also really cold right now; Flushed face; Chills; Fever; Headache; Fatigue; Muscle cramps; Muscle pain; This is a spontaneous report from a contactable consumer (patient). A 61-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: ER8736), via an unspecified route of administration in the left arm on 23Apr2021 (at the age of 61-years-old) as dose 2, single for COVID-19 immunization. Medical history included hypothyroidism from 2005 to an unknown date, patient stated that this was diagnosed almost 15-16 years ago, she would say in 2005. Concomitant medication(s) included varicella zoster vaccine rge (cho) (SHINGRIX) taken for an unspecified indication from Mar2021 to an unspecified stop date, patient stated she did have a vaccination during the four weeks prior to getting her first dose of the Pfizer COVID-19 vaccine. She says that they had said wait two weeks after she had Shingrix, so she got that 15 days ahead of the first Pfizer COVID-19 vaccine dose, Shingrix NDC/LOT/EXP: Unknown, patient stated she has no new medications. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: ER8733), via an unspecified route of administration in the left arm on 02Apr2021 as dose 1, single for COVID-19 immunization and experienced muscle cramps. Patient says her fevers started after getting her second dose. She said her first dose was mild, though she did get weird muscle cramps that were a different kind. She said, actually she had the muscle cramps (Apr2021) both times, even though she was drinking a lot of water and weird muscle pains and fatigue (Apr2021). Patient stated that after she got the second dose, her fever started, it might have been that night or the next morning (24Apr2021), she knew she had fever Saturday morning and she had had a headache (23Apr2021) all night. Patient stated, she took Tylenol maybe twice, two tablets unknown strength, and she took them maybe the first day. She says she doesn't remember which day she took it, stated that the Tylenol didn't take her fever down and it usually takes it down, so it did stay elevated. Tylenol LOT: C004RK, EXP: November 2022 UPC: unknown. Patient further stated her fever went as high as 101 degrees Fahrenheit Saturday (24Apr2021) and was as high as 100.5 degrees Fahrenheit yesterday (26Apr2021). She said that day (27Apr2021) it was up to 100.1 degrees Fahrenheit, she says for her, that is high, with hypothyroidism it is unusual to wake up with a flushed face yesterday (26Apr2021) and for first thing in the morning to have a temperature of 99 degrees Fahrenheit, first thing in the morning her temperature is usually 96 degrees Fahrenheit. She said her 101.5 degrees Fahrenheit is unusually high for her, then it would be for the average bearer. Patient also had chills, that also started Saturday (24Apr2021). She was also really cold right then, when it was getting up to 80 degrees in NYC that day (27Apr2021), her hands were cold and she feels chilly. Th patient received treatment for the adverse events. The clinical outcome for the events was unknown and not recovered for chills.  No follow-up attempts are needed. No further information is expected.