Tension headaches; sore arm; Left injection site arm soreness; Her wrist was red; It was rally bad and is still purple; Bruising on arms and legs; Bruising on arms and legs; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. The reporter is the patient.  A 60 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 20Sep2021 (Batch/Lot number: unknown) at the age of 60 years as dose 1, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: TENSION HEADACHE (non-serious) with onset 20Sep2021, outcome "recovered" (Sep2021), described as "Tension headaches"; PAIN IN EXTREMITY (non-serious) with onset 20Sep2021, outcome "recovering", described as "sore arm"; CONTUSION (non-serious), CONTUSION (non-serious) all with onset 2021, outcome "unknown" and all described as "Bruising on arms and legs"; VACCINATION SITE PAIN (non-serious) with onset 20Sep2021, outcome "recovering", described as "Left injection site arm soreness"; ERYTHEMA (non-serious) with onset 2021, outcome "recovered" (2021), described as "Her wrist was red"; SKIN DISCOLOURATION (non-serious) with onset 2021, outcome "not recovered", described as "It was rally bad and is still purple". Therapeutic measures were taken as a result of tension headache.  Additional information: The date she received the first dose of the Pfizer COVID vaccine was on 20Sep 2021. The first day, she felt tension headache and a sore arm, which has been reported by many people. Tension headache lasted a week and she stopped taking Ibuprofen, which was a blood thinner, and just took Tylenol. As days went on, she saw a lot of bruising and looked like she got beat up. Her wrist was red and now that one has disappeared, but there was still one on her left forearm. It was really bad and was still purple. It was almost bigger than a half dollar. Her primary care provider saw it and did not think it was related. Patient did not think it was a clot, but definitely a reaction. She then got some on her lower calves and behind elbow on both arms. The doctor said he would be concerned if they were on torso and there were not any there. It was just on arms and legs and nowhere else. None on her torso or face. The headache improved after almost a week, maybe 5 days. Her arm is still tender, but no longer painful. She can use arm and hand without any problem. She started noticing the bruising last week sometime after the first dose. She did not have an exact date. The odd thing was when they injected in the muscle, she did not feel anything. She said you feel it later when it goes in the muscle. There was no redness around the injection site. She thought might be she would be ok. Little did she know, a week later she would get the bruising. They were going away, but the one on wrist was very small near wrist bone. That was a big red dot and did not turn purple, which was strange. It went away, but the one really bad was on her left forearm and it was really bad. It was between persisting and worsening. Seems like a new bruise is popping up out of nowhere. It was like she was bouncing off walls, but she was not moving furniture or bumping into things. She was walking fine and has no balance issues. It was pretty scary because she had never had anything happen.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.