problem sleeping; injured my big toe; arthritis/ my foot swelled up and painful; my diabetes was a little elevated the A1C was 7; This is a spontaneous report from a contactable consumer. A 74-year-old female consumer reported for herself that. A 74-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection), via an unspecified route of administration on 24Feb2021 (Batch/Lot Number: EN6200; Expiration Date: Jun2021) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation.  Medical history included hypertension, diabetes type 2 and obesity. Concomitant medications included pravastatin taken as 40 mg once a day, ezetimibe (ZETIA) taken as 10 mg once a day, verapamil taken as 10 mg once a day and atenolol taken as 25 mg once daily. On 24Feb2021 the patient experienced problem sleeping, injured my big toe, arthritis, my foot swelled up and painful. It was reported that She is not sleepy,  have a problem sleeping so that's why she is thinking too much already, she injured my big toe. She irritated the arthritis very badly that's why her foot swelled up and it was very painful. she thought she broke the toe the way it was hurting. She had her first injection 2 weeks ago, in fact 2 weeks ago yesterday from the Pfizer and I am going back on Wednesday, this coming Wednesday for my second injection. Now I am having a problem with arthritis and I went to see my Orthopedic Surgeon on Tuesday and he put me on the Medrol Dosepak and I realized just now believe it or not he never asked me if I got my shot for the COVID-19, if I had the shot when I had it or anything. And now I was reading through some of the papers that I was given at the site last week and I am concerned now is it safe for me to take the Medrol Dosepak and get my shot next week because if I have to, I will stop the Medrol Dosepak, I want my shot, that comes first. Oh no, I had problem sleeping all the time. Since, I stopped working I didn't sleep very well. Today she had to take 6 of them, tomorrow she will take 5 and it goes down 1 each day until it ends next week, she tripped over my dog last week and she injured my big toe and apparently she have got arthritis that she wasn't aware of that it was very bad. she have very severe arthritis, her foot swelled up and she went to see Orthopedic Surgeon and he is the one who put it. she didn't have it break or anything I irritated the arthritis very badly that's why my foot swelled up and it was very painful, so that's what he gave me the Medrol Dosepak. I didn't realize I had arthritis in the foot, I thought I broke the toe the way it was hurting. (Medrol Dosepak was given as a treatment for arthritis which was irritated due to the event).It was reported that  count a lot between the doctors and the pharmacist here and the pharmacist will tell me usually as 1 medicine is going to interact with the another one and then another medication dont take it. I felt safe when I filled the prescription and didn't think any of it until now, I started to read on the internet and I am seeing it's immunosuppressant is what I am taking and I started to look up to Depo-Medrol and that's when I thought something is not right there and I am afraid. Consumer stated, about 2 months ago my diabetes was a little elevated the A1C was 7. The cholesterol was in limits, it was just basically more with diabetes. The patient underwent lab tests and procedures on an unknown date which included blood cholesterol: in limits, glycosylated haemoglobin: 7 my diabetes was a little elevated the A1C was 7. Therapeutic measures were taken as a result of arthritis. The outcome of the events was unknown.   No follow-up attempts are needed. No further information is expected.