pins and needles feeling; burning and tingling sensation in the legs and back; burning and tingling sensation in the legs and back; hands continue to turn red, at night they will swell up; hands ache and throb at night; hands ache and throb at night; cold; sunburn or a rugburn on the inside of her skin; very fatigued; felt feverish; severe chills; headache; when hands get really really red, I get cold; both of her hands turned beet red, they did not hurt, they were just very red; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 54-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: ENG202), via an unspecified route of administration, administered in Arm Left on 26Feb2021 at 14:15 (age at the time of vaccination was 54 years) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included severe covid from 05Oct2020 to an unknown date (In October, Level of severity diagnosed by doctor as severe COVID 19 virus. It was 17 days before she got out of bed, and 82 days in total). There were no concomitant medications and other Products were reported as unknown. History of all previous immunization with the Pfizer vaccine was reported as none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was reported as none. Prior Vaccinations within 4 weeks was reported was reported as none and AE(s) following prior vaccinations was reported as none. On 26Feb2021, the patient experienced both of her hands turned beet red, they did not hurt, they were just very red outcome of not recovered , very fatigued, felt feverish, severe chills, headache, when hands get really really red and i get cold. On 26Feb2021, the patient experienced sunburn or a rugburn on the inside of her skin. On 04Mar2021 the patient experienced hands ache and throb at night, hands ache and throb at night. On an unspecified date in Mar2021, the patient experienced cold. On an unspecified date, the patient experienced pins and needles feeling, burning and tingling sensation in the legs and back, burning and tingling sensation in the legs and back, hands continue to turn red, at night they will swell up. It was reported that the patient received her first dose on 26Feb2021. Within an hour of receiving the vaccine, both of her hands turned beet red, they did not hurt, they were just very red. Within four hours she was at home and was very fatigued, felt feverish, had chills, and a headache that lasted a couple of days. To the point, Saturday, she did not get out of her chair. She was too tired. She Stated that, she had severe covid in Oct and was expecting something different to happen than most people. She had checked in with her doctor via online messaging. She Stated her hands continued to turn red, at night they will swell up and throb so bad it wakes her up at night. She confirmed they hurt and keeps her up at times. She could feel they were hot. Whenever she went to bed they will be red and then through out the night they will get worse. Hands will throb at night and wake her up. She Stated one more symptom is that she feels like she has a sunburn or a rugburn on the inside of her skin, there was no redness anywhere else. There was no rash or anything, but it felt like that and burns. Sometimes it's on her quads or shins, sometimes on her back. Almost every day it's on her buttock, if she sits for to long it starts to get irritated and its like her nerves were getting mad. She had an appointment with her doctor today, last night was rough. She reported her symptoms in an app, but was not sure if it was a CDC or Pfizer app. Both of her hands turned beet red, they did not hurt, they were just very red. However the strange thing was, when her hands get fire engine red hot, really really red, once this starts to dissipate she gets cold. She does not think it is chills. She thinks it was the body's response trying to get rid of the heat or something. Six days later, they started to ache and throb at night. They are not as red all the time during the day, but her hands throbbing at night wakes up her up. She was able to move her hands around and then go back to sleep. Clarified that this is both of her hands, but her right hand seems to be worse. She was not in pain. Her hands are throbbing and it's as if she went to grab a tennis ball but she can't. It was not excruciating pain, but enough to wake her out of her sleep. She just wanted to grab a sweater. She was not shaking, just chilled. She had it right now, seems like it is the same. She said that the burning skin feeling on the inside, those are the two worst things. Sunburn or a rugburn on the inside of her skin started right away as more of a tingling at first, now it is a burning, feels like a sunburn on the inside. She stated this week it turned into more of a burning. When she first got it, her back would tingle like her body was responding to something. She was unsure if it was a intramuscular injection. The patient stated that the pins and needles feeling, and the red hands are ongoing since the first covid19 vaccine, on26Feb2021. She stated the burning and tingling sensation in the legs and back are ongoing since the first covid19 vaccine, and worsened since the second covid19 vaccine. She also stated the pins, needles, and burning sensation on the bottom of her feet started 3 weeks after the first covid19 vaccine, on 19Mar2021, and the sensation worsened after the second covid19 vaccine and was ongoing. Investigation Assessment was reported as no. Patient did not received any treatment, she spoke with her pharmacist and doctor to see what she should do. She is going to see her doctor today. Patient did not received any treatment, she spoke with her pharmacist and doctor to see what she should do. She is going to see her doctor today. On an unspecified date, the patient underwent lab tests and procedures which included Cold: rates it a four out of ten (Rates it a four out of ten), Headache: 6 (on a pain scale of 1 to 10 she would give it a 6), Severe chills: 5 out of a 10 (on a pain scale), Severe chills: 10 out of a 10 (on a pain scale), Severe chills: back down (comes back down). AE(s) did not require a visit to Emergency Room Physician Office. She was going to see her doctor today, she has been messaging him but has not seen physically seen him. The outcome of the events both of her hands turned beet red, they did not hurt, they were just very red, when hands get really really red, I get cold, headache, hands ache and throb at night, cold, sunburn or a rugburn on the inside of her skin, pins and needles feeling was not recovered. The outcome of the events very fatigued recovered on 01Mar2021, felt feverish recovered on 02Mar2021, severe chills recovered on 28Feb2021. The outcome of the events burning and tingling sensation in the legs and back, hands continue to turn red, at night they will swell up was unknown.    No follow-up attempts are possible. No further information is expected.