intense nausea; chills (kind of like when I donated mywhite blood cells a long time ago); Lost some weight like I did when I had Covid-19; lots of body pain; This is a spontaneous report from a contactable consumer, the patient. A 58-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0191) via an unspecified route of administration in the right arm on 21May2021 at 12:00(at the age of 58-years-old) as a single dose for COVID-19 immunisation. Medical history included post-traumatic stress disorder (PTSD), anxiety, insomnia, left shoulder torn from attack and COVID-19 (Oct2021). Concomitant medications included lidocaine (MANUFACTURER UNKNOWN) from unknown dates for pain. Prior to the vaccination, the patient was diagnosed with COVID-19. Patient had COVID-19 in a flew in October and contracted COVID-19 most likely on the airplane the man sitting next to her had problems breathing. Patient became a sick as humanly possible intense nausea, terrible pains in her heart and chest but it was all Gastro. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8761) via an unspecified route of administration in the right arm on 23Apr2021 at 10:30(at the age of 55-years-old) as a single dose for COVID-19 immunisation. On an unknown date in 2021, the patient experienced nauseous. She didn't feel so spaced out depressed and drained as from the first injection so she was optimistic but on Friday night around 2:00 woke up with chills (kind of like when donated white blood cells a long time ago), other symptoms intense nausea. The patient lost some weight like she did when she had COVID-19. Lots of body pain both with COVID-19 and with the second vaccine. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event nauseous, chills, lost some weight, and lots of body pain was not recovered at the time of this report.  Follow-up attempts completed. No further information expected.  Amendment (16Aug2021): This follow-up report is being submitted to amend previously reported information:  Updated information:  Drained captured as reaction for the 1st dose. Intense nausea, terrible pains in my heart and my chest captured, lost some weight and lots of body pain as relevant history. The indication of Lidocaine captured as pain. Insomnia and depression deleted in event tab. "A female patient of unknown age" updated to "A 58-year-old non-pregnant female patient". "for unspecified indication" updated to "for pain". "Prior to the vaccination, the patient was not diagnosed with COVID-19" updated to "Prior to the vaccination, the patient was diagnosed with COVID-19". "other symptoms intense nausea" added. "Patient had COVID-19 in a flew in October and contracted COVID-19 most likely on the airplane the man sitting next to her had problems breathing. Patient became a sick as humanly possible intense nausea terrible pains in my heart and my chest but it was all Gastro" added. "The clinical outcome of the event nauseous, depressed, drained, chills, lost some weight, and lots of body pain" updated to "The clinical outcome of the event nauseous, chills, lost some weight, and lots of body pain" in narrative. Final sentence updated to Follow-up attempts completed. No further information expected.  Follow-up attempts completed. No further information expected.