Blood pressure and it was 179/91/still 150 over 70 over 69 which is quite high for me; I felt feverish; Rash with bumps on my forehead/Broken out rash, turned red; Face was red; Heart rate has also been high; Head hurt; My arm was a little sore; I was a little tired; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 47-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ER8736), via an unspecified route of administration on 30Apr2021 (at the age of 47 years) as a 2nd dose, single dose for COVID-19 immunisation. The patient medical history included over active autoimmune disease, Rheumatoid arthritis. The patient concomitant medication included adalimumab (HUMIRA, Lot number and expiration date was unknown) 0.4 ml, once a week, a shot in his belly or leg all around for rheumatoid arthritis and Methotrexate (Lot number and expiration date was unknown) 2.5mg, took 6 of them once a week for rheumatoid arthritis and autoimmune. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ER8731), via an unspecified route of administration on 09Apr2021 as a 1st dose, single dose for COVID-19 immunisation. On 30Apr2021, the patient at first experienced arm was a little sore and little tired. On 04May2021, patient felt bad, felt feverish. On Wednesday, he got a rash with bumps on his forehead. The BP was 179/91. Heart rate has also been high and this morning BP was 150/71. Patient was send home from work and he was feeling that from two days after he got the shot but it's been couple of days ago. The patient went in upstairs and then was sent to medical to that they said his face was red, "I didn't look like, look good" and took blood pressure and it was 179/91 and patient was sent home and told to stay home today (06May2021). Patient called his doctor and he said 'it would be risky' for a couple of days. This morning my blood pressure has come down some but it was still high, it wasn't near high as it was, run like 129, 130 over 58 or some like that and this morning it was still 150 over 70 over 69 which is quite high. But it has still come down a lot that's the reason patient called the doctor and he said take it easy, stay out of sun don't work stay at home and her said if you want to call Pfizer call them. The events have improved since yesterday, patient kept thinking he was running fever because his head hurt. But it started on Tuesday and it was Wednesday when someone sent me when the second time patient had broken out rash again and it has turned red. But yesterday (05May2021) it was 170 and 150 is way better today (06May2021. Patient informed that as directed he did not to take his medications, the Methotrexate and Humira. He did not take it within 7 days of taking the shot because he was told not to take it within 7 days of taking the shot, so he got off the medicine for the shot. The patient went for one actually two weeks ago or three weeks ago for his heart checkup and all that stuff, everything was fine, cholesterol was fine, everything was good. The outcome of the events was recovering.  Follow up (06May2021 and 06May2021): This is a follow up spontaneous report from a contactable consumer (patient): Added product details (Expiry date, lot details), Concomitant drug details, events (face was red, broken out rash, turned red, blood pressure was 179/91/ run like 129, 130 over 58 or some like that and this morning I was still 150 over 70 over 69 which is quite high for him, fever, head hurt), reporter's comments and clinical course and narrative was amended accordingly.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.