"hard spot" where the vaccine was given/injection site was hard; redness around the injection site/left arm is real red; redness around the injection site/left arm is real red/redness looks like it is going all around, the front and back of her arm, redness has worsened.; Injection site swelling; Injection site itching; This is a spontaneous report from a contactable other non-health care professional (patient). A 82-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EN5138), via an intramuscular route of administration (at the age of 82-years), administered in arm left on 04Feb2021 at 12:10 as dose 2, single for COVID-19 immunization. Medical history included none from an unknown date and unknown if ongoing. There were no concomitant medications. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL1283), via an intramuscular route of administration, administered in arm left on 18Jan2021 at 11:00 as dose 1, single for COVID-19 immunization. The patient did not aside from first dose of covid vaccine and prior to vaccinations within 4 weeks. Experienced no AE prior vaccinations. On 05Feb2021, the patient experienced "hard spot" where the vaccine was given/injection site was hard, redness around the injection site/left arm is real red, redness around the injection site/left arm is real red/redness looks like it is going all around, the front and back of her arm, redness has worsened, injection site swelling and injection site itching. Patient had her second dose of Pfizer-Biontech Covid19 04Feb2021. She reported a hard spot where the vaccine was given, and redness around the injection site that is spreading down and around her arm. Is this normal or reported? Can I put alcohol on it? I have not tried anything to treat it. Patient asked can I use antipyretics before or after vaccination with the Pfizer-BioNTech COVID-19 vaccine? However, routine prophylactic administration of these medications for the purpose of preventing post-vaccination symptoms is not currently recommended, as information on the impact of such use on Pfizer-BioNTech COVID-19 vaccine-induced antibody responses is not available at this. She had the second dose of the covid19 vaccination last Thursday and the next day her arm was real red, she had no other effects. It is still red on one side. The injection site is hard. It itches a lot. She has not taken Tylenol or Aleve. Her arm is still red and the is redness spreading down to her elbow. Asking if she can put alcohol on it. It sort of declined some. Clarifies the redness is still there and redness looks like it is going all around, the front and back of her arm, redness has worsened. She is concerned since it looks like it is spreading. She decided to get in the shower while she was holding. The treatment was not received for all the events. The adverse events does not resulted in emergency room or physician office visit. No additional vaccines administered on same date of the Pfizer suspect. The vaccination facility type was reported as hospital. The patient was taking Pfizer covid vaccine as preventative. The clinical outcome for the events hard spot where the vaccine was given/injection site was hard, redness around the injection site/left arm is real red, injection site swelling and injection site itching was reported as recovering while for event redness around the injection site/left arm is real red/redness looks like it is going all around, the front and back of her arm, redness has worsened was reported as unknown.  Follow-up attempts are completed. No further information is expected.