severe acute urticaria on left arm; kept spreading, progressive; flaring up; burning; splotches grew bigger; left side from her hand to her breast was hard as rock and stiff; thought she was having a stroke; severe acute urticaria on left arm; kept spreading, progressive; flaring up; burning; splotches grew bigger; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP), Program ID:. The reporter is the patient.  A 59-year-old female patient received BNT162b2 (BNT162B2), on 06May2021 as dose 2, single (Lot number: ER8736, Expiration Date: 31Jul2021) at the age of 58 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Left Lumpectomy" (unspecified if ongoing), notes: She has previously had a Lumpectomy on her left side; "hives" (unspecified if ongoing), notes: States she has had hives from bug bites; "migraines" (unspecified if ongoing), notes: She had migraines prior to taking the medication. She has a history of Migraines; "Eczema " (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Lot number: EW0150, Expiration date: 31Jul2021), administration date: 15Apr2021, when the patient was 58-year-old, for COVID-19 immunization; Flu (She has taken flu and other vaccines and never had a reaction), for Immunization, reaction(s): "never had a reaction". The following information was reported: BURNING SENSATION (medically significant) with onset 2021, outcome "recovered" (Sep2021), URTICARIA (medically significant) with onset Sep2021, outcome "recovered" (Sep2021) and all described as "severe acute urticaria on left arm; kept spreading, progressive; flaring up; burning; splotches grew bigger"; MUSCULOSKELETAL STIFFNESS (medically significant) with onset Sep2021, outcome "recovered" (Sep2021), described as "left side from her hand to her breast was hard as rock and stiff; thought she was having a stroke". The event "severe acute urticaria on left arm; kept spreading, progressive; flaring up; burning; splotches grew bigger" required physician office visit. The events "left side from her hand to her breast was hard as rock and stiff; thought she was having a stroke" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Blood test: (unspecified date) Normal; SARS-CoV-2 test: (Jan2022) Positive, notes: Got COVID in after receiving the 2 doses. Therapeutic measures were taken as a result of urticaria, burning sensation, musculoskeletal stiffness. The patient had a delayed adverse event side effect after the COVID-19 vaccine. She also saw the on call physician at the ER at in mid of Sep2021. The patient stated that after her second vaccine, she had a delayed reaction, of severe acute urticaria. The reaction started a month or two after the second injection. She was not allergic to anything and she had to see an allergist and immunologist. The splotching was all over the place. She stated that she used over the counter Benadryl and Antihistamines. The urticaria kept spreading, was progressive and flaring up and she had burning. The splotches grew bigger. They gave her blood tests and did blood panels and she was not allergic to anything. She had taken flu and other vaccines and never had a reaction. She knew this was a delayed reaction from the vaccine. One evening it was so bad, it hit on her left side from her hand to her breast was hard as rock and stiff. She called an ambulance and went to the ER because she thought she was having a Stroke. They gave her an injection of Toradol in her left arm and it gave her relief and after that, she had no more Urticaria. She was not getting a Booster Dose. She had a bad reaction and she couldn't take anymore COVID-19 vaccines. She has previously had a Lumpectomy on her left side and she had an upcoming appointment for a checkup that she always gets so she didn't get cancer. They wouldn't give it to her in her left arm because of her lumpectomy history, they said she had to get it in her right arm and it was a nightmare. She has never had anything like this before in her life. She has had hives from bug bites but this was big type of blotches and it didn't look like what she usually gets and she didn't usually get the burning sensation and this was really aggressive. It was age related and was not tied to the vaccines or Eucrisa. With the vaccine delayed reaction, it was Acute Urticaria and it sent her to the ER. It hit her on her left side where she had lumpectomy and she couldn't do that. She stated that on an unrelated note she was prescribed Eucrisa. She has had no adverse events. She was taking for Eczema and likes it and had no adverse events. She also stated that she was having a hard time getting a refill of Eucrisa. She had migraines. She had migraines prior to taking the medication. She had a history of migraines. It has been a while she had been using it. She used it mostly on her ankles. Her face was sensitive and she used it nowhere near her eyes. She used it near her eyes once and it blew up. Any other area is fine. It started out when she got it near her eyes that it felt hot. She did not receive any medical treatment. It was like an allergic reaction. Could not use it on her eyelids or anywhere near her face. If she does use it on her face it was on her cheeks. She was very sensitive to it. She said it lights it up like a Christmas tree. She could use it on her neck, arms legs and ankles and they were all fine. She didn't put it on her face. It was too strong for her face. She used it for these Eczema patches. She confirmed that no medical treatment was required for the allergic reaction. The skin on her body was sensitive, especially on her face. The doctor had to prescribe lotion for her face. It was Epi Ceram for face.