Intense Migraines; pain on right side of body; tired; headache; sleep all day/wasn't sleeping good; it's hard for her to look back to the right side; her arm is getting painful on her shoulder/back and numb; her arm is getting painful on her shoulder/back and numb; her arm is getting painful on her shoulder/back and numb; pain came on more strong in back; This is a spontaneous report from a contactable consumer (patient). A 57-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration in in arm left (injection) on 05Apr2021 at 18:30 (Batch/Lot Number: EW0158) as single dose for COVID-19 immunization in hospital.The patient medical history was none. Concomitant medications included vitamin D, zinc, ascorbic acid (VITAMIN C ACID) and ascorbic acid/ergocalciferol/nicotinamide/retinol palmitate/riboflavin/thiamine mononitrate (MULTIVITAMIN 6) from an unspecified date and ongoing (been taking them her whole life). Prior vaccination (within 4 weeks) was None. On 07Apr2021, the patient experienced tired, headache, sleep all day/wasn't sleeping good, it's hard for her to look back to the right side, her arm is getting painful on her shoulder/back and numb and pain came on more strong in back. On an unspecified date, the patient experienced painful, intense migraines and pain in right side of body. It was reported that when she had the first shot, she had such a painful, she feels tired in the beginning that day and a little headache that's all. She stated that she goes to sleep all day and the next day she feels painful and thought it is because she was not sleeping good, but she has not slept good her whole life. It was reported that pain is coming more often, more strong, it goes all the way, she does a little massage and she just takes a Tylenol because they told her she can not take any other medicine so she took Tylenol and she put hot/cold packs in her back and she put some cream maybe for something but it's getting worse. It's hard for her to look back to the right side and her arm is getting painful on her shoulder/back and numb so she just uses cream and that's when she called the doctor. Patient stated that she has pain all the way in her right side, not in the left side and it's only on the right side all the way to her neck, all the way down into her back and then goes to her shoulder then goes all the way to her arm on the right side. There is nothing painful in her left side at all. She further wanted to know what happened because she has never felt that before. After that, she was really scared to get the second shot, but her boss and son told her she has to get it, maybe it will make her better, but it's making her worse. The patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration in in arm left (injection) on 12May2021 at 18:30 (Batch/Lot Number: EW0164) as single dose for COVID-19 immunization. It was reported that the side effects are getting worse after receiving second dose. The reason she got it is just to protect herself, she lives with her son and sister, she doesn't want them getting sick. Patient states she's a personal assistant for a wife and husband and she is 75 and he is 78 so she doesn't want anybody getting sick, not even herself, and she wants to protect others and she has seen parents and other family who have died from COVID and she doesn't want that to happen to any part of her family and any other people around her and that's the reason why. She states from the beginning, she told her son she didn't want to get the shot, her son told her she needed to get it to protect her. It was reported that AE of right-sided back/neck/shoulder/arm pain that began after her first Pfizer Covid vaccine and worsened when she received her second dose. Her doctor sent her some medicine, like anti-inflammatory and muscle pain relievers, but it doesn't help. She confirmed it was muscle relaxers that she received from the doctor. Her doctor prescribed two medicines, but she only chose to get the muscle relaxer because she couldn't afford to get the other. Caller unsure of LOT, NDC, or expiry date, or product name due to her not having the product with her at the time of call. Outcome of the events tired, headache, sleep all day/wasn't sleeping good, it's hard for her to look back to the right side, her arm is getting painful on her shoulder/back and numb and pain came on more strong in back was not recovered and painful, intense migraines and pain in right side of body was unknown.  Follow-up attempts are needed. Information about lot/batch number is available.