red bumps all over his legs; Itches and burns; Itches and burns; showed on his toes as a bad rash and protruding; This is a spontaneous report from a contactable consumer reported for himself. A 37-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: ER8731), dose 2 via an unspecified route of administration, administered in left arm (Anatomical Location of Administration of Pfizer vaccine considered as suspect: Left arm) on 12Apr2021 at 09:05 (at the age of 37-years-old) as DOSE 2, SINGLE for COVID-19 immunization. Medical history included drug hypersensitivity (allergy Penicillin) from an unknown date and unknown if ongoing and drug hypersensitivity (Red chest Allergic to sulfa based antibiotics) from an unknown date and unknown if ongoing and Poison ivy rash (had a rash or two from poison Ivy) from an unknown date and unknown if ongoing. It was stated that patient usually has pretty clear skin. With the first shot, patient thought the red bumps looked like a heat rash. patient never had reactions. The dermatologist said with history she was 100% sure it was vaccine related. Emergency Room staff said it was a rash coming from the inside. They said they do not know much about rashes and that was why had to see a dermatologist. Concomitant medication included lisinopril (LISINOPRIL) taken for blood pressure measurement from 2011 and ongoing. Historical vaccine included: first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) as dose 1, single on 22Mar2021 for COVID-19 immunization, patient had some bumps on his legs, like little red dots. patient thought this was a heat rash (Miliaria), and did not think anything of it. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): no. Additional Administered Vaccines: no. No prior vaccinations (within 4 weeks). Patients Medical History (including any illness at time of vaccination) reported as no. Family medical history relevant to adverse events reported as no. Vaccination facility type at hospital not at military facility. Patient received the second dose before lunch time on Monday 12Ap2021, within an hour patient started to get red bumps all over legs and they have been persistently gotten worse and worse. They got so bad and showed on toes as a bad rash and protruding. It Itches and burns. Patient went to the Emergency Room at Hospital and saw a couple doctors who gave him medicine. They told patient (him) to stay home from work, and patient went to see dermatologist. They also gave some medicine. Be-fore going to the Emergency Room, patient use Calamine lotion on it, which just helps with itching. Patient also took Benadryl. Describes it as a solid red, rash, looks like scabies, got penny size groups on toes pretty much everywhere almost up to waistline. Dermatologist said veins were inflamed. The rash was from the inside and was not dermatitis or contact dermatitis. It had been confirmed by the Emergency Room doctor. Patient was not admitted. The patient underwent lab tests and procedures which included chest x-ray: no result. The outcome of the events were unknown.  No follow up attempts are needed. No further information is expected.