lymph node in shoulder swelled and hurt; lymph node in shoulder swelled and hurt; shaking; 99.5 temp/temperature grew to 100/My temperature grew over the next two hours it reached 101.4/100 range for a few hours/mark with 99.8; I could not sleep; the area around injection became hot; arm have a rash; felt tired; This is a spontaneous report from a contactable consumer (patient). A 22-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number and Expiry date: not provided) (age at the time of vaccination was 22 years), via unspecified route administered in Arm Left on 12Apr2021 at 12:15 as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medication was not reported. The patient did not take any other vaccine in four weeks prior COVID -19 vaccine. She was not diagnosed with COVID prior vaccination and not tested with COVID post vaccination and no known allergies. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: not provided), via an unspecified route of administration, administered in Arm Left on 22Mar2021 at 13:30 as dose 1, single for COVID-19 immunization. On 12Apr2021 at 12:15, the patient touched fuzzy blanket. It made his arm have a rash and then it went away in five minutes. Then the patient was fine for a while. Maybe felt tired at times but felt fine. Then roughly nine hours after shot the patient noticed that the area around injection became hot while my other shoulder was fine. At the 12 hour mark the patient got really tired. The patient slept and woke up at the 16 hour. The patient woke up shaking and a 99.5 temperature. The shaking went away 30 minutes later and his temperature grew to 100 at this point. The patient couldn't sleep. The temperature grew over the next two hours it reached 101.4. It went down after this point and was in the 100 range for a few hours. The patient was finally able to fall back a sleep at 10:0 the next day which was around the 22 hour mark. The patient woke up at the 24hr mark with 99.8 and took advil and two hours after the patient was good. 32 hours after shot my lymph node in shoulder swelled and hurt. The patient underwent lab tests and procedures, which included I woke up at the 24 hour mark with 99.8, body temperature: 99.5 and 101.4 and 100 on 13Apr2021. Treatment received included advil for lymph node in shoulder swelled and hurt, 99.5 temp/temperature grew to 100/My temperature grew over the next two hours it reached 101.4/100 range for a few hours/mark with 99.8 and not treatment received for other events. The outcome of the events arm have a rash, felt tired the area around injection became hot, 99.5 temp/temperature grew to 100/My temperature grew over the next two hours it reached 101.4/100 range for a few hours/mark with 99.8,  lymph node in shoulder swelled and hurt recovered on an unknown date in Apr2021, shaking resolved on 13Apr2021 at 04:45, I could not sleep resolved on 13Apr2021 at 10:15.  No follow-up attempts were needed; information about lot/batch number cannot be obtained, No further information was expected.