gray spot on forehead; face felt hot and flushed; Face red; was tired and wiped out; Eyes were red bloodshot; face was burning and burned bright red/her face feeling sunburned/ face got really like the worst sunburn; This is a spontaneous report from a contactable consumer (patient).   An 80-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/lot: EL8982) intramuscular in right arm on 22Jan2021 at 13:00 at single dose for COVID-19 immunization.  Medical history included Gastroparesis from 2016 and ongoing, ongoing Osteoarthritis (diagnosed about 10 to 20 years before), acid reflux (esophageal), blood pressure, osteoporosis, arthritis, anxiety, high cholesterol, stomach problems, allergies and pretty bad sinus problems/sinus trouble in the winter, leg cramps at night, allergic to all kind of bites. Patient previously took shingles vaccine as immunization and she had had a small reaction, she had a patch of shingles break out around her arm at the site of injection site. Concomitant medication included ongoing omeprazole for Gastroparesis, ongoing erythromycin, ongoing aluminum hydroxide/magnesium carbonate (GAVISCON) for acid reflux (esophageal), ongoing calcium for Osteoporosis, ongoing losartan for Blood pressure, ongoing acetaminophen for arthritis, ongoing spironolactone as diuretic, ongoing tramadol for Osteoarthritis, vitamin C [ascorbic acid] as general supplementation, ongoing alprazolam for Anxiety, ongoing doxazosin for high blood pressure, ongoing fenofibrate for High cholesterol, ongoing vitamin b complex (B-COMPLEX) as general supplementation, ongoing bisoprolol for high blood pressure, ongoing magnesium good for heart recommended by cardiologist, ongoing biotin for hair and nails, ongoing zinc as immunity booster, ongoing montelukast sodium for allergies and pretty bad sinus problems/sinus trouble in the winter, ongoing levocetirizine dihydrochloride (XYZAL) for allergies, ongoing cyclobenzaprine for leg cramps at night as muscle relaxer, ongoing macrogol 3350 (MIRALAX) as laxative and ongoing "CVS brand multivitamin at one tablet once a day oral as general supplementation" (as reported).The patient experienced face felt hot and flushed and face red on 24Jan2021; gray spot on forehead on 25Jan2021; was tired and wiped out, eyes were red bloodshot, face was burning and burned bright red face feeling sunburned in Jan2021.Events were described as follows: patient received the first dose of the vaccine on 22Jan2021 and she had a few mild symptoms. She did not feel really good for a day or two but it was nothing that alarmed her, she was tired and wiped out. She always took a shower since she had arthritis and it get gets her joints going. On 24Jan2021 after she got out of the shower, her face felt hot and it was red. She didn't think too much about it and it went away pretty soon. She did not connect it with the vaccine. On 25Jan2021 she took a little longer shower and the same thing happened, but it was 10 or 12 times worse in regards to her face feeling hot and was red. She was drying off and getting dressed and reported her face felt funny and it was really hot. When she looked at it was bright red like she had the worst sunburn, it felt like a sunburn. Her face was red and eyes were red bloodshot and it lasted about half an hour; her face got real flushed like a real bright sunburn and her face was burning and burned bright red. She started putting on cold wet wash cloths to help cool her face down and when it the wash cloths got warm, she would wet it again to cool her face down some more. She was alarmed but about 30 minutes later it started lightening up a bit and pretty soon it was back to normal. Her face felt different in the afternoon, it was a little red. She worked out in yard and last summer she got an insect bite on her forehead that turned gray, it was the size of silver dollar. After the hot flush thing this morning, that gray spot came back. Her doctor said it might take a while for it to go away. Her face felt warm like it has been sunburned. Her throat was dry since she has been waiting on the phone for an hour. Her face feeling sunburned/hot was about 95% gone, barely there. Her face getting red started on 24Jan2021 morning and it was almost gone. Treatment included ponds face cream and it was very soothing. Patient just wanted to know what to do about this flushing of her face and if it was dangerous what she can  do. She would like to know if she should be worried about this, it only happened when she took a shower. She was asking if there was anything she can do before she can get the second injection, so it does not happen again or what to do if it does happen again. Final outcome of tired and wiped out, eyes were red bloodshot and face was burning and burned bright red/her face feeling sunburned/ face got really like the worst sunburn was unknown; outcome of the other events was not recovered.