pain to the upper part of her left breast; swollen glands under her chin and on the left side of the neck/left armpit swollen; loss of appetite; Chills; severe headache; fatigue; Joint pain; fever spikes like hot flashes; fever spikes like hot flashes; injection site and whole arm was so painful she couldn't sleep; injection site and whole arm was so painful she couldn't sleep; injection site and whole arm was so painful she couldn't sleep; This is a spontaneous report from contactable consumer. This 65-year-old female consumer (Patient) reported for herself.  A 65-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: 3302, Expiration date: unknown) via unspecified rout of administration in left arm on 14Jan2021 (at the age of 65-year-old) as dose 1, single for COVID-19 immunisation. Patient also received second dose on 04Feb2021 (Lot: EL8982). Medical history included low thyroid, HRT and surgical spine issues. Concomitant medication included Levothyroxine sodium taking for 23 years for low thyroid, Progesterone taking for 15 years for HRT, Divigel taking for 15 years for HRT, Gabapentin taking for 3 months for surgical spine issues. On 14Jan2021, the patient experienced fever spikes like hot flashes, injection site and whole arm was so painful she couldn't sleep, severe headache, fatigue and joint pain, on 15Jan2021, chills and loss of appetite, on 04Feb2021, swollen glands under her chin and on the left side of the neck, on 05feb2021, left armpit swollen area and pain to the upper part of her left breast. Outcome of the events of fever spikes and chills was recovered on 15Jan2021, severe headache and loss of appetite was recovered on 07Feb2021, injection site and whole arm was so painful she couldn't sleep and joint pain was recovered on 08Feb2021, event fatigue, swollen glands under her chin and on the left side of the neck, left armpit swollen area and pain to the upper part of her left breast was resolving.   Additional Context: Consumer states she received the second dose of the Pfizer COVID 19 vaccine 4Feb2021. The first dose of the vaccine she went through all the side effects in four days. She had a surprising reaction. Clarifies she received the first dose of the Pfizer COVID 19 vaccine 14Jan2021 1300 PM in the left arm. By five hours later she had fever spikes like hot flashes through the night; the injection site and her whole arm was so painful she couldn't sleep. The next morning she had chills so bad she was wearing her winter coat that lasted from 0730 AM to 1100 AM and she went back to bed. She had a severe headache starting Thursday night to Monday. She had fatigue, sleeping for hours; and joint pain. The injection site was painful but not red or swollen. She had loss of appetite but no nausea. She thought she was cycling through all the what to expect side effects. Caller reports she received the second dose of the Pfizer COVID 19 vaccine 4Feb2021 1300 in the left arm. The day of the shot she had less reaction than the first time, but by that night she had swollen glands under her chin and on the left side of her neck; her arm was painful; then by Friday night her left armpit area was swollen and she had pain to the upper part of her left breast. She didn't know that it was vaccine related. She went to her doctor yesterday and has an order for a breast ultrasound. States she was advised to call and report her symptoms. States she also had the headache, the tiredness; and the  joint pain across the middle of her back and chest.   Follow-up attempts completed. No further information expected.