I broke out into hives around my neck; my head and body have exhibited Excema conditions; weird bumps and itchy spots the size of a quarter sometimes break out around my body; This has caused me countless sleepless nights, especially the first few weeks where I broke out into such bad hives I couldn't sleep.; I have itchy lumps showing up on my legs, arms, back and torso.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 37-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 19Oct2022 at 19:00 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 37 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "hip injury" (unspecified if ongoing). Concomitant medication(s) included: PREDNISONE taken for joint injury. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Batch/Lot No: Unknown. Not available/provided to reporter at the time of report completion, Location of injection: Arm Right, Vaccine Administration Time: 07:00 AM), administration date: 20Aug2021, when the patient was 36-year-old, for Covid-19 immunization; BNT162b2 (DOSE 2, SINGLE, Batch/Lot No: Unknown. Not available/provided to reporter at the time of report completion, Location of injection: Arm Right, Vaccine Administration Time: 07:00 AM), administration date: 20Sep2021, when the patient was 36-year-old, for Covid-19 immunization. The following information was reported: URTICARIA (disability) with onset 27Oct2022 at 07:00, outcome "not recovered", described as "I broke out into hives around my neck"; DERMATITIS (disability) with onset 27Oct2022 at 07:00, outcome "not recovered", described as "I have itchy lumps showing up on my legs, arms, back and torso."; INSOMNIA (disability) with onset 27Oct2022 at 07:00, outcome "not recovered", described as "This has caused me countless sleepless nights, especially the first few weeks where I broke out into such bad hives I couldn't sleep."; ECZEMA (disability) with onset 27Oct2022 at 07:00, outcome "not recovered", described as "my head and body have exhibited Excema conditions"; PRURITUS (disability) with onset 27Oct2022 at 07:00, outcome "not recovered", described as "weird bumps and itchy spots the size of a quarter sometimes break out around my body". The events "I broke out into hives around my neck", "my head and body have exhibited excema conditions", "weird bumps and itchy spots the size of a quarter sometimes break out around my body", "this has caused me countless sleepless nights, especially the first few weeks where i broke out into such bad hives i couldn't sleep." and "i have itchy lumps showing up on my legs, arms, back and torso" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (30Jan2023) Negative, notes: Nasal Swab. Therapeutic measures were taken as a result of urticaria, eczema, pruritus, insomnia, dermatitis.  Clinical course: vaccine was administered at Pharmacy or Drug Store. patient did not received other vaccine in four weeks. He broke out into hives around his neck and head and body have Excema conditions having weird bumps and itchy spots the size of sometimes break out around his body. This were still present months his last booster. He has itchy lumps showing up on his legs, arms, torso. Head is not affected anymore but all over his body was. he had doctors, and an immunologist and am waiting on a backed up Dermatologist. This has caused me countless sleepless nights, especially the first where he broke out into such bad hives he couldn't sleep. It severely impacts sleep as it is very itchy at night. Important to note that his mother also sever skin reaction, so that was 2 of his  direct family. Not the only groups also on this, by pro vax people who got the vaccine. patient did not covid prior vaccination. Ae resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Disability or permanent damage. the patient had no Known allergies. treatment with Steroid cream, still looking at many other treatment.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.