rash on her face, neck and chest; head started to itch, itching of my head, neck and shoulder; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number EN6204 and expiry date not reported), via an unspecified route of administration, administered in Arm Right on 10Mar2021 13:30 (at the age of 55-year-old), as dose 1, single for COVID-19 immunisation. Medical history included ongoing type II diabetes from 12 years, ongoing gastroparesis from 9 years, ongoing Fibromyalgia, ongoing GERD (gastrooesophageal reflux disease Verbatim) from 20 years, ongoing sleep apnoea from 10 years, ongoing meniere's disease from 7 years, ongoing asthma from 15 years, ongoing High Factor 8 from 2015, blood clot in her ascending aorta that broke off and went to her leg in 2015, ongoing cholesterol, anaemia, ongoing restless legs, ongoing incontinence, and gout. Concomitant medications included semaglutide (OZEMPIC) 0.25mg weekly taken for diabetes from 3 months; botulinum toxin type a (BOTOX) by injection every three months taken for migraine for years; galcanezumab gnlm (EMGALITY [GALCANEZUMAB GNLM]) 120 mg, by injection monthly taken for migraine from 2 years; apixaban (ELIQUIS) 2 times daily taken for high factor eight and blood clot; metformin hydrochloride (METFORMIN ER) 500mg, 2 times daily taken for diabetes from 4 years; rosuvastatin 10mg once daily taken for cholesterol from 2 years; duloxetine 60 mg, single taken for fibromyalgia from 8 years; spironolactone (SPIRONOLACTONE A L) 25 mg, taken for vertigo and meniere's disease from 10 years; betahistine taken for an unspecified indication from 10 years; ondansetron 40 mg taken for gastroparesis from 10 years; pantoprazole 40 mg, 2 times daily taken for acid reflux (esophageal) from an unspecified date; levocetirizine dihydrochloride (LEVOCETIRIZIN) 5 mg taken for allergy from 10 years; solifenacin 10 mg taken for incontinence from 15 years (she was taking the brand Vesicare previously and was switched to generic); acriflavine (FLAVINE) taken for anaemia, start and stop date were not reported; butalbital/Apc taken for an unspecified indication from 20 years; ropinirole 0.05mg once daily taken for restless legs from two years; allopurinol 100 mg orally taken for gout a year, start and stop date were not reported; montelukast taken for asthma from two years; ascorbic acid, biotin, calcium pantothenate, cyanocobalamin, ferrous fumarate, folic acid, iron polysaccharide complex, nicotinic acid, pyridoxine hydrochloride, riboflavin, thiamine mononitrate (FOLIVANE PLUS) taken for an unspecified indication from six years. The patient previously took metformin for diabetes; atorvastatin for cholesterol; ranitidine for acid reflux (esophageal), zyrtec [cetirizine hydrochloride] for allergy. concomitant medications were ongoing except allopurinol and flavine. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations within 4 weeks. All  It was reported that the patient was a high-risk patient, that she sometimes has reactions. Patient stayed 30 minutes after the shot and she was fine. The patient asked if it was okay to continue taking her usual medication because she did not have a reaction after vaccination. So, on 15Mar2021 the patient went and had Botox for migraines. On 15Mar2021, night the patient had itching on head, neck and shoulder, and it had been itching for 10 days and still have it. On 20Mar2021, the patient broke out with rash on her face, neck and chest. The patient asked her mother who is a nurse to look at it, and her mother said it looked like heat rash. The rash only lasted one day looked like a heat rash and has not come back. The patient googled it and she think the itching and the rash may be related to the Botox. Mentions she tried to ask the nurse at the neurologist. The patient questioned is it safe to get the second dose. The patient was scheduled to receive the next dose of the vaccine on 31Mar2021. Patient took Benadryl for the itching and it wasn't doing anything. Events did not result in emergency room or physician office. No relevant test done. The outcome of rash on her face, neck and chest was recovered on 20Mar2021 while the outcome for itching was recovering at the time of report.  No follow-up attempts are needed. No further information is expected.