Fatigue; Started feeling sick again on 30Mar2021 and she could not move and ended up vomiting; started feeling sick again on 30Mar2021 and she could not move and ended up vomiting; Vomiting/throwing up; Vomiting/throwing up; Rash; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 60 years old, administered in arm left on 29Mar2021 (Lot Number: ER8734) at single dose for covid-19 immunisation. Medical history included ongoing diabetes mellitus which diagnosed almost 10 years ago, obesity, sjogrens disease, knee replacements which done like 10 years ago on both knees and she did not know the exact dates of the knee replacements, asthma. Concomitant medications included loratadine taken for an unspecified indication from 13Mar2021 and ongoing; hydrochlorothiazide taken for sjogrens disease from an unspecified start date and ongoing; fluoxetine taken for an unspecified indication as antidepressant from an unspecified start date and ongoing; cetirizine hydrochloride (ZYRTEC) taken for asthma from an unspecified start date and ongoing; montelukast sodium (SINGULAIR) taken for asthma from an unspecified start date and ongoing. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 60 years old, administered in arm left on 08Mar2021 (Lot Number: EN6206) for covid-19 immunisation, and experienced sickness to her stomach, fibromyalgia flared up, heaviness in the muscle of her arm and vomiting within 24 hours after the vaccination. The patient also previously took shingles shot for immunization. The patient experienced vomiting/throwing up on 30Mar2021, rash on 30Mar2021, fatigue on an unspecified, started feeling sick again on 30mar2021 and she could not move and ended up vomiting on 30Mar2021. After the 2nd dose within 24 hours the patient started feeling sick again on 30Mar2021 and she could not move and ended up throwing up and got a rash that appeared on her left arm; stated she had both doses of the Pfizer COVID Vaccine in her left arm and the rash is a little above where the vaccine doses were administered. She had the 2nd Pfizer COVID vaccine on 29Mar2021 and has been coming in and out of feeling good and bad since then and for the rash she has she used the Triamcinolone Acetone cream and the rash seems to subside and then flares back up and when the rash flares back up she gets sick again. Stated the Triamcinolone Acetone cream is 0.1% with lot 0LT0435, expiry date Sep2022. She just got over this this weekend and was sick on Friday, was ok on Saturday and then on Sunday she could not move and was sick. The rash had gotten larger than when it first appeared and when it does flare it itches and was hot and she also has Sjogrens disease in that rheumatology thing and has had the shingles shot 2 years ago; states she has no name of the shingles shot to provide but had it 2 years ago in September. The patient stated this was not shingles and she had the shingles shot and this does not look like shingles to her. She stated she takes several different asthma medicines (cetirizine hydrochloride and montelukast sodium) and made the reported event not as severe and the rash is not as severe. The outcome of the event rash was not recovered, of the other events was unknown.  No follow-up attempts are needed. No further information is expected.