had a large bump on her arm; Hives on upper chest next to her neck; She is breaking out in welts and if you saw what is happening to her, it is nasty.; redness halfway up arm past her elbow and then got many other bumps; itching crazy at night; red and swollen on both sides of her waist; swollen on her butt.; rashes; hurt; extremely tired; She has been getting up at 830 when use to get up at 5, and when she does get up at 8:30 she doesn't want to get out of bed.; threw up/vomiting; This is a spontaneous report from a contactable consumer(patient).   A 54-years-old female patient received bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EP6955), via an unspecified route of administration, administered in Arm Left on 20Mar2021 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included allergic to cats, allergic to pollen, allergic to watermelon, influenza She gets the flu shot every year, neuropathy peripheral. The patient's concomitant medications were not reported. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. Patient has no adverse events prior to vaccination. Patient has no illness at time of vaccination. Patient has no family history relevant to adverse event. Patient had Pfizer COVID shot and basically, she needs to know if she should get a second dose after her side effects. She is supposed to go back on the 10th for her second dose. She stated it was not until the next day that her symptoms started. She is breaking out in welts and if you saw what is happening to her, it is nasty. Two days later she thought she had hives or something but then had a large bump on her arm and then redness halfway up arm past her elbow and then got many other bumps. She was waking up itching crazy at night on the left side, it was so severe that she couldn't figure out where it was and was itching in between her fingers and up her arm, it was to the point you want to jump out a window or scream, it was so severe for 2 straight nights. Then many other bumps came up. This morning she woke up with 4-inch lines that were really red and swollen on both sides of her waist, which is bizarre, but they don't itch and don't hurt. She also had one "something" swollen on her butt. This has been consistent since she got the shot. She stated she even called an exterminator to make sure it was not bugs, and she confirmed it is not a bug. She is not sure when this is going to end, these rashes, bumps, welts. She has several pictures of them. She stated it is severe and she isn't sure if it is an allergic reaction. She called the doctor's office, and they don't have any appointments. She asked if this has been reported and for how long and if she should get her second dose? Will this get worse after the second dose? The first day she felt good, and her arm was a little sore and she kept hearing about the sore arm from other people. The only thing that has changed in her life is that she got that shot. Stated the shot is 80 percent effective, right? She says something has changed. She has been extremely tired. She has been getting up at 830 when use to get up at 5, and when she does get up at 8:30 she doesn't want to get out of bed. Last night she stated she threw up. She was vomiting but she doesn't know if that was part of it or just her nerves. The outcome of the events Urticaria and Peripheral swelling was recovered and all other events was unknown.  No Follow-up attempts are needed. No further information expected.