shingles; burning bumps; rash/breaking out spot; back ache; This is a spontaneous report from a contactable consumer (patient) and additional consumer (patient's daughter). An 81-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 intramuscular, administered in right arm on 26Feb2021 13:45 (lot number: EN6198) at the age of 81 years old, as single dose for COVID-19 immunisation. Medical history included osteoporosis and macular degeneration in both eyes. The patient's concomitant medications were not reported. Historical vaccination included shingles vaccine (SHINGRIX) on an unspecified date (about 5 years ago) for immunization. The patient did not receive any other vaccine four weeks prior to COVID vaccine. Patient mentioned she received her first COVID-19 vaccine on 26Feb2021. Then on 02Mar2021, she started having a back ache. Then by Friday, 05Mar2021 she started breaking out on her right side. She thought at first it was due to her using a heating pad for her back which was sore. Then on Sunday morning on 07Mar2021 she noticed a new breaking out area on her stomach. She thought she might have shingles. She was seen at her primary care doctor on 08Mar2021 and was told it was shingles. She was prescribed an antiviral drug now. She wanted to know if she should get the second COVID-19 shot and if the antiviral drug affect her getting the second shot. Patient noticed the breaking out on her right side towards her stomach and it may have started a day earlier. If it started on her back, she wasn't aware and she didn't feel it until Friday 05Mar2021. The breaking out started on her right side around towards her torso and a little backwards towards her back. On her waistline, lower than her waistline, a little bit lower. Right where her thigh meets her torso. Like her hip kind of like a crack there. The backache she can't feel any more, she wondered if the backache was a precursor to shingles or not. Referring to the backache, maybe she didn't notice it, maybe it was on 08Mar2021 that she didn't notice the backache anymore. Patient's daughter mentioned her mom was still on 07Mar2021. On Friday 05Mar2021 at bedtime she noticed the breaking out area, and it still burns, the bumps. The rash/breaking out spot is still there and hurts. They are bumps not blisters. When she looked at it this morning 09Mar2021 after taking three of the anti-viral pills the breaking out area is not as bright, maybe a little duller red color. She uses a magnifying glass when probed for details from the Patient Vaccination Card. She has low vision in both eyes due to macular degeneration. She went to the doctor on 08Mar2021. She was prescribed antiviral, Valacyclovir 1 gram tablet, take 1 tablet by mouth 3 times daily. She started taking this on 08Mar2021, was prescribed 21 pills for 7 days. NDC/Lot#/Expiry unknown, discard after Mar2022. Did not see on bottle to provide. When asked about if print was small it was clarified this was a blue bottle filled by the pharmacy. It is not a manufacturer bottle. She first saw the breaking out area on Friday 05Mar2021 night and didn't think anything about it until Sunday 07Mar2021 when she had a new break out. Her second COVID-19 injection is scheduled for 19Mar2021. She did have shingles shot about 5 years ago. And she knows they have a new one, but she has not taken the new one. Her doctor told her yesterday 08Mar2021 to get the shingles vaccine. She hasn't decided if she's getting the shingles vaccine or not. The event shingles required visit to Physician office. The patient recovered from backache on 08Mar2021; recovering from shingles; while outcome of the remaining events was unknown.