arm pain; felt it and it really hurt when he jabbed her with the shot; Headache; Very Tired; Left Arm Swelled up and Hurts;can move it but when she put her shirt on her husband has to help her; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  An 81-year-old female patient received BNT162b2 (BNT162B2), on 16May2022 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 81 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Interchange of vaccine products", start date: 16May2022 (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Janssen covid-19 vaccine (Dose 2, She has had 2 doses of the J&J COVID-19 vaccine , The dates of her 2 Johnson and Johnson Covid Vaccines are unknown, states it was a long time ago, longer than 6 months. NDC, Lot, Expiration: Unknown), for Covid-19 immunization, reaction(s): "sinus infection"; Janssen covid-19 vaccine (Dose 1, She has had 2 doses of the J&J COVID-19 vaccine , The dates of her 2 Johnson and Johnson Covid Vaccines are unknown, states it was a long time ago, longer than 6 months. NDC, Lot, Expiration: Unknown), for Covid-19 immunization. The following information was reported: HEADACHE (non-serious) with onset 16May2022, outcome "recovered" (16May2022); PERIPHERAL SWELLING (non-serious) with onset 16May2022, outcome "recovering", described as "Left Arm Swelled up and Hurts;can move it but when she put her shirt on her husband has to help her"; FATIGUE (non-serious) with onset 16May2022, outcome "recovered" (16May2022), described as "Very Tired"; PAIN IN EXTREMITY (non-serious) with onset 16May2022, outcome "not recovered", described as "arm pain"; VACCINATION SITE PAIN (non-serious) with onset 16May2022, outcome "unknown", described as "felt it and it really hurt when he jabbed her with the shot". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, vaccination site pain, headache, fatigue with Ibuprofen.  Additional information: Patient did not take prior vaccinations within 4 weeks. Caller states her first 2 were the Johnson and Johnson shots and on Monday she had the Pfizer Booster. Caller states it was the first time ever she felt it and it really hurt when he jabbed her with the shot. Caller states she thought oh well, shots never bothered her before. Caller states she also got a headache, she was very tired and her arm swelled up. Caller states her arm was still hurting her. Caller states she can move it, but when she puts her shirt on her husband has to help her. her arm was swollen too. Caller states her husband had his right after and it did not bother him. Caller states her arm was not as bad as it was on Tuesday, Tuesday was the worst day. Caller states Wednesday it eased up some. Caller states putting on shirts she could not move it around. Caller states she was very active and does exercises and used to do stretches.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.