First 4 doses upon injection shooting pain down arm to wrist; First 4 doses upon injection shooting pain down arm to wrist; pain in arm 4-5 hours; pounding headache 3-4 hours; intermittent visual focus disturbances 5-6 hours; general malaise 6 hours; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 70-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 01Apr2021 as dose 2, single (Lot number: ER8737) at the age of 70 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Known allergies: Penicillin" (unspecified if ongoing), notes: Known allergies: Penicillin; "Known allergies: Sulfa" (unspecified if ongoing), notes: Known allergies: Sulfa; "Known allergies: Other antibiotics Topical" (unspecified if ongoing), notes: Known allergies: Other antibiotics Topical; "Known allergies: Additives in eye drops" (unspecified if ongoing), notes: Known allergies: Additives in eye drops; "Other medical history: Uticaria from eye drops & neomycin" (unspecified if ongoing), notes: Other medical history: Uticaria from eye drops; "food allergies" (unspecified if ongoing), notes: Other medical history: Digestive issues (food allergies) / sinusitis (food allergies); "Other medical history: Eustacian tube inflammation" (unspecified if ongoing), notes: Other medical history: Eustacian tube inflammation; "sinusitis" (unspecified if ongoing), notes: Other medical history: sinusitis (food allergies); "Other medical history: Digestive issues (food allergies)" (unspecified if ongoing), notes: Other medical history: Digestive issues (food allergies) / sinusitis (food allergies). Concomitant medication(s) included: ARMOUR THYROID. Past drug history included: Neomycin, reaction(s): "Known allergies: Neomycin", notes: Known allergies: Neomycin; Neomycin, reaction(s): "Other medical history: Uticaria from neomycin", notes: Other medical history: Uticaria from neomycin. Vaccination history included: BNT162b2 (Dose number=1,, lot number=EN6208,, Dose administration time=11:45 AM,, Vaccine location=Right arm), administration date: 11Mar2021, when the patient was 70-year-old, for Covid-19 immunization, reaction(s): "First 4 doses upon injection shooting pain down arm to wrist", "First 4 doses upon injection shooting pain down arm to wrist", "general malaise 6 hours", "pain in arm 4-5 hours", "pounding headache 3-4 hours", "intermittent visual focus disturbances 5-6 hours". The following information was reported: VACCINATION SITE PAIN (non-serious), ARTHRALGIA (non-serious), outcome "recovered" and all described as "First 4 doses upon injection shooting pain down arm to wrist"; PAIN IN EXTREMITY (non-serious), outcome "recovered", described as "pain in arm 4-5 hours"; HEADACHE (non-serious), outcome "recovered", described as "pounding headache 3-4 hours"; VISUAL IMPAIRMENT (non-serious), outcome "recovered", described as "intermittent visual focus disturbances 5-6 hours"; MALAISE (non-serious), outcome "recovered", described as "general malaise 6 hours". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of vaccination site pain, arthralgia, pain in extremity, headache, visual impairment, malaise. Additional information: Patient had no other vaccine in four weeks. In the first 4 doses, upon injection shooting pain, down arm to wrist, continued pain in arm 4-5 Hours, pounding headache 3-4 hours, Intermittent visual focus disturbances 5-6 Hours, general malaise 6 hours. The patient had no covid prior vaccination. Patient was covid tested post vaccination, PCR Nasal Swab, on 27Jun2021, result as Negative. No follow-up attempts are possible. No further information is expected.