it was like 18 hours really bad just shaking and terribly cold just 2nd day after the shot, the 2nd vaccine and booster shot both; extreme fatigue /really tired; cheeks were very pink, pink like rash on the cheeks; bad chills; whole body was shaking all day; cheeks were very pink, pink like rash on the cheeks; bad cramp; Have been sleeping like all day and night like all week, didn't go down from bed; a knot in her arm; This is a spontaneous report from a contactable consumer (patient). A 70 years old female patient received BNT162b2 (COMIRNATY), via an unspecified route of administration on 18Oct2021 (at the age of 70 years old) as dose 3 (booster), single dose for covid-19 immunisation. Medical history included respiratory failure (the patient was on oxygen 24 hours a day from last 3 years). The patient's concomitant medications were not reported. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 25Feb2021 at the age of 70 years old for covid-19 immunisation and had cheeks turn pink, brain fog/felt very loosie, Fatigue/tired, little sore arm/minor sore left arm, diarrhea, severe burning feeling in the stomach, flushed cheeks across her nose/cheeks flushed for 1 hour, stomach upset, severe stomach pain, headaches, Petechiae, red bumps on her right arm/red bumps in little clusters, cluster of red dots; and took the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) 25Mar2021 at the age of 70 years old for covid-19 immunisation and had shaking, terribly cold, chills, extreme fatigue, sleeping like all day and night like all week, cheeks were very pink, pink like rash on the cheeks, a knot in her arm. The patient experienced it was like 18 hours really bad just shaking and terribly cold just 2nd day after the shot, the 2nd vaccine and booster shot both in Oct2021, extreme fatigue /really tired in Oct2021, cheeks were very pink, pink like rash on the cheeks in Oct2021, bad chills in Oct2021, whole body was shaking all day in Oct2021, cheeks were very pink, pink like rash on the cheeks in Oct2021, bad cramp in Oct2021, have been sleeping like all day and night like all week, didn't go down from bed in Oct2021, a knot in her arm in Oct2021. Clinical course: The patient had the same effects that she had after my 2nd vaccination after the 1st vaccination patient had less fatigue but after the 2nd and the booster shot both she had on the 2nd day after the shot, the patient had very bad chills with her whole body was shaking all day, it was like 18 hours really bad just shaking and terribly cold just 2nd day after the shot, the 2nd vaccine and booster shot both then she had extreme fatigue which she still kind of have right now this is since Monday and she had been sleeping like all day and night like all week, she didn't go down from bed and usually she got up at 8:30 in the morning and she tried it but she was just really tired. She didn't feel bad she did but she also had her cheeks were very pink, pink like rash on the cheeks and that's about it. the patient had her cheeks were very pink, pink like rash on the cheeks it is down halfway down her arm, so she had a knot in her arm. It is a terrible chill and fatigue, and her cheeks were pink like a rash. No treatment was received. The outcome of the event extreme fatigue /really tired was not recovered. The outcome of the events was unknown.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.