the left side of her upper lip swelled up,It puffed up a little and was noticeable in the mirror, sort of like if you have puffing where it tears; Arm soreness; sore at the injection site for 2 days; swelling at injection site; left side of upper lip swelling and tingling/ right side of upper lip tingling and starting to swell; losing weight; fatigue; Lack of energy; middle of her mouth to the right side of her upper lip is starting to get swollen,feel like that numby; it broke the skin a little on both sides; It just made the skin a little rougher; It puffed up a little and was noticeable in the mirror; There was a bit of abrasiveness where it is sore; a little chaffing/ abrasiveness; a little skin irritation; had minimal swelling; This is a spontaneous report from a contactable consumer (patient). A 67-year-old female patient received BNT162b2 (PFIZER-BIONTECH COVID-19  VACCINE, Solution for injection; lot number: EN6204 and expiration date: not reported), via an unspecified route of administration, in Right Arm, on 03Mar2021 (at the age of 67-Year-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included cold and sniffles, menopause. The patient took Tylenol for a headache. Concomitant medications included estradiol taken for menopause. Historical vaccine included Flu shot and caused arm soreness, Pneumonia shot, and Shingles shot. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. On 06Mar2021, and 3 to 4 days later, the patient's left side of upper lip swelled up on. On Mar2021 it puffed up a little and was noticeable in the mirror, there was a bit of abrasiveness where it is sore, a little chaffing, a little skin irritation. The patient wondered about the second dose and if it would cause a worse response after the second. The patient Further reported that, she had minimal swelling, losing weight, fatigue, lack of energy. On 04Mar2021 patient had sore at the injection site and swelling at injection site, On 06Mar2021 left side of upper lip swelling and tingling and on 08Mar2021 patient experienced side of upper lip tingling and starting to swell. On 04Mar2021 patient had arm soreness. The patient noticed that from the middle of her mouth to the right side of her upper lip is starting to get swollen. Caller reports it is starting to feel like that numby kind of feeling. The patient reported, it broke the skin a little on both sides, it was really bizarre because it swelled up like you bit lip, but it was not bleeding. It just made the skin a little rougher. The patient would like to know if it is good if more symptoms after the vaccine and also want to know the efficacy of the vaccine against the variants. and asked if being overweight effects the efficacy of the vaccine. The second dose scheduled for 24Mar2021. The patient underwent lab tests. Took 2 covid tests a couple months apart. The last one patient took a couple weeks ago, Both tests came out negative. Treatment for arm soreness/swelling at injection site included  massage in  the area The outcome of the event Lip swelling, left side of upper lip swelling and tingling was recovering, Oedema lip, Lip soreness, Chapped lips, Skin irritation, Swelling, right side of upper lip tingling and starting to swell, losing weight, fatigue, lack of energy was unknown, Vaccination site pain and Vaccination site swelling , Pain in arm was recovered on 05Mar2021.  No follow up attempts are possible. No further information is expected