red swollen area that itched a lot/it was speckled; red swollen area that itched a lot/it was speckled; red swollen area that itched a lot/it was speckled; tiredness; feeling bad/felt like a bad flu; Nausea; the arm where the injection was aches all the time; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  An 80-year-old female patient received BNT162b2 (BNT162B2), on 01Oct2021 as dose 3, (booster), single (Lot number: FF8839) at the age of 80 years for covid-19 immunisation; influenza vaccine (FLU), on 01Oct2021 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history included: "thyroid" (unspecified if ongoing); "Blood pressure" (unspecified if ongoing). Concomitant medication(s) included: AMLOD/OLME taken for hypertension; LEVOTHYROXIN taken for hyperthyroidism; ECOTRIN. Vaccination history included: BNT162b2 (Dose 1, Her first shot was on 30Jan2021, First dose: Pfizer, LOT: EL8982), administration date: 30Jan2021, when the patient was 79-year-old, for COVID-19 Immunization, reaction(s): "feeling bad/felt like a bad flu", "Tiredness", "red swollen area that itched a lot/it was speckled", "red swollen area that itched a lot/it was speckled", "red swollen area that itched a lot/it was speckled"; BNT162b2 (Dose 2, Second shot was on 20Feb2021, Second dose: Pfizer, LOT: EL9269 or EL9264. Caller is not sure if it is a 4 or a 9. It looks like it could be either one. It is handwritten on the card.), administration date: 20Feb2021, when the patient was 79-year-old, for COVID-19 Immunization, reaction(s): "Tiredness", "feeling bad/felt like a bad flu", "red swollen area that itched a lot/it was speckled", "red swollen area that itched a lot/it was speckled", "red swollen area that itched a lot/it was speckled"; Pneumonia shot (She has also had the life long pneumonia shot that she got several years back.). The following information was reported: VACCINATION SITE SWELLING (non-serious), INJECTION SITE ERYTHEMA (non-serious), VACCINATION SITE PRURITUS (non-serious), outcome "unknown" and all described as "red swollen area that itched a lot/it was speckled"; FATIGUE (non-serious), outcome "unknown", described as "tiredness"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "feeling bad/felt like a bad flu"; NAUSEA (non-serious), outcome "unknown"; VACCINATION SITE PAIN (non-serious), outcome "unknown", described as "the arm where the injection was aches all the time".  Additional information: With the initial vaccine she had red swollen area that itched a lot. It was speckled. Had the same with second, the booster, and the second booster. She didn't go to the doctor. With the second booster it was worse with the swelling and heat. She took a picture of it. She had the normal reaction that people have with tiredness and all of that. With the second booster the ache in her arm where she got the injection is there all the time. Sometimes it is even worse. This morning it feels like a heavy load. No matter what she does the ache is always there. She can live with it, and she understands other people have bigger problems than that. She just thought she should let Pfizer know with the second booster the ache has not stopped. She didn't know who else to call. She thought if she had a reaction she should report. She is not sure if it is a reaction and thought she should report since the second booster. She might have been 79 when she got her first injections. Her first shot was on 30Jan2021. Second shot was on 20Feb2021. That can't be right. That sounds strange. Would it have been on 20Feb2021? Well, that is what is written on there. First booster was on 01Oct2021. On that same day, 01Oct2021, she also had the high dose flu shot, she gets that every year. She has also had the lifelong pneumonia shot that she got several years back. The red swollen area and the tiredness appeared the next day or that night, she can't remember. It was a two-day process where she felt really lousy. It probably showed up the next day. She remembers feeling bad but not enough to go to the doctor. It felt like a bad flu. With the second one her arm was worse. Ache in her arm: she never had the continual achiness until the second booster. She had achiness right after the shot, tiredness, and feeling bad with all the shots but she never had the heaviness or continual achiness until the second booster. She got the shots in her left arm because she is right-handed. This morning she can hardly move her arm. She reported earlier that she did have a reaction, swelled arm with a lot of heat and nausea with the Pfizer Regular Vaccine for Covid-19 and Pfizer First Booster for Covid-19 Vaccine. She had her Pfizer Second Booster for Covid-19 Vaccine 12Apr2022 and her arm is not enough that she would go to the doctor; but the arm where the injection was aches all the time; this morning it felt like a piece of lead.