flu; lump that she has under the skin of where she received the vaccine; bruise; I still have the cough; fever/100 degrees/ low grade fever; I got sick; hurts to the touch when she presses on the injection site; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 58 year-old female patient received bnt162b2 (BNT162B2) (Lot number: EW0191) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Pulmonary hypertension" (unspecified if ongoing); "Pericarditis" (unspecified if ongoing); "Murmur" (unspecified if ongoing); "history of blood clots" (unspecified if ongoing); "problems breathing sometimes" (unspecified if ongoing), notes: she takes medications.; "Diabetes" (unspecified if ongoing), notes: I had like may be diabetes, or wish I had diabetes. But my diabetes is ok.; "blood pressure" (unspecified if ongoing), notes: I had blood pressure. The patient took concomitant medications. The following information was reported: INFLUENZA (non-serious), outcome "unknown", described as "flu"; VACCINATION SITE MASS (non-serious), outcome "not recovered", described as "lump that she has under the skin of where she received the vaccine"; CONTUSION (non-serious), outcome "not recovered", described as "bruise"; COUGH (non-serious), outcome "not recovered", described as "I still have the cough"; PYREXIA (non-serious), outcome "recovered", described as "fever/100 degrees/ low grade fever"; ILLNESS (non-serious), outcome "unknown", described as "I got sick"; VACCINATION SITE PAIN (non-serious), outcome "unknown", described as "hurts to the touch when she presses on the injection site". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information included: Patient received her first dose of the Pfizer BioNTech Covid 19 vaccine six weeks ago. She had the flu three weeks after the vaccine and still hasnt received her second dose. She stated the, she tested negative for covid. She was calling because she was worried about a lump that she had under the skin of where she received the vaccine. She was concerned because the lump hasnt gone away. She described it as almost like a bruise, when you first get a bruise and the bruise goes away but this hasnt gone away. She statedthat it was painful sometimes and was painful to the touch. She stated she bruises very easily because she was on blood thinners- but not as much as she used to bruise because she used to be on more blood thinners. Sometimes it was a little bit of pain but then it goes away. It still hurts to the touch when she presses on the injection site. She called it "covid arm." Yesterday her daughter and friend felt it and they said "Ohh it was big" and she felt like the lump was getting bigger. She asked her sister and friend if their arms hurt (after the vaccine) and they said their arms did not hurt. The little dot of the injection site "was just barely went away but still felt the lump." At first it was a little bump and thought it would go away but it was bigger and now it hurts. She describes the lump as the size of a quarter or a little smaller. It almost felt like a bad bruise when you press on it, and it hurts but there was no bruise. You can feel the lump and it hurts but the skin was clear. She had a lot of underlying conditions including pericarditis, murmur, pulmonary hypertension and a history of blood clots. She has problems breathing sometimes so she took medications. She had people she knows personally who have had a blot clot after the vaccine. Her daughters father in law who also has a history of blood clots, after his second vaccine ended up in the hospital with blood clots in his lungs. Three weeks after her first dose she did have the flu with a low-grade fever and because of her pulmonary hypertension still had a cough but did test negative for covid. She was worried about receiving the second dose because this lump hasnt resolved and because of her numerous health issues. Should she receive the second dose of the vaccine. Patient stated she was going for her 2nd one this coming week, it was due. And She noticed that she had a lump on her arm, it was the lump where she got vaccinated the first time and it has not gone away. It was still there. She was reading somewhere that some of the side effects and she found, one of the side effects was for COVID arm, was the lump on your arm on the site of the vaccination, where you got vaccinated. So she was just worried because she would bel be going in to get my 2nd vaccine. So, when she did this the 1st vaccine. Then she got sick, it got like bad, I think it was flu because she had a fever, for like a week. She did a COVID test and that was negative. So, she thought may it was just a flu. Because her fever the highest was 100 degrees, it didnt got any higher or any low. It just stayed like 99 and a 100 for like 5 days. But then it went away, she was fine. But she still have the cough she feel like shen dont know may be she should go to her doctor. But she really concerned about the lump and then she was sick and this was 3 weeks ago. She kind off worried about the lump and she had health issues lot of health issues like she have pulmonary hypertension and in the past she had, before this COVID (further not clarified), She had clots in her lungs. she also had pericarditis before that and she had a murmur she had been hearing lot of things with my pulmonary hypertension. Yeah she was really concerned about health. When informed about the questions, consumer stated, No, because you are just asking me personal questions. She want to know what she should do if she gonna go get this vaccine. She wanna make sure, She know couple of people that did the 2nd vaccine, they developed the stuff that she really had in the past. So she was kind of nervous that if she get it, since She already had it, she will get it again like the murmur. She knew somebody got a murmur for the vaccine. (Further not clarified) she already have it, until her murmur was not getting any bigger because she just went to her cardiologist not too long ago they did the about by murmur and still it was been the same size for the past 10 years or even longer. But she was scared that if she get the 2nd vaccine my murmur was gonna get bigger and she was really concerned because that was gonna give her more health problems. She had like may be diabetes, or wish she had diabetes. But her diabetes was ok. But you know she had blood pressure. She had my friends who got 2nd vaccine and their blood pressure shot up like really high. She was really concerned. Patient reported that she got 6 weeks ago and explains she was sick during the 3rd week after the shot with the flu and therefore could not get the second dose. She had a medical history of pericarditis, pulmonary hypertension, and blood clots. The patient mentioned that at the injection site she still had a lump, the size of a quartier or smaller, that was painful sometimes and was painful when pressed. She explained that it wasnt so big when she got the shot at first and she was concerned about the fact it has not gone away. She was prone to bruising due to taking blood thinners but they normally go away eventually. She described the area of her arm as Covid arm. Patient wanted to know if we recommended her getting the second shot and she was referred back to her healthcare provider. Also during the call it was mentioned the reporter s daughter s father in law, who has a history of blood clots, was hospitalized for blood clots in the lungs after getting the Covid vaccine.    No follow-up attempts are possible. No further information is expected.