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 51 year-old female patient received bnt162b2 (BNT162B2), administration date Apr2021 (Batch/Lot number: unknown) as dose 2, single for Covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose: 1, pins and needles sensation to the left side of her face, in her fingertips, and in her toes that lasted for 3 weeks), for COVID-19 Immunization, reaction(s): "pins and needles sensation to the left side of her face, in her fingertips and in her toes", "pins and needles sensation to the left side of her face, in her fingertips and in her toes", "pins and needles sensation to the left side of her face, in her fingertips and in her toes"; Bnt162b2 (Dose: 1, tested positive for lupus (they are still in the process of diagnosing her for it)), for COVID-19 Immunization, reaction(s): "tested positive for lupus (they are still in the process of diagnosing her for it)"; Bnt162b2 (Dose: 1), for COVID-19 Immunization, reaction(s): "Sjogren's Syndrome". The following information was reported: SJOGREN'S SYNDROME (medically significant), outcome "unknown", described as "Sjogren's syndrome/antibodies for Sjogren's were very low but they were positive"; MUSCLE SPASMS (non-serious) with onset 2021, outcome "unknown", described as "spasms in the left side of her face, her left ear, left side of her mouth, and her left eye"; EAR DISCOMFORT (non-serious), EAR PAIN (non-serious) all with onset 2021, outcome "unknown" and all described as "little pain/pressure sensation in her left ear"; LE CELLS PRESENT (non-serious), outcome "unknown", described as "tested positive for lupus (they are still in the process of diagnosing her for it)". The patient underwent the following laboratory tests and procedures: LE cells: positive, notes: she tested positive for Lupus (they are still in the process of diagnosing her for it). Addition information: May/Jun2021 she had spasms in the left side of her face, her left ear, left side of her mouth, and her left eye. She also reports a little pain/pressure sensation in her left ear. Since having the vaccine she tested positive for Lupus (they are still in the process of diagnosing her for it) and Sjogren's Syndrome. She states the antibodies for Sjogren's were very low but they were positive. She also states her physician also said that a positive Lupus test doesn't mean she definitely has Lupus. She states she saw a list of conditions on the news that someone reported that were very rare. She is not certain if her symptoms have been caused by the vaccine. Her Neurologist told her about Trigeminal Neuralgia and said she does not have Bell's Palsy. She feels the vaccine triggered all of this. She said the symptoms after the vaccine are different that what is going on now. Has pins and needles and spasms been reported as a side effect of the vaccine? Is it possible for the vaccine to trigger something that is dormant inside of you? Has the vaccine caused Lupus, Sjogren's Syndrome or Trigeminal Neuralgia. How long will the Trigeminal Neuralgia last and will she recover from it. Caller asked to be called back with answers to her questions. The lot number for bnt162b2 was not provided and will be requested during follow up.