pain in her arm and chest and all over; pain in her arm and chest and all over/felt like her pacemaker was coming out of her chest, it was hurting so bad; pain in her arm and chest and all over; swelling around her pacemaker; can't lift her arm; feels like drawing on her sides and het lymph nodes; 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 76 year-old female patient received bnt162b2 (BNT162B2), administered in arm, administration date 17Dec2021 (Lot number: 33130BA) at the age of 76 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "back pain" (unspecified if ongoing), notes: where she hurt her back; "stroke" (unspecified if ongoing), notes: 7 years ago; "pacemaker" (unspecified if ongoing); "uses oxygen" (unspecified if ongoing), notes: uses oxygen sometimes at night when she has a hard time breathing; "Problem with leg veins" (unspecified if ongoing); "heart" (unspecified if ongoing), notes: Verbatim: heart. Concomitant medication(s) included: XARELTO taken for cardiac assistance device user; MIRAPEX; LYRICA; NORCO taken for back pain. The following information was reported: LYMPHADENOPATHY (non-serious) with onset Dec2021, outcome "unknown", described as "feels like drawing on her sides and het lymph nodes"; PAIN IN EXTREMITY (non-serious), PAIN (non-serious) all with onset 17Dec2021, outcome "not recovered" and all described as "pain in her arm and chest and all over"; CHEST PAIN (non-serious) with onset 17Dec2021, outcome "not recovered", described as "pain in her arm and chest and all over/felt like her pacemaker was coming out of her chest, it was hurting so bad"; SWELLING (non-serious) with onset Dec2021, outcome "recovering", described as "swelling around her pacemaker"; LIMB DISCOMFORT (non-serious) with onset Dec2021, outcome "unknown", described as "can't lift her arm".  Additional information: The patient asked on call: First dose 17Dec2021. Ever since then pain in her arm and chest and all over. Mentioned swelling around her pacemaker. What feels like drawing on her sides and het lymph nodes. Asks how long it will last. Keep thinking it maybe it's gonna go away. I tried to call. I read up on it. Been a pain to deal. I had no idea I would have such a bad reaction to it. Everyone I been around says fine. She has been attempting to contact HCP. Concerned about having additional dose. On follow up (27Dec2021) The caller clarifies and confirms that she got the Pfizer Covid vaccine on 17Dec2021, Patient: The caller was the same age she was now when that event happened. The caller can't get comfortable and feels like she has drawing on her sides in her lymph nodes and feels like she's drawing on both sides. The caller felt like her pacemaker was coming out of her chest, it was hurting so bad. The caller was worried about it. After the pacemaker swelling went down, its still bothering her but it went down. The caller's pain started that night of the vaccine and it went into the next day. The caller can't lift her arm its hurting so bad. The caller hasn't heard of anyone having the reaction she had. The caller's son kept fussing at her about getting it. It just seems like its not wanting to go away. History: The caller took her regular medication. The caller has back pain where she hurt her back. The caller is scared to take the other one. The caller clarifies that she got put on the Xarelto when she had her pacemaker put in. The caller cannot remember if she had the stroke before or after taking the Xarelto.  No follow-up attempts are possible. No further information is expected.  Follow-up (27Dec2021): New information received from same contactable consumer included updated information: Patient details, relevant medical history, Concomitant drugs, suspect drug details, event added and additional information:  No follow-up attempts are possible. No further information is expected.