psoriasis its been the worst ever in his 40 years; started itching; It had welts; red marks; He sees his leg is all red, almost looks like shingles.; This is a spontaneous report from a contactable consumer (patient).  A 77-years-old male patient received the second dose of  bnt162b2 (BNT162B2),  via an unspecified route of administration, administered in Arm Left on 10Feb2021 'about 3PM' (Batch/Lot Number: EM9810; Expiration Date: 30Jun2021) as SINGLE DOSE for covid-19 immunization. Facility in which the vaccine was administered was a hospital Medical history included psoriasis (In the summer, his psoriasis is greater and in the winter, his skin is more dry) . Patients family history (patients daughter)  includes coeliac disease and psoriasis.  The patient's concomitant medications was reported as 'taking regular medication for years' (details not provided). Historical Vaccine Dose 1 received 22Jan2021 between 1100-1300, (Lot: EL3246 Expiration Date: 30Apr2021, Route of administration: left arm). No other vaccines were given within 4 weeks. Caller has received  flu Vaccine and Pneumonia Vaccine in the past and had no problem at all.  Caller mentioned he will be 78 years old in May.  On 10Mar2021, The patient experienced psoriasis really got bad, terrible, on both legs its been the worst ever in his 40 years,  started itching/ itch like crazy, He has never seen psoriasis this bad in his life. It was up his legs, on the elbows, few patches on the sides and  it had welts,, it was almost like welts or like red marks his on upper thighs and side. Caller has one big patch on the side of thigh and one in the back of the thigh.  Reports the patches were always there but seems they got worse and redder. It  was as red as anything up on the side, both of his legs got really big.  He never saw them this bad in his life on an unspecified date. The clinical outcome of the events was unknown. Caller also inquired  how long it would take to get the immunity from the 2nd dose of the covid vaccine. Patient states this has to be from the vaccine because in 45 years he has never had psoriasis this bad. As a result of the event the patient  visited his Dermatologist (this was the same Dermatologist he has been going to for years. He last  visited the dermatologist September or October and was given the regular cream). The caller told the dermatologist it might be due to the Pfizer Covid Vaccine, and the dermatologist said  it may be due to stress. Patient stated he is  not under stress or stressed out. Caller states he uses different creams, but clarifies the one his dermatologist gave him as treatment is called Betamethasone Dipropionate cream 0.05. Caller states he was given him 3 tubes of cream because the caller guesses his psoriasis is so bad. Caller reported  a little improvement, stating it doesn't itch as much he guesses because of the cream. He sees his leg is all red, almost looks like shingles. He clarifies the psoriasis is on both legs and calves, but one calf is not as bad; on his thigh, on the side, and  one patch is on the back of his thigh. He has had Psoriasis on both legs as years went on but very little. The cream helped out, also sun and salt water,, but he's never seen it this bad. Everything broke out like crazy. No Follow-up attempts are needed. No further information is expected. The clinical outcome of the events was recovering while almost looks like shingles was unknown.    No Follow-up attempts are needed. No further information is expected.