fever; miserable; achy; sleeping so much; feels crummy; headache; knees and hips ache; sore arm; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EW-0169, Expiry Date: Not reported), via an unspecified route of administration, administered in Deltoid Right (right upper arm) on 21Apr2021 (at the age of 74-year-old) at 11:30 as dose 1, single for COVID-19 immunisation. The patient medical history included lung cancer, sinus drainage (this was last year, they did a chest x-ray, then a CAT scan, then a PET scan results were unknown) and then lung lobectomy (2 weeks later they were removing her lower lobe right lung) this all went fast so that she did not have time to dwell on it, had chemotherapy from Feb2021 to Feb2021, radiotherapy from 16Apr2021 to 16Apr2021 (She called her oncologist and she finished radiation on 16Apr2021), wrist fracture (She also had a broken wrist and just stuff like that, that was two or three years ago), wrist stuff (She also had a broken wrist and just stuff like that, that was two or three years ago), nagging cough. Concomitant medication(s) included amlodipine (AMLODIPINE) taken for an unspecified indication, start and stop date were not reported; atorvastatin (ATORVASTATIN) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (BABY ASPIRIN) taken for an unspecified indication, start and stop date were not reported; omeprazole (OMEPRAZOL) taken for an unspecified indication, start and stop date were not reported; diphenhydramine hydrochloride (BENADRYL) taken for an unspecified indication, start and stop date were not reported; cetirizine hydrochloride (ZYRTEK) taken for an allergy, start and stop date were not reported. She took acetylsalicylic acid She hears nowadays they are taking people off of it, and that people do not need it. She still sees a retina specialist who told her to keep taking it, omeprazole from stomach acid takes once a day, and they told her to stay on this because with her radiation, it was right there behind her breastbone, and they thought it would help soreness if she kept the acid away. She will stay on this until she has her follow up, diphenhydramine hydrochloride 25 mg but she does not take it together with the Zyrtec, cetirizine hydrochloride this is her allergy medication, but it does absolutely nothing and she is still taking folic acid from chemo treatments because they said to finish it up and stated that Folic acid was a prescription that came with her chemo. She had to take 1 a day and that would keep her blood counts up. She was supposed to take it for several months after she finished chemo and she had like 14 left, so she decided to just use them up. She is taking an allergy medicine. The patient added that her husband's dresser has become her pharmacy because she has so many pills lately. Caller adds that the Zyrtec is 10 mg and is actually , Aller-zyr. It is distributed by a local wholesale store. It has numbers in a black box 1AE2602C with the expiration of Oct2022. There is another tiny number of 4H282ZYF5. Amlodipine was upped but she has been on it for 5-6 some-thing years. The patient had been on Atorvastatin for a year. The patient had a blood clot in her eye years ago, they put her on baby aspirin to keep things flowing. The patient previously took tetanus shot for immunisation and experienced 2 days after her arm itches and she had hives and it was all red. The patient questioned that the patient still having side effect after the first dose of the vaccine. Should the patient get the second dose. The patient got the response as noted in the Fact Sheet for Recipients, the patient should not get the Pfizer-biontech COVID-19 Vaccine if the patient had a severe allergic reaction after a previous dose of the vaccine or if the patient had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by Pfizer. They referred the patient to speak to the patient healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. The reporter stated that after receiving the first dose of the Pfizer Covid-19 vaccine on 21Apr2021 she had a sore arm on 22Apr2021 for 3 days, as the rest of her family members, but she has had fever for 16 days. She had been taking Tylenol, but the fever keeps going up and down. It had been as high as 101-5 degree F, she has been miserable and after taking Tylenol it went down to 99 degree F. Yesterday afternoon she had a fever of 101.2 degree F and after taking Tylenol it went down to 98.6 degree F. She would like to know if there has been reports like this. The patient asked how far apart she can postpone her second dose. The patient was calling to ask about her side effects at which time she also mentioned her kids, grandkids, and her husband having side effects. The patient declined to file report regarding her family and continues with a report for herself. The patient received the Pfizer Covid-19 Vaccine and has not felt well since she got it. She is supposed to get her second one this Wednesday, but she feels crummy. The patient added she got like the first three days just like her husband and kids and everybody got - a sore arm. Sunday after, she got a low-grade fever up and down. Tylenol brings it up and down. She feels crummy and