tremors in my hands; blinding headache; I was not able to sleep; pain in my right arm; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 52-year-old female patient received BNT162b2 (BNT162B2), on 06Apr2022 at 09:30 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 52 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Allergy: Tree nuts" (unspecified if ongoing), notes: known allergies tree nuts; "Covid-19" (unspecified if ongoing), notes: if covid prior vaccination Yes. Concomitant medication(s) included: LANTUS; ATORVASTATIN CALCIUM; JARDIANCE; VITRON-C; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS FUMARATE;FOLIC ACID;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL ACETATE;RIBOFLAVIN;THIAMINE MONONITRATE;TOCOPHERYL ACETATE;ZINC OXIDE]. Past drug history included: Trulicity, reaction(s): "known allergies trulcity". Vaccination history included: BNT162b2 (Dose Number: 2, Batch/Lot No: EW0196, Location of injection: Arm Left, Vaccine Administration Time: 01:00 PM, Route of Administration: Intramuscular), administration date: 01Oct2021, when the patient was 51-year-old, for COVID-19 Immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: EW0180, Location of injection: Arm Left, Vaccine Administration Time: 01:00 PM, Route of Administration: Intramuscular), administration date: 10Sep2021, when the patient was 51-year-old, for COVID-19 Immunization. The following information was reported: INSOMNIA (non-serious) with onset 06Apr2022, outcome "not recovered", described as "I was not able to sleep"; PAIN IN EXTREMITY (non-serious) with onset 06Apr2022, outcome "not recovered", described as "pain in my right arm"; HEADACHE (non-serious) with onset 07Apr2022, outcome "not recovered", described as "blinding headache"; TREMOR (non-serious) with onset 07Apr2022, outcome "not recovered", described as "tremors in my hands". The events "i was not able to sleep", "pain in my right arm", "tremors in my hands" and "blinding headache" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of insomnia, pain in extremity, tremor, headache. Additional information: Facility type was vaccine Workplace clinic. the patient did not receive other vaccine in four weeks. Other medications in two weeks- Lantus, Atorvastatin 40 mg, Jardiance 10mg, nature made prenatal vitamin, Vitron-c. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. At the time of reporting, the patient did not have the lot number with her. The patient reported that on 06Apr2022 at bedtime I was not able to sleep. I felt like I was fighting within myself all night long. I felt like I was coming out of my body. I was not able to remain still or calm. I had the expect pain in my right arm. The next day, I begin to have tremors in my hands. Especially my right hand. It is 14Apr2022 and I still have the tremors in both hands. I never had hand tremors before. The next day I had a blinding headache. Lab test included Nasal Swab with Unknown results.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.