she has a large red spot in the center (injection site) itchy and hurting; she has a large red spot in the center (injection site) itchy, hurting and burny; she has a large red spot in the center (injection site) itchy and hurting; large red spot in the centre (injection site)/centre is like a stone and red and large red circle like of the largest hen egg and spot is harder; all of a sudden had a horrible pain; pain in arm; Sleepy; Headache; This is a spontaneous report from a contactable consumer (patient herself). A 76-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EN6207, Expiry Date: Unknown), via an unspecified route of administration, administered in Arm Left on 19Mar2021 10:30 (Age at Vaccination was 76 years) as dose 2, single for COVID-19 immunisation/due to her age and fear of getting deathly sick of contracting illness. The patient medical history included trigeminal neuralgia (she has had it for 2 years), dry eyes, high blood pressure, heart to keep everything calm primarily heart pain due to stress and bone disorder; all were ongoing. Concomitant medications included candesartan cilexetil (ATACAND, 4 mg tablet) at 4 mg once daily by mouth for high blood pressure (been taking for several years), metoprolol succinate (TOPROL, 25mg tablet) at 25 g once a day by mouth for heart to keep everything calm primarily heart pain due to stress (been taking for several years), vitamin D NOS (VITAMIN D) 1000 IU tablet by mouth once a day for bones, linum usitatissimum oil (FLAXSEED OIL) at 1000 mg capsule by mouth once day for dry eyes (been taking for quite a while) and "multivitamin" to keep up her health (been taking for several years); all were ongoing. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number and Expiry Date: Unknown), via an unspecified route of administration, administered in Arm Left on 26Feb2021 as dose 1, single for COVID-19 immunisation (Age at Vaccination: 75 years) and experienced headache. It was reported that, she did not take any other vaccine prior vaccinations within 4 weeks of COVID vaccine. On 19Mar2021, the patient experienced sleepy and headache. On 20Mar2021, the patient experienced pain in arm. On 21Mar2021, the patient experienced she has a large red spot in the centre (injection site) itchy and hurting. It has become more larger and centre is like a stone and red and large red circle like of the largest hen egg and spot is harder and kind of itchy and burny. While driving home and all of a sudden had a horrible pain and was wondering if the shot caused the pain. Therapeutic measures were taken as a result of she has a large red spot in the centre (injection site) itchy and hurting. It has become more larger, and centre is like a stone and red and large red circle like of the largest hen egg and spot is harder and kind of itchy and burny. included applying Benadryl cream and taking Claritin for it. Patient did not visit Emergency Room or Physician Office as a result of events. The outcome of the events headache was recovered on 21Mar2021. The outcome of all other events was not recovered.  No follow-up attempts are possible. No further information is expected.