This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program. The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202101342100. A 57 year-old female patient received bnt162b2 (BNT162B2), administration date 25Sep2021 (Lot number: FC3184) as dose 2, single for Covid-19 immunisation. Relevant medical history included: "Post-traumatic stress disorder" (unspecified if ongoing); "Motor vehicle accident", start date: Feb1998 (unspecified if ongoing); "Broken right foot" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (First Dose, LOT FD8448), administration date: 23Aug2021, when the patient was 57 years old, for COVID-19 immunization, reaction(s): "painful", "Anxious", "unable to sleep on her right side for over a month now", "hard to take the dog for a walk and pick up their poop". The following information was reported: SLEEP DISORDER (non-serious), PAIN (non-serious), outcome "unknown" and all described as "The caller had side effects with both doses and has not been able to sleep on her right side for a month"; ARTHRALGIA (non-serious), outcome "not recovered", described as "still had the pain in my right knee"; RIB DEFORMITY (non-serious), outcome "unknown", described as "last night and the night before I could sleep on my right side but can't hung up, my ribs don't want to compress". Additional Information: The report was related to a study or programme. The patient stated that, she had a career in health and fitness until she went on disability. She was in a really bad car accident in (place) and she reached her right arm out to hold onto her dog. When they got hit her car spun around and bounced off of an island. The car accident occurred in Feb1998. Stated she has been having a crick in her right knee also. She broke her right foot 2 years ago. She said when she broke her right foot 2 years ago the cast straightened out something that was wrong in her alignment. She had inflammation and the vaccine was doing what it was supposed to do. The caller has exceeded the 21 day time frame to get her second dose of the vaccine and was wanting to know if she can exceed 42 days before getting the second dose. She was also worried that if the inflammation from the first shot isn't all the way gone and she gets the second one that it could be detrimental. She had PTSD and was working with her therapist. States she had to speak with her therapist. She was really smart, but she cannot find a practitioner that she can trust. Said she has had one that misdiagnosed her; they prescribed her something bad in 2015. Said that she was diagnosed incorrectly one time with herpes; they gave her medication for it, then her lab results said she did not have it. The reported that her adverse events after the second dose was not being able to "sleep on her right side for a month now because of the pain", "still had the pain in her right knee, she was able to deal with it" and that "since she had the vaccine, her shoulders are even", whereas before her right shoulder was half to one inch higher than her left shoulder. She acknowledged the improved alignment was a positive benefit from the vaccine. She said she had spent decades attempting to have her shoulders fix and that with this new alignment "She could breathe better". She also noted that "last night and the night before she could sleep on her right side but can't hung up, her ribs don't wanted to compress". She said she does not wanted to visit her HCP with her vaccine related concerned because she did not wanted to have a false positive Covid test or be placed on a ventilator and become a Covid death number. She said she doesn't have an HCP she trusts. She also said she had a previous car accident affecting her ribs (before vaccination) and that she broke her right foot in 2019. She emphasized that she was on disability and had been diagnosed with PTSD and with her disability filing commented that "she cannot do forms" or "can't fill out a black and white form". Follow-up attempts are completed. No further information is expected.