This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. A 59-year-old female patient received BNT162b2 (BNT162B2), on 26Apr2021 as dose 2, single (Lot number: EW0172) at the age of 58 years, in left arm for covid-19 immunization. The patient's relevant medical history included: "thyroid condition", start date: 2016 (ongoing), notes: she is on thyroid medication but this is not new and is ongoing and was diagnosed with the thyroid condition and started the thyroid medication a while ago. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Manufacturer: Pfizer, Lot number: EW0150, anatomical location: left arm), administration date: 05Apr2021, when the patient was 58-year-old, for COVID-19 Immunization, reaction(s): "swollen lymph nodes", "severe pain/would say joint pain but the pain was everywhere and not just the joints", "Rash", "Swelling", "fever". The following information was reported: PAIN (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "severe pain/a large amount of pain"; PYREXIA (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "slight fever and this was slightly worse than with the first dose"; RASH (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "slight rash"; SWELLING (non-serious) with onset Apr2021, outcome "recovered" (Apr2021); PERIPHERAL SWELLING (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "swelling on the arm where she had the shot which was her left arm"; LYMPHADENOPATHY (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "swollen lymph nodes". Therapeutic measures were not taken as a result of lymphadenopathy, pain, rash, peripheral swelling, pyrexia, swelling. Additional information: Caller had her first booster dose last Dec and is due to have her second booster. She completed her primary series and first booster with the Pfizer COVID-19 Vaccine. She has experienced adverse events with the first dose, second dose, and third dose which is her first booster. Symptoms were seen to worsen every time she gets a vaccine shot. The most severe was the latest dose. The adverse events she experienced were severe pain, rash, swelling, fever, and swollen lymph nodes. Caller stated she was calling about the Pfizer COVID 19 booster vaccine and states she had the first two shots and then had the first booster dose in Dec and is due for the 2nd booster dose and had a fairly severe reaction to the 1st booster shot and asks what is the limit of how severe the reaction is before she should not get the shots. Caller clarified that all of the doses of her covid vaccine were the Pfizer COVID 19 vaccine and she had reactions to all of the doses but the booster dose was by far the worst. Stated after her 1st dose that she had in the afternoon, she woke up in the middle of the night and had really severe pain and would say joint pain but the pain was everywhere and not just the joints and was severe pain all over and lasted 1 to 2 days, states the pain resolved completely in 1 to 2 days. Stated after her 2nd dose she had the same reaction but a large amount of pain also and ended up with a slight rash and swelling on the arm where she had the shot which was her left arm, states she thinks she might have had slight fever and this was slightly worse than with the first dose, states the symptoms began the same thing as she had her shot in the afternoon and had these symptoms in the middle of the night and again the symptoms lasted about two days or so and the fever did not last two days but she had that for a short time and the symptoms then completely resolved. Stated all three Pfizer COVID vaccines were in her left arm. Stated after her 1st booster of the COVID vaccine, that one was the most severe and it was the same thing where she had the shot in the afternoon and this time and it was unbelievable and she had fever for sure and was completely stiff and the pain was amazing like every inch her body hurt and the lymph nodes were swollen up all of them all over and the one on the left side where the shot was swollen up so badly that for a while she did not have an armpit it was so swollen and so painful and she also had rash again on her legs and arms and it was a circling rash around her ankles and wrists and had rash and swelling at the site of her shot. States all of these symptoms began a few hours after the shot was administered and they did resolve but it took almost a week instead of a couple of days. States she did see her doctor and they tested her heart just in case she developed some kind of heart thing and they did an EKG and she did not have the heart problem some people had reported, states she did download the list of side effects from the Pfizer website and thinks she had every single side effect on the list except for the heart. Stated the fever went away sooner but the rash and pain and swollen lymph nodes stayed and the lymph node thing was last to resolve, the rash started to fade and the pain started to die down overall and the pain died down where the lymph nodes were and the last thing to resolve were the lymph nodes. Stated her patient card has no expiry dates or anything but her 1st dose was administered on 05Apr2021 with lot EW0150, 2nd dose administered on 26Apr2021 with lot EW0172 and the 1st booster was administered on 15Dec2021 with lot EW0217. Stated prior to receiving her Pfizer COVID 19 vaccines, she asked about doing any other kinds of drugs and was supposed to get a Prolia shot and asked about that but ended up not getting that Prolia shot. Stated she had no testing other than what she has already stated and received no treatment for the reported events. No follow-up attempts are possible. No further information is expected.