the injection site it is warm; was not feeling so well; body is painful; temperature goes up and it was 98.0F; pain in the  injection site; difficult to sleep; This is a spontaneous report received from contactable reporter(s) (Pharmacist). The reporter is the patient.  A 28 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 23Apr2021 (Lot number: EW0172) at the age of 28 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "PCOS" (unspecified if ongoing); "Asthma" (unspecified if ongoing), notes: Asthma and I had obesity 2 ( bariatric patient); "I had obesity 2" (unspecified if ongoing), notes: Asthma and I had obesity 2 ( bariatric patient); "bariatric patient" (unspecified if ongoing); "Covid-19" (unspecified if ongoing), notes: If covid prior vaccination: Yes. The patient took concomitant medications. Past drug history included: Ibuprofen, reaction(s): "Allergies: Ibuprofen"; Penicillin, reaction(s): "Allergies: Penicillin". Vaccination history included: Bnt162b2 (Lot number: EW0150, Administration time: 15:30 PM, Dose 1, Single on Left Arm, Intramuscular), administration date: 02Apr2021, when the patient was 28 years old, for COVID-19 Immunisation, reaction(s): "Nausea", "Dizzy", "Injection site pain, red and swelling", "Injection site pain, red and swelling", "Injection site pain, red and swelling".  The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 23Apr2021, outcome "not recovered", described as "pain in the  injection site"; INSOMNIA (non-serious) with onset 23Apr2021, outcome "not recovered", described as "difficult to sleep"; VACCINATION SITE WARMTH (non-serious) with onset 24Apr2021, outcome "not recovered", described as "the injection site it is warm"; MALAISE (non-serious) with onset 24Apr2021, outcome "not recovered", described as "was not feeling so well"; PAIN (non-serious) with onset 24Apr2021, outcome "not recovered", described as "body is painful"; BODY TEMPERATURE INCREASED (non-serious) with onset 24Apr2021, outcome "not recovered", described as "temperature goes up and it was 98.0F". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of vaccination site pain, insomnia, vaccination site warmth, malaise, pain, body temperature increased.  Additional information: It was reported that no other vaccine in four weeks. Other medication in two weeks was reported as Birth Pill and Flo Vitamin. First dose: the patient had nausea while the nurse was applying the vaccine, after she felt a little bit dizzy but it was recovered after 15 minutes. She felt injection site pain, red and swelling for 2 weeks. The injection site redness was all around where the vaccine was applied. All the symptoms was recovered after 2weeks. 2 nd Dose took at 23Apr2021, the same day just pain in the Injection site that it was difficult to sleep as well. Her husband said that she was telling at night that it was so painful. This morning (24Apr2021) she was not feeling so well but it was ok, after 2 pm she start to fell her body temperature goes up and it was 98.0F her body is painful and the injection site it is painful so much ( can not touch) also the injection site it is warm.  No follow-up attempts are possible. No further information is expected.