face turned red/her face was red at her cheeks and above the eyebrows/redness of face; Having flushing; Thick skin that almost resembled hives; Sinus headache; This is a spontaneous report from a contactable consumer (Patient). A 71-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Batch/Lot Number: EP7534) dose 1 via an unspecified route of administration, administered in left arm on 18Mar2021 at 14:30 (At the age of 71-year-old) at single dose for COVID-19 immunisation. The patient's medical history included nonalcoholic fatty liver disease, sinus disorder, blood cholesterol abnormal from an unknown date and unknown if ongoing. Concomitant medication(s) included atorvastatin (ATORVASTATIN) taken for blood cholesterol abnormal, start and stop date were not reported; omega-3 fatty acids (OMEGA-3 FATTY ACIDS) taken for an unspecified indication, start and stop date were not reported; vitamin d [vitamin d nos] taken for an unspecified indication, start and stop date were not reported; tocopherol (VITAMIN E [TOCOPHEROL]) taken for an unspecified indication, start and stop date were not reported; ubidecarenone (COQ-10) taken for an unspecified indication, start and stop date were not reported; biotin taken for an unspecified indication, start and stop date were not reported; aminobenzoic acid, biotin, calcium pantothenate, choline bitartrate, cyanocobalamin, folic acid, inositol, nicotinamide, pyridoxine hydrochloride, riboflavin, thiamine mononitrate (B COMPLEX [AMINOBENZOIC ACID;BIOTIN;CALCIUM PANTOTHENATE;CHOLINE BITARTRATE;CYANOCOBALAMIN;FOLIC ACID;INOSITOL;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RIBOFLAVIN;THIAMINE MONONITRATE]) taken for an unspecified indication, start and stop date were not reported; vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]) taken for an unspecified indication, start and stop date were not reported; chondroitin sulfate, glucosamine (GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE;GLUCOSAMINE]) taken for an unspecified indication, start and stop date were not reported. She did not want to take any that might interfere with it and no further details provided. Additional Information for concomitant products Omega 3: she had prescribed Omega 3 because it is better than the over the counter stuff and no further details provided. She took atorvastatin at night. She took it last night and will take on the day of report. When she took her medication her cholesterol was good. It was reaching a high point and the medication keeps it in range. The patient reported that a lot of people getting old gets fatty liver and She tried to eat right and she does not drink. The patient reported her side effect after first dose of vaccine. Prior Vaccinations within 4 weeks was reported as none. Previous vaccine history included about six months to a year ago she got Shingles shot and a regular Flu virus shot for immunization. The shingles shot hit her in the wrong spot and the arm was painful for a week or two. She had no red face or anything else. If they hit her arm wrong she had pain only at the spot of injection. The patient does not have Shingles shot NDC, lot, and expiry and Flu virus shot NDC, lot, and expiry details. On 18Mar2021, after vaccine, they released her at 2:40PM and then she went to her car. It was soon after she got the vaccine, but she was not at the mirror to see it. The patient face turned red as having flushing, redness of face, and thick skin that almost resembled hives. After she received the first dose Pfiizer vaccine it went fine. Driving home, her face turned red. Her cheeks and eyebrows were rosy, flushed. She checked her temperature. Her face was still slightly red. With all of her vaccines, she has never had a reaction. The patient clarified that her face was red at her cheeks and above the eyebrows. It looked thick but did not feel thick. It got lighter, but it was still a little pink. She thought she should report it because she looked all over the place and not see red face. She got the vaccine at 2:30PM. It could have been sooner. About 10 to 15 minutes after she took the vaccine, she looked in the mirror, she looked like she drank a beer because when she drinks a beer her cheeks turn red. It happened 10 to 15 minutes after the vaccine. She checked her temperature when she got home and she had no fever. On 18Mar2021, she had a slight sinus headache. The patient reported that it was not related to vaccine. The weather was gloomy and she normally gets a sinus headaches when it is like that and confirmed that its called sinusitis or something like that. Lot number was stamped on the vaccination card. It says to keep the record card which includes medical information about the vaccine and on 08Apr2021 was when she gets second dose. Indication was reported as to protect herself from COVID19 and others who are not getting the vaccine. She did not have any emergency room visit or physician office. she tried to call the pharmacy and it was hard to get through. The outcome of face turned red/her face was red at her cheeks and above the eyebrows/redness of face was recovering and unknown for other events.  No follow-up attempts are possible. No further information is expected.