This is a spontaneous report from a contactable consumer (patient). A 20-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 27Jul2021 as single dose for covid-19 immunisation. Medical history included ongoing anxiety. Concomitant medication(s) included isotretinoin (ACCUTANE) taken for anxiety from Aug2020 and ongoing; escitalopram oxalate (LEXAPRO) taken for anxiety, start and stop date were not reported. She received her first Pfizer Covid vaccine dose on 27Jul2021. Later that day she experienced a lump at the injection site on her left arm. The next day, 28Jul2021, she developed a bump on her left shin and on 29Jul2021 she developed a bump on her left pelvic bone and left chest. She describes the bumps as pretty decent size bumps a little smaller than a golf ball, they hurt to touch like touching a bruise, and they are skin coloured, not red. The caller has gotten these like bumps on the skin. They are not even like small bumps; they are golf ball size or like a little smaller. There is a bump where the caller first received the first dose Pfizer Vaccine, and it is painful to touch. There is a bump on caller's chest, on the caller's shin, on the caller's pelvic bone. The caller is just getting more and more bumps. This is kind of starting to freak the caller out. Received first dose Vaccine on Tuesday, 27Jul2021 and noticed it was sore: The caller states she received the first dose Pfizer Vaccine on Tuesday, 27Jul2021 and noticed it was sore. She was told there would be soreness and the soreness didn't bother the caller. Has gotten these like bumps on the skin: The caller noticed on the are where the first dose Pfizer Vaccine was administered there was a sort of like lump. The caller thought okay, it is just swelling and didn't' think much of it. The caller clarifies the bumps on the skin began the same date the first dose Pfizer Vaccine was received on 27Jul2021, later that night. The caller states the bumps are getting worse. Received first dose Vaccine on Tuesday, 27Jul2021 and noticed it was sore: DSU Agent asks caller when soreness began and caller replies, when she touches the sore area it feels like pushing on a bruise, that kind of pain. The caller states the soreness has worsened, has become more sensitive. The caller states she doesn't have the vaccination card with her at the moment. Caller states she wants to look to confirm vaccination date because she is getting her dates mixed up. Caller confirms date received was 27Jul2021. The caller received the first dose Pfizer Vaccine at withheld and the emails the provided do not give a lot of information. History: The caller states she takes Accutane and one other anxiety medication. The caller states today are the first time she has taken the anxiety medication and doesn't think it has anything to do with this situation. The anxiety medication is Lexapro, and the caller is not able to provide the dose at this time, takes the medication once a day, is taking for one week and checking back in with Psychologist. The outcome of the events Lump at the injection site on her left arm, hurt to touch like touching a bruise/when she touches the sore area it feels like pushing on a bruise, that kind of pain/has become more sensitive, they are skin coloured was unknown and A bump on her left pelvic bone and left chest/ she developed a bump on her left shin/ Has gotten these like bumps on the skin and Soreness was not recovered. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.