sunburn rash; "burning sensation" including on her hands; a "pimple rash" mostly on her arms and legs and "one or two on my chest"; low-grade fever; body aches all over/achy; headache; lymph nodes on the "injection side" were hurting; extremely fatigued; nauseous; vomiting; couldn't lift my head off the pillow/couldnt move; left underarm lymph node swelling; The rash was severely itchy and her hair was itchy; appetite has been a little less; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 53 year-old female patient received bnt162b2 (COMIRNATY), administered in arm left, administration date 01Nov2021 13:30 (Lot number: 32030BD, Expiration Date: 31May2022) at the age of 53 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "allergic to PEG and other components of the vaccine" (unspecified if ongoing); "allergic to PEG and other components of the vaccine" (unspecified if ongoing), notes: She does have a history of allergies to medication and vaccines. She has several allergies; "COVID-19" (unspecified if ongoing), notes: Caller reports having had COVID twice, before vaccination. She recovered from COVID 3 months ago. The patient's concomitant medications were not reported. The following information was reported: HEADACHE (non-serious) with onset 01Nov2021, outcome "recovered" (2021), described as "headache"; PYREXIA (non-serious) with onset 02Nov2021, outcome "recovered" (2021), described as "low-grade fever"; PAIN (non-serious) with onset 02Nov2021, outcome "recovered" (2021), described as "body aches all over/achy"; LYMPH NODE PAIN (non-serious) with onset 2021, outcome "unknown", described as "lymph nodes on the "injection side" were hurting"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "extremely fatigued"; RASH (non-serious) with onset 03Nov2021, outcome "recovering", described as "a "pimple rash" mostly on her arms and legs and "one or two on my chest""; RASH ERYTHEMATOUS (non-serious) with onset 04Nov2021, outcome "unknown", described as "sunburn rash"; BURNING SENSATION (non-serious) with onset 04Nov2021, outcome "unknown", described as ""burning sensation" including on her hands"; NAUSEA (non-serious) with onset 2021, outcome "unknown", described as "nauseous"; VOMITING (non-serious) with onset 2021, outcome "unknown", described as "vomiting"; MOBILITY DECREASED (non-serious) with onset 2021, outcome "unknown", described as "couldn't lift my head off the pillow/couldnt move"; LYMPHADENOPATHY (non-serious) with onset 2021, outcome "recovered" (2021), described as "left underarm lymph node swelling"; PRURITUS (non-serious) with onset 2021, outcome "unknown", described as "The rash was severely itchy and her hair was itchy"; DECREASED APPETITE (non-serious) with onset 2021, outcome "unknown", described as "appetite has been a little less". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache.  Additional information: The patient received first dose of the vaccine on Monday, 01Nov2021 at 13:30 pm. The patient reported that she went through a desensitization process before receiving the vaccine with her allergist because she was allergic to PEG and other components of the vaccine. She stated she was desensitized before getting the vaccine since she was sensitive to certain components of the vaccine and other medications and vaccines in the past. She was given the vaccine in a hospital setting just in case something was to happen or she were to have an allergic reaction. She was fine and that she kept drinking water until five hours after the administration of the vaccine when she developed a headache and took two extra-strength Tylenol. She developed a low-grade fever at midnight. The day after the vaccine dose, Tuesday, she developed body aches all over and her fever subsided. She also reported her lymph nodes on the injection side were hurting, was extremely fatigued, and achy. Her aches subsided during the day. On Wednesday, she developed a pimple rash mostly on her arms and legs and one or two on her chest. The rash was severely itchy and her hair was itchy. She was unable to wear her CPAP and decided to not take Benadryl right away. On Thursday, she went to work and said she started developing sunburn rash, the other rash was subsiding. This rash lasted several hours, got worse before it got better, and there was a burning sensation including on her hands. She also said last night, she developed a red dot rash on legs and arms and was nauseas and had vomiting all night. She also reported she couldn't lift her head off the pillow, those effects seems like it was subsiding. She had COVID twice, before vaccination. She waited the recommended 90 days before getting the vaccine, as recommended by her primary doctor and allergist. She stated that for the first 8 hours was fine, after 8 hours she started to experience bad headache, then around midnight she got a low grade fever, the following day she then had really bad body aches and couldn't move. She recovered from COVID 3 months ago. On Wednesday she had a headache and stuff, states now seem like everything was okay, she went back to work yesterday, in the evening she started breaking out in a rash, she got a sunburn rash, and then last night got a red dot rash on her body, it was worse on her legs and has had nausea and vomiting. Now this morning she felt better, did not go to work. She took tylenol for headache, did not take more tylenol for the low grade fever, they subsided on its own in less than 12 hours, no exact times or dates known. The rash did get worse before it started getting better on Thursday. Rash got worse while she was at work and then when she left work yesterday at 13:00 pm her hands were beat red, by 16:00 pm it had subsided. and then in the evening she felt itchy again, and noticed she started developing a red dot rash, which was different than the sunburn rash. Looks like today everything had gone away. After she started developing the rash, after she ate, but she had eaten that before. Her appetite had been a little less. Nausea and vomiting all night, did not go to work today. Did drink lemon and hot water to calm down the nausea, a quarter teaspoon of baking soda and 8 oz of water to calm down the vomiting. She stated she did have a history of allergies to medication and vaccines. This was her first vaccine since she was 20 years old. On the second day the lymph node under left arm pit swelled but that had gone away. No redness or anything at injection site. She wanted to know if these side effects were normal during the week after the vaccine and how long she should expect these side effects. Now it's been five days. She asked if she should expect these same symptoms with the second shot. She wanted to know about treating her side effects or knowing if the symptoms she was experiencing were side effects or allergic reactions. She said she was "always leery about mixing medications" because she had several allergies.  No follow-up attempts are possible. No further information is expected.