appeared to look like MRSA- not the rest of the reaction; Skin Reaction; Red bumps all over my face and neck; Itchy; Urticaria like / hives on my neck; There were a lot of flat red and purple colorations on my face; Impetigo; Hyperpigmentation on my forehead; Microcirc red dots all over my face like inflammation and blood vessels; They are super annoying it's like having blood clots on my skin; This is a spontaneous report from a non-contactable nurse (patient). A 30-year-old female non-pregnant patient received bnt162b2, second single dose via an unspecified route of administration, administered in arm left in Apr2021 (Batch/Lot number was not reported) for covid-19 immunisation at age of 30-year-old. Medical history included allergy to amoxicillin; clavulanic acid (AUGMENTIN), fentanyl, duck feathers and hay. The patient previously received first single dose of bnt162b2 at left arm in Mar2021 at age of 30-year-old. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced skin reaction- red bumps all over her face and neck, itchy, then urticaria like / hives on neck. The patient went to urgent care, got doxycycline (doxy) - treated some of the red lesions which appeared to look like MRSA- not the rest of the reaction. there were a lot of flat red and purple colorations on face. She looked polka dotted. After the doxy, the bumpy lesions and the crusted ones went away. The patient never had any yellow crusting so it was not typical that these be impetigo, nor does impetigo come with hyperpigment polka dots. The hives and wheals went away after taking benadryl. but the itching lasted 2 days. the hyperpigmentation on forehead was still here now in Aug2021. The patient nor hyperpigment spots just randomely pop up like that. Some of them were straight uppurple. Ive have since this occurred, what looked to be microcirc red dots all over my face like inflammation and blood vessels. They are super annoying it's like having blood clots on skin. Events onset in Apr2021. The event resulted to doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The patient received doxycycline, Benadryl as treatment for the events. Outcome of the events was not recovered.   No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of events Staphylococcal infection, skin reaction,rash papular, Pruritus, Urticaria, Skin discolouration, Impetigo, Skin hyperpigmentation, Inflammation and thrombosis cannot be totally excluded.This case will be reassessed once additional information is available.The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.