A little out of it and sleepy; Dose 4, Booster; Dose 4, Booster; The "careless" pharmacist "punctured a vein" when removing the needle from her bicep causing blood to come out of the injection site about the size of a cotton ball; The injection site is still black and blue; Firm and warm to touch; Inflamed; Rashy; Redness; Tenderness; Pain; Hematoma; Her pulse has been 95-110 and then it comes back down; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team.  An 82-year-old female patient received BNT162b2 (BNT162B2), on 04Apr2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Afib" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL; ATORVASTATIN; ESTROGEN NOS. Vaccination history included: BNT162b2 (Dose: 03), administration date: 23Oct2021, for Covid-19 immunization, reaction(s): "No reaction on previous exposure to vaccine"; Bnt162b2 (Dose: 01), administration date: 2021, for Covid-19 immunization, reaction(s): "No reaction on previous exposure to vaccine"; Bnt162b2 (Dose: 02), administration date: 2021, for Covid-19 immunization, reaction(s): "No reaction on previous exposure to vaccine". The following information was reported: IMMUNISATION (non-serious), OFF LABEL USE (non-serious) all with onset 04Apr2022, outcome "unknown" and all described as "Dose 4, Booster"; VACCINATION SITE HAEMORRHAGE (non-serious) with onset 04Apr2022, outcome "recovered" (04Apr2022), described as "The "careless" pharmacist "punctured a vein" when removing the needle from her bicep causing blood to come out of the injection site about the size of a cotton ball"; SOMNOLENCE (non-serious) with onset 05Apr2022, outcome "unknown", described as "A little out of it and sleepy"; VACCINATION SITE WARMTH (non-serious) with onset Apr2022, outcome "not recovered", described as "Firm and warm to touch"; HAEMATOMA (non-serious) with onset Apr2022, outcome "not recovered", described as "Hematoma"; PULSE ABNORMAL (non-serious) with onset Apr2022, outcome "unknown", described as "Her pulse has been 95-110 and then it comes back down"; VACCINATION SITE INFLAMMATION (non-serious) with onset Apr2022, outcome "not recovered", described as "Inflamed"; PAIN (non-serious) with onset Apr2022, outcome "not recovered"; VACCINATION SITE RASH (non-serious) with onset Apr2022, outcome "not recovered", described as "Rashy"; ERYTHEMA (non-serious) with onset Apr2022, outcome "not recovered", described as "Redness"; TENDERNESS (non-serious) with onset Apr2022, outcome "not recovered"; VACCINATION SITE BRUISING (non-serious) with onset Apr2022, outcome "not recovered", described as "The injection site is still black and blue". Relevant laboratory tests and procedures are available in the appropriate section.  Additional Information: Caller states she was "a little out of it and sleepy" the day after the booster. Caller states that "the last couple days her pulse has been 95-110" and then it "comes back down." Caller states her normal blood pressure would be 140/90 and normal pulse would be around 90.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.