diagnosed with Shingles; tired and lethargic; blood pressure was significantly high; has a little soreness under the arm pits on both sides; mark on the back, size of a dime; looked like a bruise; itching in her back; tired and lethargic; little soreness in arm/having shooting pain up her arm; This is a spontaneous report from a contactable pharmacist via a Pfizer sales representative.  A 41-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Left on 06May2021 (Batch/Lot Number: EW0182) as 1st dose, single dose for covid-19 immunization.Medical history included Fibroids (Has had one surgery), She knows she does have them again. She has some existing in her body, chicken pox (when she was really young and has never had a flare up). She has Rh negative blood.Concomitant medications included turmeric [curcuma longa rhizome] (TURMERIC [CURCUMA LONGA RHIZOME]) taken as vitamin, vitamin d [vitamin d nos] (VITAMIN D [VITAMIN D NOS]) taken as vitamin d supplementation, vitamin E nos (VITAMIN E NOS) taken as vitamin e supplementation, silybum marianum (MILK THISTLE) taken as vitamin supplementation, fish oil (FISH OIL) taken as vitamin supplementation and melatonin (MELATONIN) for helping with sleep.There was no history of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available).Family Medical History Relevant to AE included hypertension runs on both sides of her family. Diabetes on her dad's side. Her grandmother had Diabetes and her half sister tested Pre Diabetic a few years ago but changed with diet and exercise.It was reported that patient got the Pfizer covid 19 vaccine shot on 06May2021 waited the 15 minutes and had no side effects right then and there. She went about her day and went to work. On 06May2021, after patient got home from work she experienced little soreness in arm. on Friday, she had energy but was a little tired and lethargic went to bed early Friday and Saturday. She woke up really early 09May2021 (Sunday), with itching in her back. She thought it was a pimple or like something was itching in her back like a mosquito bite or something. She rubbed it a little then went back to sleep, woke up the next day, and at that time, it was the size of a dime. She had a mark on her back that looked like a bruise. She thought maybe she bitten by something. She did not think anything of it. She put hydrocortisone on it. The Sunday morning. She left it alone. She was still a little tired over the weekend. On 10May2021 (monday), she went to work and while she was typing, she started having shooting pain up her arm, on just the right side of her body. She got the shot in the left arm. She didn't know and didn't put anything together. She kept getting the shooting pain and had to take a break. When she started typing, she had the shooting pain again. It happened 5 times. She was usually very healthy. She does have fibroids and lives with that all the time. She works out and tries not to eat unhealthy.She decided to go to the ER and went right in the ER right away. She told them about the weird mark on her back. They told her they thought it was shingles. They did some tests, took a urine sample, blood sample, EKG (electrocardiogram) and checked her blood pressure, her blood pressure was significantly high. It has been typically low. Hypertension does run in her family. She is getting older but it has been typically low. She has a very stressful job, she knows that and high blood pressure was really shocking to her. They diagnosed her right away, told her they were pretty sure it was shingles. She had the chicken pox when she was really young and has never had a flare up. She felt fine until she got the covid shot.Does not know if it is related. She honestly thinks it was related.she was talking to some other people. She had shared with one of her board members that she had shingles and she said that someone she knew had the same reaction after the Covid shot. Was unsure if it was the Pfizer or the Moderna. Another friend of hers who is a nurse, encouraged her to call and report this. Looked online and saw that other people have gotten shingles after it triggered because the immune system was weak.She was pretty healthy and tries to work out. She didn't think anything of it. She has Rh negative blood. She hasn't gotten Covid that she knows of. She felt like she needed to do her civic duty.The patient was  pretty healthy all of the time. Gets maybe a head cold, maybe once a year. Has never had the flu and hasn't even had the flu vaccine. The ER gave her 2 prescriptions for pain and no anti viral. She just took it upon herself to get some Calamine lotion to cover the mark on her back. She confirmed she was not admitted to the hospital.  The patient was prescribed Hydrocodone and Gabapentin. Literally, that night, she went home and it started. That night was the worst night. She was fine for the most part. Now has a little soreness under the arm pits on both sides. The scabs are kind of healing with the Calamine lotion. She is just a little tired again today. She had a lot of energy yesterday and today a little bit lower in regards to energy. In the morning she started having pain, she went to the Emergency room. Before that, she took an allergy pill because of the season there and 2 Ibuprofen. The allergy pill was a generic off brand. The patient usually takes allergy pills because it is that time of year. Her eyes water quite a bit. She just takes it so she can get on with her day. She works quite a bit with the public. She has not gotten Covid, that she knows of.  The patient was thinking about not getting it because of her blood type. She has seen that they are less susceptible and don't get symptoms as bad because of her blood type. Was going to wait a while but decided to just go and get it. Kind of felt like it was her duty. Takes vitamins quite a bit. Was really consistent a few months ago but has not been consistent. That might have attributed to it. At night, she does consume marijuana edibles. They gave her a read out of her blood. They did a whole list of stuff on her blood. They told her she should probably see a doctor for the blood pressure. It runs in her family in both sides. Has always knows that it runs in her family. This is her first time having high blood pressure. The Outcome of the events was unknown.   No follow-up attempts are needed. No further information expected.