fatigue; swollen lymph node under right arm; very sick for two nights; Fever; chills; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 55 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), intramuscular, administered in arm right, administration date 01Nov2021 13:00 (Lot number: FH8030) at the age of 55 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Cholesterol", start date: 2015 (unspecified if ongoing), notes: Diet and exercise controlled 17Jun21 - A1C was 6.8 and Glucose mg/DL was 1. Family history included: "DM", start date: 2018 (unspecified if ongoing), notes: Diet and exercise controlled, 6/17/21 - A1C was 6.8 and, Glucose mg/DL was 149; "HBP", start date: 2003 (unspecified if ongoing). Concomitant medication(s) included: COZAAR taken for hypertension, start date: 2012 (ongoing); HCTZ taken for hypertension, start date: 2012 (ongoing); PRAVASTATIN taken for blood cholesterol, start date: 2015 (ongoing). Vaccination history included: Bnt162b2 (Dose Number: 2, Batch/Lot No: EW0171, Location of injection: Arm Right, Vaccine Administration Time: 13:00 PM, Second dose had slight pain in arm, vaccine was administered, a little feverish that night, took one advil.), administration date: 28Apr2021, when the patient was 54 years old, for COVID-19 immunization, reaction(s): "slight pain in arm", "little feverish"; Bnt162b2 (Dose Number: 1, Batch/Lot No: EW0151, Location of injection: Arm Right, Vaccine Administration Time: 13:00 PM), administration date: 07Apr2021, when the patient was 54 years old, for COVID-19 immunization. The following information was reported: PYREXIA (non-serious) with onset 01Nov2021, outcome "recovered" (03Nov2021), described as "Fever"; CHILLS (non-serious) with onset 01Nov2021, outcome "recovering", described as "chills"; FATIGUE (non-serious) with onset 02Nov2021 02:30, outcome "recovering", described as "fatigue"; LYMPHADENOPATHY (non-serious) with onset 02Nov2021 02:30, outcome "recovering", described as "swollen lymph node under right arm"; ILLNESS (non-serious) with onset 02Nov2021 02:30, outcome "recovering", described as "very sick for two nights". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pyrexia. Therapeutic measures were not taken as a result of chills, fatigue, lymphadenopathy.  Additional information: It was reported that, facility type reported as Pharmacy or Drug Store. She did not receive any other vaccines within 4 weeks. She had received other medications within 2 weeks. She was not tested covid post vaccination. She had no covid prior vaccination. No known allergies were reported. Vaccine was not administered at Military Facility. Prior vaccinations (within 4 weeks) reported as none. Relevant tests and Specific relevant tests reported as none. Antibody test to platelet factor IV. Family medical history relevant to adverse events: HBP, Stroke/CVA, Cardiac Arrest, Diet controlled DM. After receiving third dose/booster she was very sick for two nights, fever and chills, Monday and Tuesday night. She was in bed all Tuesday with fatigue. Fever subsided by Wednesday morning, that was when she noticed the swelling under her armpit. She thought that it was lymph node. For the fever, she took one Advil (200mg) every 6 hours and did not exceed 3 a day. She emailed her PCP and would keep an eye on the swelling and follow up by weekend or early next week.  No follow-up attempts are possible. No further information is expected.