chills; fever; nausea; headache; muscle cramps; This is a spontaneous report received from contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient.  A 47-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Apr2021 as dose 2, single (Lot number: EW0170) at the age of 47 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "asthma" (unspecified if ongoing); "aneurysm with metal plate in body" (unspecified if ongoing); "basel cell carcinoma" (unspecified if ongoing); "if covid prior vaccination: Yes" (unspecified if ongoing), notes: if covid prior vaccination: Yes. Concomitant medication(s) included: OMEPRAZOLE; AMITRIPTYLENE; ALIGN; CALCIUM. Past drug history included: Nsaids, reaction(s): "Known Allergy". Vaccination history included: BNT162b2 (Reporter provided date of administration of Dose 1 from her vaccination card as 31Mar2021 and lot number is EW0150), administration date: 31Mar2021, when the patient was 47-year-old, for COVID-19 Immunization, reaction(s): "102.3 fever", "chills", "muscle aches/muscle cramps", "nausea", "head ache", "asthma", "muscle aches/muscle cramps"; flu shot (If other vaccine in four weeks Yes, Other vaccine 4weeks details, Other vaccine 4weeks product: Flu shot, Other vaccine 4weeks vaccine date: 03Oct2022, Other vaccine 4weeks vaccine location: Left arm), administration date: 03Oct2022, for Immunization.  The following information was reported: CHILLS (non-serious) with onset Apr2021, outcome "recovered" (Apr2021); PYREXIA (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "fever"; HEADACHE (non-serious) with onset Apr2021, outcome "recovered" (Apr2021); MUSCLE SPASMS (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "muscle cramps"; NAUSEA (non-serious) with onset Apr2021, outcome "recovered" (Apr2021). Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Every time I have the vaccine, I have multiple adverse effects. They haven't lessened. This time, I had 102.3 fever, chills, muscle aches, nausea, headache. I had a minor asthma attack which I took two puffs of Ventolin for which resolved the attack. Took Tylenol when the fever went above 102. It resolved the fever and the headache, but 6 hours later, headache and fever now at 100.6 returned. AE treatment Ventolin in the home + Tylenol. Phone-in 11:02 am from reporter (consumer) in response to phone-out 10:17 am to confirm whether the events reported in Initial (PRD/SRD 01Apr2021) are for BNT162B2 Dose 1. I reviewed the events provided in this case with reporter. Reporter confirmed that the events in this report, reported on 01Apr2021, are for the Pfizer Covid-19 Vaccine Dose 1. Reporter stated that she has had a total of 4 Covid-19 vaccines and all are from Pfizer and that she has already reported her adverse events to Pfizer for all 4 doses. Reporter provided date of administration of Dose 1 from her vaccination card as 31Mar2021 and lot number is EW0150. Reporter stated that with Pfizer Covid-19 Vaccines Dose 2, Dose 3 (1st booster) and Dose 4 Pfizer Bivalent (2nd booster) that she experienced similar events as she did with Dose 1. Reporter mentioned some of the events she experienced are chills, fever (degrees Fahrenheit or Celsius was not provided), nausea, headache, muscle cramps and that every time she gets a Pfizer Covid-19 vaccine that she experiences multiple events and that she has already reported her adverse events to Pfizer. Reporter stated that for each of the 4 doses all events resolved within 36 hours. Reporter stated she received Dose 2 on 25Apr2021, and the lot number is EW0170; she received Dose 3 (1st booster) on 05Nov2021 and lot number is FF2590; she received Dose 4 Pfizer Bivalent (2nd booster) on 19Oct2022 and lot number is GH9693.