This is a spontaneous report from a contactable female consumer(patient). A 58-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 1 via an unspecified route of administration administered in right upper arm on 31Mar2021 19:00 (Batch/Lot number ER8730) as single dose for COVID-19 immunization. Medical history included ongoing trigeminal neuralgia, ongoing urinary tract infection, COVID early January (her pulse ox was like 90. States that her second time back she had an inhaler and had a fever for 13 days, she never wants this again), shingles. Concomitant medication included pregabalin (LYRICA) taken for trigeminal neuralgia, started in around 2012; oxcarbazepine (TRILEPTAL) taken for trigeminal neuralgia, started in around 2012; methenamine Hippurate taken for urinary tract health, had been taking from 6 months to a year; trimethoprim taken for urinary tract health; diclofenac taken for arthritis, start and stop date were not reported. No prior vaccination within 4 weeks. No family history. The patient had light sensitivity on the right side, of her forehead, not in the left. She did not know if this was an adverse effect but started to notice symptoms on 03Apr2021. On 03Apr2021 she questioned if she banged her head. The patient was not thinking that it was shingles. Sunday on 04Apr2021 it was a little more evident. It felt like facial neuropathy pain, almost like shingle, it felt like tingling pain shingle. The patient went to work on 05Apr2021, and the top of her scalp was hypersensitive to touch near her temple and her whole eyebrow. She was so concerned because it was so close to her eye and eye lid. It was little but also feels on the right side of her nose. It was very sensitive, like hypertensive to the touch. Stated that it felt almost like a sinus headache, like pressure. Last evening on 05Apr2021 it had gotten worse and felt like shingles. The patient took a 25mg capsule of Benadryl 05Apr2021 because she didn't know if she was having a reaction. The patient stated that it was neuropathy pain. Even the slightest touch of her bangs was very sensitive, and in the eye are, including her eyebrow and forehead near the scalp. She had trigeminal neuralgia but had never had on the right side. Knew what neuropathy felt like. She had red blotches on her forehead and into her scalp. She first noticed it on 05Apr2021 and had gotten a little worse. It was where her eyebrow ends and near the temple and into her hairline. It was moderate. The patient also had moderate symptoms from the shot. She had a slight fever, nothing over 100, that it was 99.6. She had chills, aches, and nausea. Stated that she had regular symptoms of COVID that lasted 2 days and then they were done. The patient just Motrin for treatment on 05Apr2021. The patient was surprised where they gave her the shot. She had a little mark that looked normal but stated that it felt a little scaly but just a little. There was a small ring where you could see where it was given. She had no tests. She had only had the positive COVID test in January, she had not had anything done since. Her next dose was supposed to be 21Apr2021. The outcome of event sensitivity in right side of forehead was not recovered, outcome of events slight fever, chills, aches, and nausea was recovered, outcome of events was unknown.