Chills; Pain in arm; arm felt hard; Headache; arm swollen; redness in arm; not feeling like getting out of bed; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 63-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration, administered in Arm Left on 16Apr2021 (Batch/Lot Number: EW0153) as dose 1, single for covid-19 immunization (at the age of 63-years-old). Medical history included medication allergy, back spasms, cramps in legs, 3 surgeries on left hand because of carpal tunnel (one on right because of carpal tunnel), had a dislocated shoulder, pain, blood cholesterol, blood iron, blood pressure, stool hard (using stool softener), hypersensitivity, heart diseases and sleep problem from an unknown date and unknown if ongoing and patient had family history of stroke, diabetic (lost sister in 2009, was diabetic and had like 4 or 5 strokes within a 10 year period) and heart attack (mama and daddy both died from heart attack) and bypass surgery (mother died in 2010 from heart attack and had had bypass surgery). The patient previously took Enapril for blood pressure and experienced swelling face and breaking out. She stated that she was breaking out and her face was swollen, went straight to the clinic and they then changed her blood pressure medication and she believes the name of the medication was Enalapril. She also stated that she Can't take Percocet because it breaks her out and she feels like a bug was crawling on her. Concomitant medication(s) included ibuprofen taken for back spasms and cramps in legs; gabapentin taken for pain; metoprolol taken for an unspecified indication; pravastatin taken for blood cholesterol; ascorbic acid, cobalt sulfate, copper sulfate, ergocalciferol, ferrous fumarate, magnesium sulfate, manganese sulfate, nicotinamide, potassium iodide, pyridoxine hydrochloride, retinol, riboflavin, thiamine hydrochloride, tocopherol, vitamin b12 nos, zinc gluconate (MULTIVITAMIN (16)) taken for an unspecified indication; ferrous sulfate (FEROSUL) taken for blood iron; amlodipine taken for blood pressure measurement; docusate taken for laxative supportive care; bupropion taken for pain; ketotifen fumarate (ALLEGY S MENICON) taken for hypersensitivity; pantoprazole taken for an unspecified indication; acetylsalicylic acid (ASPIRIN (E.C.)) taken for cardiac disorder; cyclobenzaprine taken for back spasms and cramps in legs; trazodone taken for sleep disorder; tramadol taken for pain, and start and stop date were not reported for all. It was reported that after receiving the first dose of vaccine on 16Apr2021 the patient experienced arm swollen and redness in arm and on 17Apr2021 experienced chills, pain in arm, arm felt hard and headache and on Apr2021 she not feeling like getting out of bed. She stated that arm swollen started later that night, in the left arm where she got the shot. She could not sleep on the left side at all. Still swollen. Arm felt hard was noticed on Saturday morning, it was red in the area. The knot there was as big as a quarter, pain in arm was not really red but hard and hurts where she got the shot and still hurts the same now, hasn't changed. She mentioned that this morning the redness in arm was gone, but it was still hard and it hurts. Yesterday, looked like redness was fading, wasn't as red as it was Friday night, when she looked at her arm. Today, she does not see much redness at all but it was still swollen and was still in pain and was still hard. For this as a treatment she had done nothing but regular medications she takes every day. Put an ice pack on yesterday and Saturday afternoon. She mentioned that chills started Saturday morning and still have now, Headache started Saturday morning and still has not gone away. Everything jumped in at the same time and her head has been hurting since Saturday morning. She had talked to her doctor about it when she went for her yearly check-up. Doctor trying to vaccinate his patients based on age. Every first of the year, she goes to the doctor for an annual check-up. If something goes wrong, they usually tell her. She knew she has to have her knees replaced. She doesn't want to do it just yet. Was trying to get stuff out of the way before she has to have the surgery. Patient was recovering from the event of erythema of extremities and outcome was unknown for the event of malaise and patient was not recovered from rest of the other events.  No Follow-up attempts are needed. No further information expected.