has a fever. This past Saturday, her temperature was 101.5. She took Tylenol it comes down to 99 but she feels bad, and she cannot locate that anybody else has had fevers for this long, so it scares her. She is petrified to get the second shot. The patient added had chemo and it ended in Feb. She called her oncologist and she finished radiation on 16Apr2021 and called them. Last week, she called the GP because he probably has more information. As far as they know there should not be anything with chemo or radiation that like she was not worn down or anything. The patient added the GP did urinalysis and bloodwork and nothing wrong came back with the tests. She was told to just keep taking Tylenol. The patient does not know how long this was going to go in. She is supposed to go and get her second shot, but she was scared, and she feels lousy. Withheld this morning gave her Pfizer's number and they said that they do not want to give her the shot if she is running a fever. The patient just wants somebody to tell her that other people have had this. The patient wants to know if she was able to have the shot or if she should stay away and if someone has been as sick as she has been. Until she had blood work, she wondered what kind of infection this was because it was crazy. Sore arm: she had a sore arm Thursday, Friday, and Saturday, Low grade fever on Sunday, she normally is 97.7 so when it gets to 99, she feels hot. That was about what it was - up and down. Evenings it gets higher. Yesterday afternoon, it was 101 and she took Tylenol, and it went down in 2 hours to 98.6 and stayed that way until she went to bed. The Tylenol is controlling it, but she can only take so much. It is bothering her. Her fever is a little higher now when it goes up, but it still goes down to 98.6. Today is day 16. Sore arm, achy: completely went away. She felt a little achy through her knees and her shoulder and stuff and that fit in with the list of side effects that she read of fever for up to three days, soreness, headache, achiness. She did not think anything of it until the fever persisted. The reporter confirms that the patient no longer had a sore arm, the fever is what persisted. Achy, sleeping so much: caller states it is hard to tell when it started and if it is still going on because she has been sleeping so much. If she sits on the sofa and falls asleep, her knees and hips ache. She does not know if that is connected to the shot. It is just the fever and the rest of this she thinks is just her. She does not see it getting better with the Tylenol. The reporter clarified that Tylenol is helping as previously stated and works after 2 or 3 hours. No PC filed. The reporter added she just takes blood pressure medication, cholesterol medication. she is not on any radiation, chemo, or anything like that right now. The reporter added that she had terrible sinus problems, and medication dries her up. She wants to be protected and she was getting over cancer, so she figured that she needed it and wants to be around her grandkids. She has not seen them in like, she does not know how long, she has been pretty isolated. She figured once she gets the vaccine, she will still wear a mask the rest of her life but at least she will have the vaccine. The reporter stated she also had a broken wrist and just stuff like that, that was two or three years ago. Other than the sinus drainage and the nagging cough that goes with this. Investigations: no imaging, when she called her doctor, after she called them and the oncologist said to check with her GP, she did, and he sent her for bloodwork and a urinalysis. She does not know what he was looking for, but he called back that afternoon and said everything looks great and he did not see anything wrong. The doctor also told her that she should not have any issues getting the second shot, just take Tylenol. The reporter added how long can she have a fever for. No additional test results or specifics. History of all previous immunization with the Pfizer vaccine considered as suspect was none. All vaccines administered on same date with the Pfizer vaccine considered as suspect was none. The adverse event did not require physician or emergency room visit. but she had to go out and get bloodwork done last Thursday so she went over to the doctor building, and they do it all there. Any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) was none. The patient underwent lab tests and procedures which included blood test: nothing wrong (Nothing wrong came back with the tests), chest x-ray: unknown, computerised tomogram: unknown, positron emission tomogram: unknown, and urine analysis: nothing wrong came back with the tests, body temperature: 101.5, 99, 97.7, and 98.6, 101.5 degree Fahrenheit, 101.2 Fahrenheit, 99 degree Fahrenheit and 98.6 degree Fahrenheit all on an unspecified date. The reporter assessed the case seriousness as non-serious. Outcome of the event sore arm was recovered on 24Apr2021 and rest all events the outcome was unknown.  No follow-up attempts are needed. No further information is expected; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021528743 Same patient, different drug and event.