She also reports developing a rash in the middle of her chest /she describes it as, "looks light pink, little teeny tiny bumps, middle of the chest near the neck."; left ankle was itching me like crazy; felt cold/ cold feeling; tired; looks light pink, little teeny tiny bumps; Two weeks after her 1st dose she felt chills and swelling in her lymph nodes.; This is a spontaneous report from a contactable consumer or other non hcp (patient) from a Pfizer- sponsored program. An 86-year-old female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Batch/Lot Number: ER8731) via an unspecified route of administration on 15Apr2021 11:30 (at the age of 86-year-old) at dose 1, single for covid-19 immunisation. Medical history included Parkinson's disease, autoimmune disorders (she states that she has 4 autoimmune disorders), allergic to an antibiotic, headache. Prior Vaccinations (within 4 weeks) was no. History of all previous immunization with the Pfizer vaccine considered as suspect: no. Additional Vaccines Administered on Same Date of the Pfizer Suspect: no. Concomitant medications were not reported. Patient previously received Pneumovax23 vaccine last year for which patient had experienced Lichen Sclerosus, spinal stenosis, trigger finger on the right hand, spinal stenosis, difficulty walking and dry mouth and pneumonia vaccine, flu shot for which patient had experienced sore arm. On an unspecified date, the patient experienced developing a rash in the middle of her chest /she describes it as, looks light pink, little, teeny tiny bumps, middle of the chest near the neck, left ankle was itching me like crazy, felt cold/ cold, tired, looks light pink, little, teeny tiny bumps, two weeks after her 1st dose she felt chills and swelling in her lymph nodes. Reporter is an 86-year-old female consumer who has received the first dose of the Pfizer COVID-19 vaccine. She is calling today to inquire about whether she should receive the second dose. She states that she has 4 autoimmune disorders, and she thinks she may also have Parkinson's disease. She is concerned that the vaccine might worsen autoimmune disorders. She states that she has Lichen Sclerosus, spinal stenosis, trigger finger on the right hand which started after she received the Pneumovax23 vaccine last year, spinal stenosis, difficulty walking and dry mouth. She does not take any prescription medications. She reports being allergic to an antibiotic that starts with an e and it caused her to have a severe long lasting headache but she cannot recall the name of the medication. She also reports whatever medication they gave her for a stress test caused her heart to race and made her feel like she was going to have a seizure. She states, my arm was not even sore after getting the vaccine, is that normal? My arm was sore after the pneumonia vaccine and the flu shot but not after my covid vaccine, is that normal? The caller then went on to report that "the day after the Pfizer COVID-19 vaccine my left ankle was itching me like crazy. It was a strange kind of itching. It was bothering me, I don't know and then it went away. She also reports developing a rash in the middle of her chest about 2.5 weeks after the first dose of the Pfizer COVID-19 vaccine. She noticed it this past Sunday 02May2021 and she describes it as, looks light pink, little teeny tiny bumps, middle of the chest near the neck. Reporter wants to know if the itching and rash that she experienced with the Pfizer COVID-19 vaccine have been reported before. The reporter stated that she is concerned about taking the second dose of the Pfizer COVID-19 vaccine because she is worried that it could make her autoimmune disorders worse or that she could develop new autoimmune disorders because of the vaccine. Reporter asks how long she can postpone or reschedule her second dose of the Pfizer COVID-19 vaccine until she speaks with her doctor. Reporter stated that she heard 6 million people have not returned to receive their second doses of the Pfizer COVID-19 vaccine and wants to know if we have information as to why they chose not to proceed with the second dose. Reporter stated that she is thinking about not getting the second dose of the Pfizer COVID-19 vaccine as scheduled this Thursday and waiting until September, October or November and just get the booster shot like they are talking about. She wants to know what this agent thinks about that plan. Reporter stated that she has heard getting the second dose of the Pfizer COVID-19 vaccine can cause swollen lymph nodes and that concerns her. Responded per page 2 of the attached document, Swollen lymph nodes (lymphadenopathy), which generally resolved within 10 days, is likely to have resulted from a robust vaccine-elicited immune response. She is transferring her to report adverse events she experienced after the dose of the COVID vaccine. Two weeks after her 1st dose she felt chills and swelling in her lymph nodes. she has questions about the efficacy of the second dose. The caller clarified the details provided by the transferring agent. She did not have chills. She was just saying she was on her computer in the other room the other day, and all the sudden she felt cold. She always has her house on the same temperature of 76. It is on air-condition because she will be away. The last lady said chills it wasn't chills. She just felt cold. Her nose is stuffed up but was way before the shot. It will be 3 weeks ago tomorrow that she got the vaccine. The cold feeling happened two weeks after the first. The second shot is due tomorrow. She is wondering if she should get it. She noticed she started to feel cold 2 weeks after her first Pfizer vaccine. Is that normal to feel cold. She didn't think about it being the Pfizer vaccine when she got cold. She used to be 5'4.5 but is now 5'0. She got the vaccine at the see formal field Her doctor told her to go to the hospital to get it not a drug store. She waited 30 minutes. She doesn't know if the cold has improved persisted or worsened. She knows she didn't have to put on another layer yesterday. She did still feel a little colder than normal yesterday. She got the vaccine at 1130 am. She didn't even feel it. She didn't have pain in her arm at all. It was like she got no shot at all. She is a little tired now. She needed to take a nap in the last couple of days. This started a couple of days ago. It has almost been 3 weeks wince her first one. see formal field She is wondering if it is normal to have 2.5-week later side effect. She did have a rash on her chest 3-4 days ago, but that was reported. Her doctor is a rheumatologist who deals a lot with the immune system. She did have a stuffed nose before the vaccine for several months now. Adverse event did not lead to visit to Emergency Room, Physician Office. Outcome of the events was unknown.   No follow-up attempts are needed. No further information is expected.