Migraine; Nausea; Couldn't sleep; She was tired/she literally laid in the bed for 4 hours; Tenderness of arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 53 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 30Apr2021 15:30 (Lot number: EW0172) at the age of 53 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Acute respiratory Viral Infection" (unspecified if ongoing); "Weight" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose number- 01, Time: 15:15, Lot number - ER8732   , Anatomical location: Left arm, Event start date: 31Mar2021, Event stop date: 02Apr2021, Duration: 2 days, Even outcome: Recovered), administration date: 31Mar2021, when the patient was 53 years old, for COVID-19 immunization, reaction(s): "Arm was sore". The following information was reported: FATIGUE (non-serious) with onset 30Apr2021, outcome "recovered" (02May2021), described as "She was tired/she literally laid in the bed for 4 hours"; TENDERNESS (non-serious) with onset 30Apr2021, outcome "recovered" (02May2021), described as "Tenderness of arm"; MIGRAINE (non-serious) with onset 03May2021 15:30, outcome "recovering", described as "Migraine"; NAUSEA (non-serious) with onset 03May2021 15:30, outcome "recovering", described as "Nausea"; INSOMNIA (non-serious) with onset 30Apr2021, outcome "recovered" (02May2021), described as "Couldn't sleep". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of fatigue, insomnia.  Additional information: On 30APR2021 When the caller left the vaccination site, came home and took Acetaminophen around 16:15 or so. The caller laid down because she was tired. Then couldn't go to sleep the caller laid down until 21:00 and caller got up and went to get something to eat. Caller came back home and ate. Before caller went back to sleep caller took another dose of Tylenol or Acetaminophen or whatever its called and went to bed. Caller got up for work and took another dose of Tylenol or Acetaminophen because the caller does a lot of lifting at work. The caller knows from her first dose Pfizer Covid Vaccine the caller's arm would be sore. Caller didn't have any noticeable side effects, nothing, just tenderness of the arm. Then on 03May2021, very randomly, around 15:30 caller had a migraine and nausea hit caller all at the same time. Normally, if caller has a migraine it takes several hours to even get to where caller is going to get nauseous. Normally this is because caller hasn't eaten or taken any medication. This was all at the same time, the nausea and the headache. The caller was getting ready to get off work, caller was driving into city, works in Withheld and the caller had to meet sister, stopped at Withheld to grab something to eat to take medicine. Caller was just nauseous and caller reports she did nothing different out of the ordinary. Caller states she picked up all her Covid weight. Caller clarifies she had lost weight before Covid set in and went back to the doctor and had gained weight back, caller states this occurred prior to the Pfizer Covid Vaccinations. Caller clarifies she did not have Covid, she was referring to Covid in general. No prior Vaccinations within 4 weeks. No AE(s) following prior vaccinations. No Family Medical History Relevant to AE(s). Any AE(s) did not require a visit to emergency room or Physician office.  No follow-up attempts are possible. No further information is expected.