2nd day (expected) body aches,; soreness of entire arm (expected) but spread to muscles of (left side) neck, chest/pectoral, back/traps. sharper pain in under arm and pectoral, trapezius the latissimus dorsi, serrated anterior, and terrs major/minor muscles.; the concerning reaction is the Very sore, painful, tender (swollen) lymph nodes under left arm/2nd day 04Apr2021 (expected) body aches, fatigue, general malaise with continued severe soreness/pain in left lymph glands; the concerning reaction is the Very sore, painful, tender (swollen) lymph nodes under left arm, withsoreness/pain radiating into pectoral muscles and shoulder muscles.; soreness/pain radiating into pectoral muscles and shoulder muscles/ as day progressed into night there was increasing soreness of entire arm but spread to muscles of (left side) neck, chest/pectoral, back/traps; expected reaction day of shot had normal very sore arm with fatigue; expected reaction day of shot had normal very sore arm with fatigue; expected reaction day of shot had normal very sore arm with fatigue / general malaise.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 56 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 03Apr2021 08:30 (Lot number: ER8733) at the age of 56 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "COVID-19" (unspecified if ongoing), notes: Prior to vaccination, was the patient diagnosed with COVID-19?:Yes; "Sinusitis" (unspecified if ongoing), notes: sinus issues. Concomitant medication(s) included: FLUOXETINE; XANAX; DEXILANT; SUDAFED [PSEUDOEPHEDRINE HYDROCHLORIDE]; ADVIL [IBUPROFEN]; ROBITET. Past drug history included: Compazine, reaction(s): "Anaphylaxis", notes: Allergy to Compazine (neurological muscle reactions/anaphylaxis); Compazine, reaction(s): "neurological muscle reactions", notes: Allergy to Compazine (neurological muscle reactions/anaphylaxis); Compazine, reaction(s): "allergies", notes: Allergy to Compazine (neurological muscle reactions/anaphylaxis); Bactrim, reaction(s): "allergies", notes: Allergy to Bactrim (sulpher drugs -rash); Bactrim, reaction(s): "Rash", notes: Allergy to Bactrim (sulpher drugs -rash). The following information was reported: LYMPH NODE PAIN (non-serious) with onset 03Apr2021 20:00, outcome "not recovered", described as "the concerning reaction is the Very sore, painful, tender (swollen) lymph nodes under left arm/2nd day 04Apr2021 (expected) body aches, fatigue, general malaise with continued severe soreness/pain in left lymph glands"; LYMPHADENOPATHY (non-serious) with onset 03Apr2021 20:00, outcome "not recovered", described as "the concerning reaction is the Very sore, painful, tender (swollen) lymph nodes under left arm, withsoreness/pain radiating into pectoral muscles and shoulder muscles."; PAIN (non-serious) with onset 03Apr2021 20:00, outcome "not recovered", described as "soreness/pain radiating into pectoral muscles and shoulder muscles/ as day progressed into night there was increasing soreness of entire arm but spread to muscles of (left side) neck, chest/pectoral, back/traps"; PAIN IN EXTREMITY (non-serious) with onset 03Apr2021 20:00, outcome "not recovered", FATIGUE (non-serious) with onset 03Apr2021 20:00, outcome "recovered" (05Apr2021) and all described as "expected reaction day of shot had normal very sore arm with fatigue"; MALAISE (non-serious) with onset 03Apr2021 20:00, outcome "recovered" (05Apr2021), described as "expected reaction day of shot had normal very sore arm with fatigue / general malaise."; PAIN (non-serious) with onset 04Apr2021, outcome "recovered" (05Apr2021), described as "2nd day (expected) body aches,"; MYALGIA (non-serious) with onset 03Apr2021 20:00, outcome "not recovered", described as "there was increasing soreness of entire arm (expected) but spread to muscles of (left side) neck, chest/pectoral, back/traps. sharper pain in under arm and pectoral, trapezius the latissimus dorsi, serrated anterior, and terrs major/minor muscles.". Therapeutic measures were not taken as a result of lymph node pain, lymphadenopathy, pain, pain in extremity, fatigue, malaise, pain, myalgia. Additional information: The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19.  No follow-up attempts are possible. No further information is expected.