The pain got worse; gout; Bunion redness; Bunion swelling; Bunion soreness; Inflamed big toe area; lots of pain; bunion; Acid reflux; This is a spontaneous report from a contactable consumer (patient reported for herself). A 63-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 15Mar2021 at 11:00 (at the age of 63-year-old) (Batch/Lot Number: EN5318; Expiration Date: 31May2021) as single for covid-19 immunisation; Pravastatin (Teva product), oral for about 2 or 3 years (Lot Number: 100015462; Expiration Date: Dec2021) and ongoing, at 20 mg for blood cholesterol abnormal. She supposed to take it every day but she was taking it maybe every other day. There were lots of numbers on the bottle. She saw the lot number, a GTIN, and STIN. She did not locate an NDC number. Medical history included ongoing diabetes mellitus It started in her 30s or early 40s, ongoing Blood pressure high, it started in her 30s, thyroid problem, arthritis in her big toes, Acid reflux and High cholesterol. Family Medical History Relevant to AE(s): Her mother did not have acid reflux and her father did not. Her brother had gout, but she was sure it was his diet. She was never had gout just the acid reflux, she takes medication for acid reflux. There were no concomitant medications. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Prior Vaccinations within 4 weeks were none. AE(s) following prior vaccinations was none. She had the flu vaccine for the first-time last year and had no symptoms. On 17Mar2021, after the vaccination, the patient developed Acid reflux. On 18Mar2021 morning, she developed gout, Bunion with redness, swelling, soreness and Inflamed big toe area with lots of pain. The clinical course of the events as follows: the patient took vaccine on 15Mar2021 (Monday) and did not have any issues until 16Mar2021 (Tuesday) and she was okay. On 17Mar2021 (Wednesday) night she took a pill for her cholesterol and had felt the acid build in her system about nine o clock, maybe 10, and she had to sit up to sleep. She asked if the Pfizer vaccine causes acid reflux to flare up more. On 18Mar2021 (Thursday), When she woke morning, she had a bunion on her right foot got inflamed, and when she looked at it, it was sore, and her foot was swollen in her big toe area and was inflamed. She had lots of pain. She felt that it was not due to her cholesterol medicine, but it occurred after she took the vaccine. She has always had the bunion but never had a flare up of redness, swelling, and soreness. Her pain level was a 10. Her uric acid was a 6. She did not know if it was still with the vaccine or not, she has had the bunion but never the swelling, redness, or inflammation. She stated that the acid problem she has had in the past but not like this. The patient indicated to a nurse that three days later she developed gout on 18Mar2021. The problems with the bunion started on 18Mar2021 (Thursday) morning. The patient visited Physician Office just for the bunion. The pain got worse on 19Mar2021 (Friday). She started the prednisone on 19Mar2021 (Friday) for the inflammation and it was a pack. She finished the prednisone by an unspecified date. As she gradually took the prednisone the swelling was gone. She thought it was still tender, there is some soreness but the swelling and redness, were gone. The bunion was still there. She supposed to see a podiatrist. She was going to the orthopedic doctor to see what caused the shooting pain in her left foot. It Was not always like that. Maybe had a tiny bit of pain, but the vaccine may have aggravated it more. She Went to an orthopedic who took X-rays. Had arthritis in her big toes and a spur that is on the right foot, which was little bit more painful. She Had always had the spur but looks like the vaccine aggravated it more. She stated that her acid reflux was controlled after medicine, but it got worse after she took the vaccine. She Had arthritis in her big does and Looks like the vaccine aggravated it more. In left foot, she had some pain that is like shooting pain. Went to get it checked out and was asked how she reacted to the Pfizer vaccine and walking. The patient stated two other individuals who are medical personnel also developed gout. But did not know if those people reported it to Pfizer. No further details provided. Someone else stated when they got the vaccine, it aggravated the arthritis more. No further details provided. Patient asked If people have memory problems, does the Pfizer vaccine make the memory problems worse. She Received her second dose of vaccine on 05Apr2021. The events Bunion redness and Bunion swelling were resolved on an unspecified date in 2021. the outcome of other event Acid reflux was not resolved and the outcome of other events was unknown at the time of this report.  No follow-up attempts are possible. No further information is expected.