today 4/18 .. "I" am habe sever muscle pain - larger groups  joint pain; On 4/15 "I" was extremely fatigued and had neurological pins and needles.; On 4/15 "I" was extremely fatigued and had neurological pins and needles; feeling cold; chills all over/ chills but no fever; on day 13/14 "I" began to feel very exhausted.; on day 13/14 "I" began to feel very exhausted and "my" facial tingling came back along with arm pain, facials tingling occurred on both sides of face ..; day 15/16 exhaustion and muscle pain/ 4/18 Im have sever muscle pain; day 15/16 exhaustion and muscle pain / body aches, body aches all over/pain all over "my" body; Day 2 1/2 face went numb like "I" had dental work done it went away after 3 hr; had arm pain for 7 days and then it seemed to went away/ on day 13/14 facial tingling came back along with arm pain.; This is a spontaneous report from a contactable nurse. A 43-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER2G13 ) via an unspecified route of administration in the right arm on 26Mar2021 (at the age of 43-years-old) as a single dose for COVID-19 immunisation. The medical history included lyme disease and anemia. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The concomitant medications included lorazepam (ATIVAN 5MG) and ascorbic acid (VIT C); for unknown indications from unknown dates and unknown if ongoing. The patient previously received amoxicillin (MANUFACTURER UNKNOWN), azithromycin (Z-PAK) and experienced allergy. On 28Mar2021,on day 2 the patient's face went numb like she had dental work done, it went away after 3 hours and arm pain for 7 days and then it seemed to went away. On 09Apr2021 at 18:00, day 13/14 the patient began to feel very exhausted and her facial tingling came back along with arm pain. The facials tingling occurred on both sides of face. On an unknown date in Apr2021, day 15/16 the patient experienced exhaustion, muscle pain and body aches. On 15Apr2021, the patient was extremely fatigued, neurological pins and needles, pain all over her body, feeling cold and chills all over. She could not warm up and had no fever. On 18Apr2021, at the time of report the patient had severe muscle pain in larger groups, joint pain, body aches all over and chills but no fever. The patient reported that she was was supposed to get her 2nd shot on 16Apr2021 but she was advised to wait another week to see how she felt. On 12Apr2021, the patient underwent SARS-CoV-2 test (PCR) and the result was negative. On 17Apr2021, the patient again underwent SARS-CoV-2 test (PCR) and the result was unknown. The adverse events resulted in doctor or other healthcare professional office/clinic visit. It was unknown whether therapeutic measures were taken as a result of the reported events. Since the vaccination, the patient had been tested for COVID-19. The clinical outcome of the event face went numb was recovered with sequelae on an unknown date in Mar2021, while the clinical outcome of the event arm pain was recovered with sequelae on an unknown date in 2021. The clinical outcome of the events feel very exhausted, extremely fatigued, facial tingling, neurological pins and needles and feeling cold was recovered with sequelae on an unknown date in Apr2021, while that of muscle pain, pain all over body/ body aches, chills and joint pain was not recovered at the time of this report.   No follow-up attempts are needed. No further information is expected.