Headache; very sluggish and foggy; very sluggish and foggy; soreness in her shoulder and neck; soreness in her shoulder and neck; tension in her left shoulder and neck; tension in her left shoulder and neck; she had a fever but the fever went form 101 to 103.5; Nausea; Shivering; This is a spontaneous report from a contactable consumer. A 32-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: ER2613), dose 2 via an unspecified route of administration, administered in left arm (Anatomical Location of Administration of Pfizer vaccine considered as suspect: left upper arm) on 19Mar2021 at 15:00 (15:00 or 15:05 in the afternoon) (at the age of 32-years-old) as DOSE 2, SINGLE for COVID-19 immunization. Time the vaccination was given reported as foggy. The patient medical and concomitant medication history were reported. Historical vaccine included: first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number: EN6198) as dose 1, single for COVID-19 immunization patient experienced Pain in extremity (barely a sore arm) after the first dose. Patient received FLU vaccine no adverse event reported (gets a flu shot every year and has never had a reaction). History of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the Pfizer suspect reported as none. No prior vaccinations (within 4 weeks). Patient's medical history (including any illness at time of vaccination) reported as none. No family medical history relevant to adverse events. Vaccination facility, it was a center they had set up for a vaccine clinic not at Military Facility. After second dose by 1 AM that night patient had a fever but the fever went form 101 to 103.5. It did not come down form 1AM Friday night until Sunday morning, for all that time it was between that range. Then Sunday morning fever broke and she started felling better but the fever started up again Sunday night and broke again Monday morning. Ever since then patient had no fever but patient had experienced crazy nausea in addition to the fever. Patient had a headache so bad and could not even open eyes for about a day now patient feels very sluggish and foggy but patient had the most tension. Patient got the vaccine in the left arm, the injection site did not hurt at all, it was barely tender but shoulder on that side and up into neck, there was so much tension that it was like audible in left ear. Patient still had the headache and lingering nausea but at this point patient was not sure if those are just secondary to the tension and soreness in shoulder and neck. Nausea began the same time as the fever when woke up at night. Patient woke up with the fever and had like teeth shattering shivering from the fever and patient was super nauseated and that lasted until sunday morning when the fever broke. Patient clarifies the nausea was ongoing but definitely not what it was, the not being able to hold anything down that was from that first night until this Sunday but stomach was still quite right. Patient confirms the nausea was ongoing but improved. Patient definitely was feeling very sluggish and foggy as soon as the fever started Friday night, it had not really changed. Patient confirms would ongoing and persisted about the same. The tension in left shoulder and neck started noticing it separate from whole body being uncomfortable on Sunday, patient confirms on 21 Mar. Adverse events did not require a visit to Emergency Room and Physician Office. The patient underwent lab tests and procedures which included body temperature: 101 to 103.5. The outcome of the event nausea was recovering, event pyrexia was recovered on 22Mar2021, joint stiffness, feeling abnormal, joint stiffness and muscle tightness were not recovered while other events were unknown.   No follow-up attempts are possible. No further information is expected.