Right arm where the injections were administered has been feverish; Right arm where the injections were administered has a real sore spot/sore arm; Nauseation; Achy; Tired; arthritis; When she goes to sleep if her arm is laying at a certain position she wakes up and right arm is really bothering her; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 90 year-old female patient received bnt162b2 (BNT162B2), administration date 21Feb2021 13:00 (Lot number: EN6203) at the age of 90 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Gall bladder removed" (unspecified if ongoing); "lost some weight down there, lost 30lbs" (unspecified if ongoing); "Allergies" (unspecified if ongoing); "Allergic to sulfa" (unspecified if ongoing). The patient's concomitant medications were not reported. Past drug history included: Codeine, reaction(s): "Allergy". Vaccination history included: Bnt162b2 (Dose 1, Lot: EL9264, Location: right arm , Time: around 13:00), administration date: 29Jan2021, when the patient was 89 years old, for COVID-19 immunisation, reaction(s): "No adverse event". The following information was reported: VACCINATION SITE WARMTH (non-serious) with onset 22Feb2021 13:00, outcome "recovering", described as "Right arm where the injections were administered has been feverish"; VACCINATION SITE PAIN (non-serious) with onset 22Feb2021 13:00, outcome "recovering", described as "Right arm where the injections were administered has a real sore spot/sore arm"; NAUSEA (non-serious) with onset 22Feb2021 13:00, outcome "recovering", described as "Nauseation"; PAIN (non-serious) with onset 22Feb2021 13:00, outcome "recovering", described as "Achy"; FATIGUE (non-serious) with onset 22Feb2021 13:00, outcome "recovering", described as "Tired"; ARTHRITIS (non-serious) with onset 22Feb2021 13:00, outcome "unknown", described as "arthritis"; INSOMNIA (non-serious) with onset Feb2021, outcome "unknown", described as "When she goes to sleep if her arm is laying at a certain position she wakes up and right arm is really bothering her". The events "right arm where the injections were administered has been feverish", "right arm where the injections were administered has a real sore spot/sore arm", "nauseation", "achy", "tired", "arthritis" and "when she goes to sleep if her arm is laying at a certain position she wakes up and right arm is really bothering her" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: There were no additional vaccines administered on the same date of Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Starting 13:00 22Feb2021, 24 hours after the second dose of the Pfizer-BioNTech COVID-19 Vaccine was administered, the patient's right arm where the Pfizer-BioNTech COVID-19 Vaccine injections were administered has been feverish and has a real sore spot, for about 3 weeks since after the second dose of the Pfizer-BioNTech COVID-19 Vaccine was administered. She also had onset of nauseation and stuff and just felt achy and tired. Patient never had the feverish right arm or real sore spot until after the second dose of the Pfizer-BioNTech COVID-19 Vaccine was administered. Patient was having trouble with her right arm, when she moves her right arm up and down she feels something there aggravating her since being administered the second dose of the Pfizer-BioNTech COVID-19 Vaccine. Now, she did not know if that event was arthritis or not, but if it was arthritis, it had not acted up until after patient was administered the second dose of the Pfizer-BioNTech COVID-19 Vaccine was administered. When she goes to sleep if her arm was laying at a certain position, she wakes up and right arm was really bothering her, but it was sore the whole time since 22Feb2021. Events did not result to emergency room visit and hospitalization.  No follow-up attempts are possible. No further information is expected.