Sore throat; headache; Joints on fire; bones/mucles on fire; Extremely fatigued; More than just moderately ill; feeling bad; Fever; Severe lymphadenopathy under arms (huge), neck & groin; Stiff neck; Stiff jaw; Very swollen tongue; trouble swallowing; Painful tongue; This is a spontaneous report from a contactable consumer (patient). A 56-year-old non-pregnant female patient (not pregnant at the time of vaccination) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0181), via an unspecified route of administration in left arm on 02Jul2021 at 11:00 AM (at the age of 56 years old) as single dose for covid-19 immunisation. Medical history included gastrooesophageal reflux disease, anxiety, depression, insomnia, attention deficit hyperactivity disorder from an unknown date and unknown if ongoing. The patient did not have any known allergies. Concomitant medications in two weeks included trazodone; fluoxetine hydrochloride (PROZAC); esomeprazole sodium (NEXIUM [ESOMEPRAZOLE SODIUM]); hydroxyzine for an unspecified indication, start and stop date were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0202), via an unspecified route of administration in left arm at 11:00 AM for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. On 02Jul2021 at 19:00 patient experienced fever up to 102, severe lymphadenopathy under arms (huge), neck and groin, stiff neck jaw, very swollen/painful tongue, trouble swallowing, sore throat, headache, joints/bones/mucles on fire, extremely fatigued. More than just moderately ill 02Jul2021-08Jul2021. Then felt fully recovered and great! for 3 days 09Ju2021l-11Jul2021. On 12Jul2021 symptoms hit her again. Fever 101.3, lymph nodes under arms and neck swollen/tender, stiff neck, headache, sore throat, trouble swallowing, joints/bones on fire. Completely fatigued and feeling bad. It's been 12 days since her 2nd Pfizer vaccination. She doesn't know what to expect, recovering and feeling great! 110% from 09Jul2021-11Jul2021 only to be knocked out again (literally came out of nowhere). There's no way to update her info that she was again very symptomatic. Report doesn't appear to have that ability. There's no info for those who don't recover in the expected 2-3 days. Those not sick enough for the hospital but are in bed at home unable to work. The patient has appointment with my PCP tomorrow. The events resulted in doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included body temperature: 102 severe, body temperature: 101.3 on 12Jul2021. Therapeutic measures were taken as a result of fever, severe lymphadenopathy under arms(huge), neck and groin, stiff neck, stiff jaw, very swollen tongue, painful tongue, trouble swallowing, sore throat, headache, joints on fire, bones/mucles on fire, extremely fatigued, more than just moderately ill, feeling bad. The outcome of events was not recovered.  Follow-Up (30Jul2021): Follow-up attempts are completed. No further information is expected.