bladder problems; weakness; lost weight; legs tired; foot hot; rash on body; itch on body; This is a spontaneous report from a contactable consumer (patient). A 86-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: not reported), dose 1 via an unspecified route of administration on 19Feb2021 (at the age of 86-years-old) as dose 1, single for covid-19 immunisation. Medical history included bladder problem, itches, weaker and has lost weight. The patient's concomitant medications were not reported. Family history included Bipolar for his daughter. Historical vaccine included Whooping cough vaccine and Tetanus shot. On an unspecified date, the patient experienced rash on body, itch on body, bladder problems, weakness, lost weight, legs tired and foot hot. Dates for second covid vaccine scheduled 29 days after the first vaccine. The patient also reported he might postpone it for another time and get the second shot later. He has had a bladder problem for a couple of years. He has quite a few things. He has an itch once in a while on his entire body. He's actually coming off of an itch. It seems like these "itches" are coming up more often. He clarified this itch problem occurred prior to receiving the COVID 19 vaccine, it has been occurring for a couple of years, and he was getting worse, weaker, and has lost weight. He reported that he was not saying this was from the COVID vaccine, as he has had these for some time. He received this shot about a month ago and had shots in between. He clarified he was told to get his Whooping Cough vaccine, and then he had his first Covid vaccine. He reported that not on the first day, but the second day of the COVID vaccine, he reports he got an itch, but it only lasted 5 minutes. It was kind of a quick thing. However, he has been dealing with those (itches) for a few years, once in a while, and it itches his whole body. So, he doesn't want to take a chance with getting the second vaccine of COVID. Patient reported that not on the first day, but the second day of the COVID vaccine, he got an itch, but it only lasted 5 minutes. It was kind of a quick thing. However, he has been dealing with those (itches) for a few years, once in a while, and it itches his whole body. So, he did not want to take a chance with getting the second vaccine of COVID. Caller asked if the COVID vaccine was going to help the problems that he has been having for the last couple of years. Stated the COVID vaccine isn't going to help his existing problems he is having now, like controlling his bladder and itch. He was having to use something to help him because  his urine comes out so strong and hot. He has so many things that have happened. He reported he has weakness and so many other things are involved. The weakness started a couple of years ago. The patient wanted to know if this second shot of the COVID vaccine would help his existing problems at all, or will it make it worse. He reported he broke out with a rash in between two different shots. He clarified all of a sudden, he was given the Whooping Cough vaccine and Tetanus shot and he got a reaction two days later. He really can't tell what its from because he has been having problems for years. He already had problems going on. Clarified that yes, he had the itch before the shots, in fact he is getting over an itch right now and it covered his whole body. Tetanus shot: NDC, Lot number or expiry date not provided. Second diose was scheduled for Saturday, 20Mar. Caller stated he is going to his Dermatologist the next day and he is going to ask his dermatologist about the second shot because the caller read what the side effects are to the virus and if someone should get it, it can be pretty bad. He doesn't want to make his itch worse, he was hoping the COVID vaccine would make it better. He wanted to know if the COVID vaccine would help or not? He doesn't want to take more medication that would make his situation worse because its getting worse by itself. Caller stated the trouble he is having, he has had for a couple of years now. If he takes that shot, he is in a pretty bad situation right now and there is nothing to do when the itch hits his whole body. He stated maybe he would postpone it for another time and try to work more on the existing one now, and get the second shot later. Caller declines transfer to USMI, stating he doesn't believe they would be able to tell him anything. He would like to get the second COVID shot, but the odds are so big against him because he has already had these problems for some time now and he can't chance it being worse. He knows it can be pretty bad. Patient reported that he would talk to his Dermatologist, he needed to talk to him about something else. He doesn't think the COVID-19 vaccine would help, but if it makes worse, he would be in a very bad situation. So much of this is crazy and what he goes through with the reaction he has had for so long. Caller clarified he was not talking about a reaction with the COVID vaccine. He was talking about 2 years ago, time went by quickly and so many things happened in between, but it's been at least two years. When the reaction first started, it started with his legs getting tired right away and his foot getting really hot and things like that. He was seen by a doctor and he was given ointments. He cannot provide names, NDC/Lot/expiration for any ointments. He still has some of them and it may be on his paperwork. He had tests and was in good shape. Caller stated again that he thinks he would talk to his Dermatologist and let him know that maybe his Primary doctor would like to put off the next shot until some of what he is experiencing clears up. He reported that anybody can call. He has a lot of family that belongs to that hospital (name), and neighbors. He is not an HCP, but he has to deal with a lot with medications given to his kids. He stated he hates to disappoint and not take the second shot right now, but he has having trouble with the existing one, so he would like to get that cleared up. He stated "It's not a picnic". He has been with (institute Name) a long time. Patient reported he has a rash on his back now, he thinks it would be bad timing now to get the second shot. If it clears up, it would do him better. He clarifies that the rash happened after the Covid 19 vaccine. He then stated he has been having a lot of problems that happened before the COVID 19 vaccine with other parts of his body. He went to see the doctor who gave him the Whooping cough shot. He can't really say if it was the COVID vaccine. He states he cant blame the COVID vaccine because he already was having problems for a long time. He declined to continue with the report since no one could give him any advice and nobody can't tell him anything. He doesn't want to take a chance with the second vaccine. Patient stated he wished he could attain the second shot but he is hoping the itch doesn't happen again because every so often, the itch comes back because it affects his whole body. He doesn't want to make it worse, he wants to make it better. He reported that he has had to work with Doctor's with his kids because he is divorced for a long time and his son died and he had to put him down. He has had to deal with the doctor and deal with his daughter who is Bipolar. He is not a doctor, but he has had experiences talking with them. Outcome of the events were unknown.   No further details were provided or obtained.   No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.