it became a real irritation; Dates for Rash on arms, hands, neck, and some spottiness on his inner thighs; itching; This is a spontaneous report from a contactable consumer (patient). A 73-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: KN6201, patient was 73-year-old at the time of vaccination), via intramuscular route of administration, administered in Arm Right on 19Feb2021 at 07:30 AM as DOSE 1, SINGLE for covid-19 immunisation. Medical history included ongoing cholesterol diagnosed a year and a half ago, ongoing blood pressure diagnosed about 20 years ago, ongoing asthma diagnosed in his 40s. Concomitant medication(s) included montelukast (MONTELUKAST) taken for serious case of asthma from an unspecified start date and ongoing, reported about Montelukast, he went to Veterans Administration and a person there had the same problem as him. They told him about Singulair, person told caller, if he tried it, it might work. He tried it and it worked. Caller clarifies Montelukast is generic for Singulair. He was treated in hospital for asthma, he had to be rescued by fire rescue because he couldn't breathe at all. Once he started the Singulair he hasn't had many problems, and hasn't needed the nebulizer much at all; lisinopril (LISINOPRIL) taken for blood pressure from an unspecified start date and ongoing, started taking about 20 years ago; atorvastatin (ATORVASTATIN) taken for cholesterol from an unspecified start date and ongoing, starting taking a year and a half ago; beclometasone dipropionate (QVAR), rarely takes it anymore unless there is a lot of pollen, has been taking since he was in his 40s; salbutamol sulfate (PROAIR HFA) taken for asthma as uses it if he has a lot of mucus, hasn't used it in over a year and half, using since he was in his 40s; ascorbic acid, betacarotene, biotin, calcium, chlorine, chromium, copper, cyanocobalamin, dl-alpha tocopheryl acetate, folic acid, iodine, magnesium, manganese, molybdenum, nickel, nicotinamide, pantothenic acid, phosphorus, phytomenadione, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, silicon, thiamine, vanadium, vitamin d nos, xantofyl, zinc (CENTRUM SILVER +50); cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]); calcium (CALCIUM); zinc (ZINC); magnesium (MAGNESIUM); reported that patient also takes turmeric, ginger root, cayenne pepper, saw palmetto and a joint medication, he forgot the name of it the joint medication. Doesn't take all the supplements in one day he splits his supplements, takes a handful one day and a handful the next. He hasn't been sick in forever. Has been doing this regiment for so long it works for him, this is unusual, for him, that he may have gotten the rash from the vaccine. Prior vaccinations patient had a pneumonia vaccine, needed booster after a year, pneumonia 13, first one no reaction, second one he actually had to go to bed for a day, His arm was very sore after that, red and the whole left side of his body was bad. He just had to go to bed for the whole day. It was reported that on the day that he got the Covid 19 vaccine, he had no reaction, no arm pain, nothing, but on the following day, Saturday 20Feb2021, in the evening, he developed a rash on his hands, arms, neck; and also has some spottiness on his inner thighs. He has never had a rash before, so he just thought it would go away; then he realized that it may be connected to the vaccine and decided to call. It was real spotty at first, and became a little more prevalent on 21Feb2021, then on the 22Feb2021 it became a real irritation. Itching is under control now because he found some medication that was preventing it, but he still has visual spots. He states he was normally a very healthy person. Caller reports his appointment for the second Covid 19 vaccine is scheduled for 20Mar2021 but it is 4 weeks after the first dose. He thought he had heard that you can get the vaccine later. He has nebulizer but hardly has to use it because of the Singulair, the asthma was something he developed late in life. No history of previous immunization with the Pfizer vaccine considered as suspect. No additional Administered Vaccines administered on same date with the Pfizer vaccine considered as suspect. On 20Feb2021, the patient experienced dates for rash on arms, hands, neck, and some spottiness on his inner thighs, itching, on 22Feb2021, the ptient experienced it became a real irritation. AE(s) not require visiting emergency Room and Physician Office, no prior Vaccinations within 4 weeks. The patient underwent lab tests and procedures which included Covid 19 with unknown results as tested for Covid 19 twice before. Patient received treatments for events with Goldbond Medicated Anti-Itch lotion, steroid free, over the counter. The outcome of event (Dates for Rash on arms, hands, neck, and some spottiness on his inner thighs) was not recovered, the outcome of event (itching) was recovering and the outcomes of event (it became a real irritation) was unknown.   Follow-up attempts are completed. No further information is expected.