Nauseated after first dose; She had a headache with first and second doses; After the first dose, her right arm was so sore/Right arm soreness after first dose; Right arm soreness after first dose, sore all day and got bad in the night; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 67 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 10Apr2021 08:30 (Lot number: ER8733, Expiration Date: 31Jul2021) at the age of 67 years as dose 1, single for covid-19 immunisation; insulin (INSULIN) (Batch/Lot number: unknown). Relevant medical history included: "Diabetes", start date: 1997 (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Pneumonia vaccine (She had a severe reaction to the pneumonia vaccine before. At midnight, from shoulder down especially to elbow, it was huge.), administration date: 13Aug2020, when the patient was 66 years old, for Immunization, reaction(s): "Her arm hurt really bad", "Her arm hurt really bad and swelled up so bad". The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 10Apr2021 10:30, outcome "recovering", described as "After the first dose, her right arm was so sore/Right arm soreness after first dose"; NAUSEA (non-serious) with onset 11Apr2021 08:30, outcome "recovering", described as "Nauseated after first dose"; HEADACHE (non-serious) with onset 11Apr2021 07:00, outcome "recovering", described as "She had a headache with first and second doses"; CONDITION AGGRAVATED (non-serious) with onset Apr2021, outcome "unknown", described as "Right arm soreness after first dose, sore all day and got bad in the night".  Additional information: 1st dose given on 10Apr2021, Pfizer COVID vaccine, ER8733, Expiration was provided as 31Jul2021 Injected in right arm, unable to confirm if given in the muscle. She has no complaint. When reading card, she said she could not see that well. She then stated that after the first dose, her right arm was so sore. Right arm soreness after first dose: 10:30 it was sore all day and got bad in the night. She reported that, they (unspecified) had a list of everything she was on. She knew she was at risk taking it. She had a severe reaction to the pneumonia vaccine before. Her arm hurt really bad and swelled up so bad. She was just ignoring it. She gives herself insulin shots all the time and thought it would go away. At midnight, from shoulder down specially to elbow, it was huge. She got up and went to the ER (emergency room). She did not have a manufacturer name, lot or expiration. It was on 13Aug2020. There was no prescriber. She was diabetic and was afraid to take it and afraid not to. Her primary care doctor advised her to because of her health issues. No previous immunization with the Pfizer vaccine. No additional vaccines administered on same date of the Pfizer suspect. Vaccination facility type: Clinic. Not a military facility. Prior Vaccinations (within 4 weeks) were none. Family medical history was none. No relevant tests.   No follow-up attempts are possible. No further information is expected.