noticed 2 knots under left ear; stiffness in her neck; woke up with her neck sore; a red knot where she got the shot, left arm/ she still feels the knot where it was given; a red knot where she got the shot, left arm/ where she got shot, confirms began 04Oct2021, and states it made a red knot; soreness at the injection site/ she had soreness where she got shot; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 60 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 04Oct2021 (Lot number: 30135BA) at the age of 60 years as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 04Oct2021, outcome "recovering", described as "soreness at the injection site/ she had soreness where she got shot"; LYMPHADENOPATHY (non-serious) with onset 06Oct2021, outcome "not recovered", described as "noticed 2 knots under left ear"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 06Oct2021, outcome "not recovered", described as "stiffness in her neck"; NECK PAIN (non-serious) with onset 06Oct2021, outcome "not recovered", described as "woke up with her neck sore"; VACCINATION SITE SWELLING (non-serious) with onset 04Oct2021, outcome "recovering", described as "a red knot where she got the shot, left arm/ she still feels the knot where it was given"; VACCINATION SITE ERYTHEMA (non-serious) with onset 04Oct2021, outcome "not recovered", described as "a red knot where she got the shot, left arm/ where she got shot, confirms began 04Oct2021, and states it made a red knot". Additional information: The patient was 60-year-old who got her first dose of the Pfizer BioNTech Covid-19 vaccine on 04Oct2021 on left arm. She was a federal worker, it was mandated by the president so they had to take them. On 06Oct2021 in the morning, she woke up with neck sore that she could hardly turn it, 2 knots under left ear, stiffness in her neck, which she described as a crook in her neck and had soreness at the injection site. It made a red knot and confirmed that it was ongoing, improved, she still felt the knot where it was given. She had crook in her neck and upper part of her left shoulder. Her neck was still on the left side. She confirmed that it was ongoing, and persisting. Since morning of 06Oct2021, when she woke up at 06:30 and it was about 10 and the knots had got about the size of a nail head, the crook was mainly in her neck and upper part of shoulder, that was the side she got the shot in. She was asking if there were other reports of that and if she should see an HCP. She was referred to HCP. She was not taking another product and had no medical history (including any illness at time of vaccination). She did not underwent any relevant tests. She did not have any other adverse events prior vaccinations. She did not take any other vaccine prior vaccinations (within 4 weeks).  No follow-up attempts are possible. No further information is expected.