This is a spontaneous report from a contactable consumer (patient reported for herself) communicated to Pfizer-sponsored program COVAX US Support. A 35-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number: EW0196), dose 1 via an unspecified route of administration, administered in Arm Right on 27Jul2021 at 08:30 (at the age of 35-year-old) as DOSE 1, SINGLE for covid-19 immunisation. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Medical history included ongoing asthma (stated was diagnosed as a childlike 9 years old, she got better for a while and only had asthma attacks with colds and then got the flu and it got worse, she thinks it was influenza A), autoimmune disorder from 2020 and ongoing diagnosed last year and ongoing anaemia (stated this is also been like a child thing, diagnosed at age 12). Concomitant medication(s) included Fluticasone propionate (FLOVENT HFA) taken for an unspecified indication, start and stop date were not reported. Prior Vaccinations (within 4 weeks) was none. AE(s) following prior vaccinations was none. On 27Jul2021, right after the vaccine, the patient experienced felt loopy, feeling a little itchiness in her hands, red dots on her hands by her wrists/hives, left hand she had 3 dots and it did not break out or swell, but it did on the right and little red dots on her hands by the wrist and her hand. The clinical details of the events as follows: Caller reportedly received her first dose 27 Jul 2021 in her right arm and right after the vaccine, she felt loopy and sat down and then started feeling a little itchiness in her hands. She started seeing little red dots on her hands by her wrists, not her entire hand. She only had 3 dots on left hand but, her right started with itching and then broke out from her elbow down. This started about 15-20 minutes after the vaccine. They were hives. Her left leg above on top and back of her knee had hives. This lasted 2 hours and everything got better. Caller stated there was a little bit around and above the knee and behind, not as much as the arm, just a spot. Stated she started seeing little red dots on her hands by the wrist and her hand, on her hand close to the wrist not her whole hand. Stated on her right hand it started itching and she scratched a little and then stopped scratching, but she still broke out from like her elbow down, from elbow up she had no dots or welts. Stated these started 15-20 minutes after getting the vaccine and she also got some hives on her right leg above her knee, the top and back of her knee. Relays it was just a little area and not such a big deal and did not last long, an hour or less and it had started a little later maybe 30 minutes after the vaccine it started.Caller reported that 2 hours after she got the vaccine, she had no itching, no dots and no swelling. States that everything got better. Stated that her left leg had nothing and her left arm just the 3 little dots that did not erupt and her right leg a little in the front and back and her right arm from the elbow down, not a horrible break out, but it did swell inside her arm from the elbow down. She stated that when she touches dogs, she gets itchy, but she had no itching and no hives prior. Caller stated she spoke to her doctor and she has asthma and also has anemia and an autoimmune disorder, and her doctor told her it was safer to get the vaccine. Caller stated she had not left her house since the pandemic started. Caller stated her doctor told her to go to an allergist before she gets the 2nd vaccine, that she does not recommend getting it until she sees an allergist. She was wondering if she should get the 2nd vaccine. The events did not require a visit to Emergency Room and Physician Office. Patient stated that she did not take Benadryl or Tylenol or nothing. No relevant Tests were done. No Investigation Assessment was provided. Caller reported that she looked at CDC website and it was confusing what they say. She reported that the CDC says you should get it if did not get a severe that required medical attention but should not get it if it was severe. Caller reported that the CDC says if you have an immediate reaction you should not get it even if it was not bad enough to receive emergency attention, but that you should not get a second shot with a reaction. Caller stated it was kind of confusing. She stated she would meet to an allergist tomorrow, but the Pfizer or CDC was not sure if the allergist would know if the allergy is to the polysorbate or whatever it is, they were not sure that could cause it. The patient outcome of the event little red dots on her hands by the wrist and her hand was unknown and the outcome of other events was resolved on 27Jul2021.