a contactable consumer (patient). A 52-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot/batch no: unspecified) via unspecified route in the left arm, on 16Apr2021 as dose 2, single for COVID-19 immunization (at the age of 51-years). Medical history included that the patient is a cancer survivor, sun-burn from 2019 to 2019 and the patient has been like a hermit since the pandemic. The patient's concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection); Lot/batch no: ER8730) via unspecified route on 26Mar2021  as dose 1, single for COVID-19 immunization (at the age of 51-years) and experienced worst pain, fever and severe soreness at injection site. Patient reported that, she got the Pfizer shots, and never had any issues previously with her skin, and then on 20Jun2021, she realized she had a reaction on her skin. This rash started on the side of her arm like towards the front of her breast. Once the contusion went away her skin broke out to something that like eczema, psoriasis, or a diaper rash. The patient applied cortisone, ointments, and everything and it was still horrible. The rash got so bad and the pain was so excruciating because it felt like a sunburn. She went to Urgent care and was prescribed clotrimazole and betamethasone dipropionate cream. The break out started on the left side where she got the injection. It would go right near the hip by the side and down as far as the thigh, right above the knee, and then it went under her armpit. It was like she had sunburn that had breaks and blisters. The patient started using that medication from the Urgent Care and the rash would dry up within a day then one would pop up next to where the rash just was. Her doctor said the rash was some sort of antifungal or bacteria thing. She took showers like crazy and was a neat freak so she knows that she was not dirty. She was using the medication but they are popping up on different sites but they mostly start on the left side. Then the patient had the discoloration of African Americans, like when they have diabetes, she was getting something like that under her arm. The medication cream was working but was not killing whatever this virus was. The vaccine was a virus that was going to help kill the covid 19 virus and now the patient thinks this virus is causing this rash. The patient had been experiencing this rash the last 4 weeks and it she been 5-6 weeks after the second dose. She doesn't want people to not get the virus because of this event so she doesn't want to say anything about this event. The dermatologist was full until the end of September so she hasn't seen them yet. She further stated that, the things under the caller's arms were so painful she was not wearing tank tops anymore. She was willing to take photos of it and send them in if Pfizer needs that. She was researching it and nothing looks like what she had on her skin, she can't identify with any-thing. The rash looks like maybe eczema at first, she thought it was hives and the doctor said it was more like a virus, bacteria, or fungus. The cream was not killing it for it to go away completely. What-ever it was it was trying to leave the caller's body. She on the second refill of the medicated cream and can't wait to see the dermatologist. She went to the urgent care because the pain was so bad, her skin was becoming scarred and discolored from this event. She felt like that was becoming a chronic condition. She just started using the second tube of the clotrimazole and betamethasone dipropionate cream, first box that the caller started on 20Jun2021- lot 342279, expiration date Sep2022, NDC un-known and second box- lot, the font was tiny and blurred, it almost looked like an AC12555, expiration date Dec2022, NDC unknown. Patient also stated that arm was not weak but the muscle was sore and fatigued like she went to the gym. When she lifts her arm now its like her deltoid was pulling from the back all the way to the armpit ever since the injection and while sitting down and she felt like her arm was fatigued and a pulling under her arm like the back of her breast and also went to the doctor for this. The events resulted in emergency room and physician office visit. The clinical outcome for events was not recovered for all events except for event, the rash got so bad and the pain was so excruciating because it felt like a sunburn/It was like the caller had sunburn, the discoloration of African Americans, like when they have diabetes, she is getting something like that under her arm/caller's skin is becoming scarred and discolored from this event, muscle is sore and fatigued and When the caller lifts her arm now its like her deltoid is pulling from the back all the way to the armpit ever since the injection was unknown and for contusion was recovered on an unspecified date.  Information about Lot/Batch number has been requested.