she felt achy; Bad rash, hot to touch, very itchy right under her calf on her left leg/the rash has flattened out now with spots that have gotten a little larger that are clustered together.; Bad rash, hot to touch, very itchy right under her calf on her left leg.; the rash started to itch and got progressively worse; left leg has painful itchy rashes; small red dots all over and has morphed into larger dots and closer together, but said that they were red and angry looking; on the bottom of the left leg below the calf, she started getting a bad rash, hot to the touch, very itchy, it was kind of scaly; Bad rash, hot to touch, very itchy right under her calf on her left leg.; This is a spontaneous report from a contactable consumer (patient) received via Pfizer sponsored program. A 68-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot/Batch number: EL9267, Pfizer NTEC), via an unspecified route of administration in left arm on 11Feb2021 as 2nd dose, single for covid-19 immunization (at the age of 68-years-old). Medical history included, Rotator cuff tear, old injury coupled with a new injury. New injury started about 6-8 months ago, still ongoing, patient scheduled to have surgery for the issue. Patient also had rheumatoid arthritis, headache and pain from an unknown date and unknown if ongoing. Concomitant medications included meloxicam taken for rheumatoid arthritis from 03Mar2021 and ongoing, takes sporadically, not good about taking it. She was due to have shoulder surgery. Her doctor gave her this instead of taking an over-the-counter medication, they thought it would be more helpful. It was actually the generic Meloxicam, but it was the same as Mobic in a lot of ways. She was not taking it every day. She forgets to take it but, when she does take it was mostly at night. It was for Rheumatoid Arthritis so it was working on muscles and she could not see how it was helping a tear. Also taking for having an upcoming rotator cuff surgery, uncomfortable sleeping. She could not see how it was really helping a tear. It was all about positioning to help her shoulder pain when she sleeps, she wakes up changes position. It is not helping her. The only thing that will help it to repair the tear in the rotator cuff. She said sorry to be so glib, but now she seems to be having a problem when she never did before. Women blow their hair with a roller brush and blow dryer she has to extend one arm up in the air and she can still blow her hair out how does she have a rotator cuff tear and do that without discomfort. Ibuprofen (ADVIL (IBUPROFEN), she has been taking for years when she has a headache and aches and pains, if she forgets to take the Mobic, she takes this and calcium carbonate (TUMS ANTACID) taken for an unspecified indication, start and stop date were not reported. The patient previously took keflex [cefalexin monohydrate] and experienced drug hypersensitivity. It happened in about 1982-1983 after a mischarge having a D and C she was prescribed this antibiotic. She broke out in an itchy, nasty rash all over and dermatologist said to never take that again. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient received first dose of BNT162B2 for COVID-19 immunization and she also took a flu shot one time and she got deathly ill, got it a long time ago before she got married. On unspecified date in feb2021 the patient experienced, patient stated that after having 2 doses of Pfizer vaccine, with the last dose about 4 weeks ago. About a week ago, or about three weeks after the last dose of the vaccine, she woke up and and on the bottom of the left leg below the calf, she started getting a bad rash, hot to the touch, very itchy, it was kind of scaly and dry to the touch. Researched rashes and saw different pictures of people who had very similar looking rashes on their bodies and also found something called COVID toe, which she did not have, but and saw a bunch of pictures of people with COVID having these rashes and thought does she have COVID. She got the vaccine in the left arm and the rash was on the left leg. She wanted to know is the rash related to COVID? Should she be checked out? Does she have COVID? She further stated that, the rash started to itch and got progressively worse, hot to the touch, hard to keep her hands off it. She never had a rash looking like this, looking like prickly heat. She said that the rash has flattened out now with spots that have gotten a little larger that are clustered together. She must have scratched it with her other foot when she was asleep or something and that was when she woke up and saw it. She started taking antihistamines and calamine lotion, then her husband said to start taking his Clobetasol prescription and using it twice a day for a week now. It calmed the itch down tremendously along with the antihistamine. It looked like prickly heat with small red dots all over and has morphed into larger dots and closer together, but said that they were red and angry looking, but were less itchy due to the antihistamine and the Clobetasol (Clobetasol Ointment 0.05% Prescription: Lot- on the crimp and very tiny, 336537; Expiration DEC2021. They have flattened out and are not as rough to the touch. It had not gone away yet, had not spread and had not got any worse. It was still in the same vicinity. Antihistamine was Zyrtec, reports it was not expired, husband took it postnasal drip. The efficacy was good because she bought a new batch recently. Lot Number: 1707238, The patient underwent lab tests and procedures which included magnetic resonance imaging and x-ray on an unspecified date, initially for the Rotator cuff, she these tests to confirm the severity of the tear. She did not seek any treatment for being achy, she had appointment her husband dermatologist on 29Mar2021, but received treatment for rash with Zyrtec, Calamine lotion and Clobestol. The events did not lead to emergency or physician room visit. The clinical outcome for the event was recovering.