redness on arm; soreness in arm; Flu like symptoms; Tiredness/ feels really washed out; fever and chills which she had before; chills; doesn't feel herself; aches; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EN6200, Expiration date: not reported), via an unspecified route of administration in arm left on 28Feb2021 (at the age of 65-year-old) as a dose 2, single for COVID-19 immunization. The patient's medical history included high blood pressure, Anxiety, takes medicine for it. Situational, known to have panic attacks, heart races, she gets dizzy, her red count is on the high side, ongoing cholesterol was still high, Prior to vaccine she had blood work done, her red count is on the high side, they don't know why. The caller's cholesterol was still high, she was going to start the statins soon. The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EN5318, NDC, Expiration date were not reported), via an unspecified route of administration in arm left on 08Feb2021 (at the age of 65-year-old) as a dose 1, single for COVID-19 immunization and experienced her arm was very sore. It was reported that, the caller was called about the Pfizer COVID vaccine. Stated that, the caller had her second vaccine on Friday. Stated that, the caller was a medical person so she understands and after the first shot, the girl didn't get it in the muscle very well, its hard to do in her skinny arms, her arm was very sore. Stated that, this time with the second dose, her arm wasn't sore afterward, she didn't even felt that. Stated that, the caller rested on Saturday with flu type symptoms, like the first time, she heard this was to be expected. She felt better on Sunday, she did too much work. Now the caller's arm was sore again which could be from activity but now she has a red circle on the outside of her arm, bigger than where the needle went in. It's sore, not real bad, but sore in that one spot, that was the size of her fist on the left arm. Stated that, the caller just expected whether she was going to have a reaction to the injection she would have had it Saturday, which she did have the aches and tiredness on an unspecified date in 2021. She clarified that, she did have the soreness in her arm but it wasn't that bad then, now she was concerned about the appearance of her arm because it's such a late date, was this normal and should it be expected. When the caller got the first one, she stated that, why was this coming on now because she was bragging to her husband that she didn't even felt it and was really happy. She knows it's all in the way that you give the shot, the last lady she thought, she put it in the wrong place. When the caller left there, she didn't know she had it with the second shot, after laying up on Saturday, Sunday she did too much. Stated that, she was feeling better and was very active. Stated that, if it was sore, it would be one thing but its a complete circle of redness which was kind of strange. She thought it was sunburn, that's where the shot was. Enquired, did it react. Was that where the medication was. Stated that, the soreness in her arm on 01Mar2021 was about the same, started in the afternoon, felt sore this morning and wasn't that sore the previous day. Did she get a sunburn. Her whole arm was white except that one red spot. The redness on her arm started yesterday on 01Mar2021 at 04:00. Stated that, the caller felt really washed out, felt tired, no fever or chills which she had before, didn't feel herself on an unspecified date in 2021, she went to bed early and that didn't help. The caller felt tired for a couple of days, it was still ongoing, she felt washed out. Stated that, the healthcare professional declined contact information. The caller sees the nurse practitioner, [name] somebody, her doctor retired. Stated that, the first dose was received on 08Feb2021 in her left arm, Lot EN5318, no expiration date or NDC number. The caller mentioned that, the next day after the injection she was going to take Aleve but then read that, she understands that her body was trying to build up antibodies, the information said its not a good idea, if they can help it to not take the Aleve because it may deplete or make the vaccine not work as well. The caller didn't want to interfere with vaccine working. The reporter seriousness for the events was reported as unspecified. Stated that, prior to vaccine she had blood work done, her red count was on the high side, they don't know why. The caller's cholesterol was still high, she was going to start the statins soon. The caller's radiologist said that the high red count was not too high to be alarmed about, but her nurse practitioner told her to give blood, but she wasn't going to do this right now because she was getting the vaccine. Stated that, she didn't thought she got the first dose of the vaccine the right way. She doesn't know whether she even got the second dose, she didn't felt that. The outcome of the events for redness on arm, tiredness/ feels really washed out was not recovered and for fever and chills which she had before, chills was recovered on an unspecified date in 2021 while for the other events was unknown.  No follow-up attempts are possible, information about lot/batch number cannot be obtained.