Headache; Headache was light/dull and could be anything it could be sinus; Fingers and palms were also bruised and red; Fingers and palms were also bruised and red; Inside of her hand has a little swelling; Muscles sore / Mucles hurt; Tired; Sore arm; This is a spontaneous report received from a contactable consumer (patient). A 74-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), second dose via an unspecified route of administration in the right arm on 21Mar2021 12:30 at the age of 74-years-old  (Batch/Lot Number: EN6203 or EN6204) as a single dose for COVID-19 immunization at the pharmacy drug store. Medical history included hypersensitivity, allergies to dust, pollen (any trees), weight gain (started gaining weight 15 years ago, she used to weigh 272 pounds, currently she was about 15 pounds more than she wants to be), kidney condition (started years ago and there is nothing you can take for it you just drink lots of water about 8 glasses, watch what you eat by eating low sodium, not too much fat, and watching diet since there is no medication for it), haemoglobin abnormal (this becomes gradual as you get older then her Endocrinologist said she needs to get aggressive about it as she can not leave it alone. She does not think it was more than two years at best that they decided to do something about it. She eats liver two times and week and does not like it but she eats it. She gets iron shots because her iron is low), diabetes mellitus, blood pressure abnormal, heel spur / plantar fasciitis, hypothyroidism and quit smoking when she was 36 years old. When she got the first dose of BNT162B2 she had no problem just a sore arm. Concomitant medications included glimepiride 1mg tablet by mouth once a day taken for diabetes mellitus for many years (if she looses 20 lbs she won't have to take it at all), amlodipine besilate 10mg tablet by mouth once a day taken for blood pressure abnormal (she will not take it if she looses 20lbs, she just takes it when she is heavier, she has been taking it for a long time back when she used to weigh 272 pounds), olmesartan medoxomil (OLMESARTAN 1A PHARMA) 40mg tablet by mouth once a day taken for blood pressure abnormal (she started taking it the last couple of years when she gained 20 pounds back), prednisone 5mg tablet by mouth once a day taken for heel spur / plantar fasciitis for a long time, levothyroxine sodium (SYNTHROID) 137mcg tablet by mouth once a day taken for hypothyroidism for at least 15 years when she started gaining weight) and an unspecified allergy shot for allergies to dust and tree pollen about three weeks ago (she has been getting the allergy shot for many years and she did not receive the allergy shot in the same arm as the vaccine). On 21Mar2021 12:30, the patient received the second dose and about 2 hours after the vaccine she experienced muscles sore/ muscle hurt, arm sore that evening, and she was tired that night.  On 23Mar2021, the patient experienced headache and fingers bruised and red and palm bruised and red. She stated she experienced a "strange symptom" where the 2nd finger on left hand looks bruised/red. All four fingers of inside of fingers was bruised and the inside of her hand has a little swelling. She stated that it looks like she was in a fight. She stated that it does not hurt, there was no pain, it just looks awful and looks like dirt. Her palm was bruised and red and was a little worse around the first finger and the bottom part going around knuckles. The headache was light/dull and could be anything, it could be sinus. She stated she does not think the allergy shot had anything to do with the events since she has been getting it for years and she did not receive it in the same arm as the vaccine. She called her doctor and was waiting for her doctor. No treatment was received. The seriousness assessment was not reported. The outcome of events muscles sore/ muscle hurt and tired was recovered on 23Mar2021. The outcome of event arm sore was recovering. The outcome of event headache, possible sinus headache, fingers bruised and red, palm bruised and red and inside of her hand has a little swelling was not recovered.  Follow-up attempts are completed. No further information is expected.