What does this look like?

My poor baby is only 5 weeks old I thought this was baby acne but it looks like something more. She’s extremely fussy after feeds and needs to be held 24/7 when I was EBF she had bumps and now I’m supplementing with enfamil gentlease and it looks like this. Could she have an allergy to something? Should I switch her to a hypoallergenic formula? Her nose is also congested everyday. I messaged her pediatrician but I’m coming here too while waiting for a response