itching at the injection site; 3 inch diameter circle that was somewhat hot at the injection site; injection site did look like a bullseye and it was warmer in that area than in the rest of her arm; injection site redness; muscle pain; joint pain; right arm was sore; pain at the injection site; This is a spontaneous report from a contactable consumer or other non hcp (patient).   A 86-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number was EW0170 and expiration date was not reported), via an unspecified route of administration, administered in right arm on 23Apr2021 at 09:45 hours (Age at vaccination was 86 years) as dose 1, single for covid-19 immunisation.  Medical history included ongoing blood pressure abnormal, lyme disease from unknown date, patient had lyme disease twice once in 1990 and once in 2014. She had a bullseye in 1990 with her Lyme disease but did not get a bullseye in 2014 with the Lyme disease. She reports sometimes people who have Lyme disease can get a bullseye mark and sometimes people do not get the bullseye mark. When she had Lyme disease in 2014 she reports it was advised to her to take Benadryl but she figured she would let her immune system deal with the Lyme disease on its own. She had a very strong immune defense, and her immune system was doing its job. She reports she does not currently have Lyme disease. Concomitant medication(s) included paracetamol taken for arthralgia from 01May2021 to an unspecified stop date, vitamins amino acids taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccine. The patient did not take any medication within four weeks. The patient previously took flu vaccine vii, prevnar 13, taxol and experienced urticaria. Patient had anaphylaxis in 2015 at a second chemotherapy treatment. The chemotherapy drug was called Taxol. When she received her first treatment of Taxol she developed hives. The second treatment of Taxol was 2-3 weeks later. The minute the Taxol was injected her eyes went backward and the staff had to use the heart paddles to save her. People told her what happened. She does not think her medications are relevant. The patient had her first vaccine and she felt fine at first. On next day 24Apr2021 her right arm was sore and she had a little pain at the injection site. On 01May2021 patient started to have some itching and a 3 inch diameter circle that was somewhat hot at the injection site. It looked like a bullseye. Patient reports she has had Lyme disease twice in the past and thats what it looked like at the injection site, a bullseye. With the Covid 19 vaccine she reports she had injection site pain, muscle pain, joint pain, injection site redness especially on 01May2021. And at the site of the injection, she had itching. The itching was not something that would keep her awake at night. Patient also reported that the redness at the injection site was not a mean red color. It was somewhere between pink and an angry red. The injection site did look like a bullseye and it was warmer in that area than in the rest of her arm. She has not had any trouble sleeping with the itching. She has had no gastrointestinal side effects. She has not had any vomiting or anything like that, she did not lose her smell and she does have a good appetite. The patient did not have a fever or chills. Patient had due for her second Covid 19 vaccine on 14May2021. She was scared to have the second vaccine. The patient did not visit emergency room or physician office. The patient did not perform any relevant test. The outcome of events right arm was sore, pain at the injection site, itching at the injection site, 3 inch diameter circle that was somewhat hot at the injection site, injection site did look like a bullseye and it was warmer in that area than in the rest of her arm, injection site redness, muscle pain and joint pain was not resolved.  No follow-up attempts are needed. No further information is expected.