She had blisters, rashes and nausea; Headaches; dehydrated alternatively; Her white Blood cells Count was up; If your level is at 99 you are okay, if you are above 99 which she was at a 150; Pemphigus Foliaceus; The vaccine was expired; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID: (Unknown). The reporter is the parent.  A 31-year-old female patient received BNT162b2 (BNT162B2), on 05Aug2021 as dose number unknown, single (Lot number: FA7485) at the age of 30 years for covid-19 immunisation. The patient's relevant medical history included: "Overweight" (unspecified if ongoing), notes: she was overweight; "fatty liver" (unspecified if ongoing), notes: she has fatty liver. Concomitant medication(s) included: VITAMIN D [COLECALCIFEROL]; PROBIOTICS; PREDNISONE; AZATHIOPRINE; FAMOTIDINE. Vaccination history included: BNT162b2 (Dose 1, lot number: FA6780), administration date: 16Jul2021, when the patient was 30-year-old, for COVID-19 immunization. The following information was reported: EXPIRED PRODUCT ADMINISTERED (non-serious) with onset 05Aug2021, outcome "unknown", described as "The vaccine was expired"; HEADACHE (hospitalization) with onset Jul2022, outcome "unknown", described as "Headaches"; PEMPHIGUS (medically significant) with onset Jul2022, outcome "unknown", described as "Pemphigus Foliaceus"; NAUSEA (hospitalization) with onset Jul2022, outcome "unknown", described as "She had blisters, rashes and nausea"; WHITE BLOOD CELL COUNT INCREASED (non-serious) with onset 01Feb2023, outcome "unknown", described as "Her white Blood cells Count was up"; BLOOD GLUCOSE INCREASED (non-serious) with onset 01Feb2023, outcome "unknown", described as "If your level is at 99 you are okay, if you are above 99 which she was at a 150"; DEHYDRATION (non-serious), outcome "unknown", described as "dehydrated alternatively". The patient underwent the following laboratory tests and procedures: Blood glucose: (01Feb2023) Glucose range was up to 99 and was 150; Blood test: (01Feb2023) Unknown results; Weight: (unspecified date) probably 300 pounds, notes: weight was probably 300 pounds because of the steroids that she has to take; White blood cell count: (01Feb2023) Up, notes: white Blood cells Count was up. Therapeutic measures were taken as a result of pemphigus.  Clinical course: The autoimmune disease she has now they say is uncurable, only manageable but manageable deals with more chemicals like steroids that are just destroying her body right now. And when she asked for alternative medicine, The IV medicine would be # for the prescription, not covered by the insurance. Reporter mentioned that she is calling on behalf of her daughter. Reporter said that her daughter experienced a side effects after taking the vaccine. Reporter was asking if Pfizer was aware for this kind of side effects. Reporter stated that "She had all kind of symptoms she started getting blisters and, rashes and, headaches and, nausea, all that stuff, and she was on dermatologist appointment were very vague and very hard to get at this time in Jul2022 she was diagnosed with Pemphigus, that auto-immune condition." Reporter added "She was very very sensitive she's got the Foliaceus. The autoimmune disease she has now they say is uncurable, only manageable but manageable deals with more chemicals like steroids that are just destroying her body right now. And when she asked for alternative medicine, The IV medicine would be # for the prescription, not covered by the insurance. She was not sure what specific formulation this was but she checked the LOT expiry checker and it says in the lot expiry checker tool that the vaccine was expired and that this tool was applicable for LOT# of the Pfizer COVID-19 vaccine and also I want to let you know that her daughter experienced something called Pemphigus foliaceus. The caller said it says it's an auto immune disease and it involves the patient having blisters and rashes and also nausea and that happened in the (Incomplete sentence). She received, the last dose of the vaccine that she received was on the 06Aug2021 and that's the Pemphigus foliaceus happened on Jul2022." Reporter stated, Her weight was probably 300 pounds because of the steroids that she has to take. Other Medical Conditions and Medications: Reporter stated, "She is taking all kinds of medications related to this auto-immune disease including vitamins, steroid I thing its called prednisone (Since reporter was not sure, hence steroid captured as unspecified medication), I have a long list of what she was taking." Lab Work: Reporter stated, "Yes, she went to medical emergency yesterday, the day before yesterday she went to the Hospital and took blood work and she will have a report and I provide the e-mail to you. Yes, I have the blood report. She was dehydrated alternatively, she has certain levels of, the Glucose range was up to 99 and was 150, the Glucose range was 150. She also had (Incomplete sentence). A range with 150, the range if your level is at 99 you are okay, if you are above 99 which she was at a 150 (event captured conservatively as per verbatim) that's how it is given to her. Her white Blood cells Count is up, she doesn't have the number, she has fatty liver (Intent: Past medical history) and she is overweight (Intent: Past medical history). Other Medications: Reporter stated, "She was currently on Prednisone, the medication that she was on, I have a list she wrote about 9 medicines. These are over the counter, it's called Private, the brand and she was taking active immunity, she was taking in the same brand undeniable beauty, the same brand Goodbye Stress, she was taking Vitamin D 25 mg, she is taking 'health probiotic'. She was taking Prednisone 20 mg, Azathioprine 15 mg and the last one is Famotidine 20 mg. That's all she started with when she went to the July appointment then she still 'Prozolione medicine' that's not Prednisone (Further names of medication were not appropriately clarified, hence not captured)."  No follow-up attempts are possible. No further information is expected.