skin started breaking out on the same side that she received the vaccine; itchy and that it looks like hives; second dose: right arm very tender; second dose: fatigue/ second dose: tiredness; second dose: a little dizzy; second dose: headache; lymphnodes which are swollen; second dose: neck was swollen; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 59 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 11Aug2021 (Lot number: EW0170) at the age of 59 years as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (First dose, Batch/lot number: EW0168, Dosage text: first dose injected in her left arm), administration date: 20Jul2021, when the patient was 59 years old, for covid-19 immunisation, reaction(s): "left arm swollen like a cannonball", "left arm swollen like a cannonball". The following information was reported: RASH (non-serious) with onset 13Aug2021, outcome "unknown", described as "skin started breaking out on the same side that she received the vaccine"; PRURITUS (non-serious) with onset 13Aug2021, outcome "unknown", described as "itchy and that it looks like hives"; LYMPHADENOPATHY (non-serious) with onset Aug2021, outcome "unknown", described as "lymphnodes which are swollen"; SWELLING (non-serious) with onset Aug2021, outcome "unknown", described as "second dose: neck was swollen"; TENDERNESS (non-serious) with onset 11Aug2021, outcome "unknown", described as "second dose: right arm very tender"; FATIGUE (non-serious) with onset Aug2021, outcome "unknown", described as "second dose: fatigue/ second dose: tiredness"; DIZZINESS (non-serious) with onset Aug2021, outcome "unknown", described as "second dose: a little dizzy"; HEADACHE (non-serious) with onset Aug2021, outcome "unknown", described as "second dose: headache". Therapeutic measures were taken as a result of rash, pruritus.  Additional information: Clinical course reported as- on the 11Aug, and that was a Wednesday, so it was on Friday her skin started breaking out. She says she thought it was hives, and at first it was itchy and she didn't scratch it but she did put cold compression on it, then put Hydrocortisone cream on it and it is still coming out her right arm, which was the arm she took injection on. She says she has a big one on her neck and her neck was swollen. It was given July 20th in her left arm, which was swollen like a cannonball, it was hard, awful, and painful. She says her second dose was LOT Pfizer EW0170 given on 11Aug2021 in her right arm, and her right arm was very tender, and it had a little swelling. She says her right arm was very tender and then all of a sudden she started feeling like she never had the flu before but she felt fatigued and tired and a little dizzy. She says she also had a headache and couldn't get out of bed for two days and she didn't want to eat anything. She says she noticed her lymph nodes were a little bit swollen. She says that Friday she had what is like a rash, she doesn't know if it is hives or what, that started as a bump that came out of nothing, so she put cold water and cold compress on it and didn't scratch it. She says the rash started swelling on her right arm and her right side of her neck, and the rash was also on her right shoulder part of her shoulder blade, she has bumps. She says she put Hydrocortisone cream on it because it was itching, like hives or like the dickens. She says she was concerned if this would be a reoccurring thing, what she should do about it.  No follow-up attempts are possible. No further information is expected.