muscle ache; terrible pain from her eye. The pain was located in her eye socket and eyeball.; headache in the eye area; awakened from sleep; panic state; Fatigue/A little tired; eyes also were tired/Eyes felt very, very tired; her arm was a little sore; Achy; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 74 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 02Mar2021 16:30 (Lot number: EN6198) at the age of 74 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "compromised immune status" (unspecified if ongoing); "respiratory illness" (unspecified if ongoing); "genetic / chromosomal abnormalities" (unspecified if ongoing); "endocrine abnormalities" (unspecified if ongoing); "diabetes" (unspecified if ongoing); "obesity" (unspecified if ongoing). There were no concomitant medications. Past drug history included: Phenobarbital, reaction(s): "Drug Allergy"; Codeine, reaction(s): "Drug Allergy"; Phenobarbital, reaction(s): "Hives"; Codeine, reaction(s): "Hives". Vaccination history included: Flu vaccine (many years ago, at least 10 years ago), for Immunisation, reaction(s): "chest pain", "Fatigue". The following information was reported: FATIGUE (non-serious) with onset 02Mar2021, outcome "recovered" (04Mar2021), described as "Fatigue/A little tired"; ASTHENOPIA (non-serious) with onset 02Mar2021, outcome "recovering", described as "eyes also were tired/Eyes felt very, very tired"; PAIN IN EXTREMITY (non-serious) with onset 02Mar2021, outcome "recovered" (04Mar2021), described as "her arm was a little sore"; PAIN (non-serious) with onset 02Mar2021, outcome "recovered" (04Mar2021), described as "Achy"; EYE PAIN (non-serious) with onset 05Mar2021, outcome "recovering", described as "terrible pain from her eye. The pain was located in her eye socket and eyeball."; HEADACHE (non-serious) with onset 05Mar2021, outcome "recovering", described as "headache in the eye area"; MIDDLE INSOMNIA (non-serious) with onset 05Mar2021, outcome "unknown", described as "awakened from sleep"; PANIC REACTION (non-serious) with onset 05Mar2021, outcome "unknown", described as "panic state"; MYALGIA (non-serious), outcome "unknown", described as "muscle ache". The events "fatigue/a little tired", "eyes also were tired/eyes felt very, very tired", "her arm was a little sore", "achy", "terrible pain from her eye. the pain was located in her eye socket and eyeball.", "headache in the eye area", "awakened from sleep", "panic state" and "muscle ache" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of eye pain, headache.  Additional information: There were no additional vaccines administered on the day of Pfizer suspect vaccine. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that the patient had the first dose of the Pfizer COVID-19 vaccine on 02Mar2021 and was scheduled for the second dose on Tuesday (23Mar2021). She was concerned about getting the second dose because of the adverse event that she has experienced. After vaccination, she developed some adverse events that she wasn't very worried about like muscle ache and fatigue. Starting 02Mar2021, her arm was a little sore, she was a little tired and achy and her eyes felt very, very tired. Each consecutive night thereafter from 02Mar2021 until 05Mar2021, her eyes felt very, very tired worsened a little more. She tried not to look at the computer or tv much. In the middle of the night from Friday night, the 05Mar2021 into Saturday morning, 06Mar2021 maybe around 02:00-03:00, She awakened from sleep in a panic state from so much severe pain in her eyes; both her eye sockets and eye balls really, really hurt; like if one had an intense headache right in her eyes. Her husband said it was probably fine, to take a Tylenol and go to sleep. So she did and the next morning when she woke on 06Mar2021 and it was better. Her eyes felt very tired but improved. She never lost vision or anything. She was seen by her optometrist on 15Mar2021 and the optometrist did a really good eye exam and told patient that her eyes look fine. Patient spoke to her Family Practice/Primary Care Physician on the phone and he said he had never heard of the eye events as symptoms of the Pfizer COVID-19 Vaccine. She looked online and found nothing about eye related events as symptoms from the Pfizer COVID-19 Vaccine. She asked if it was possible that the eye events were a reaction to the Pfizer COVID-19 Vaccine, if anyone has reported any eye related events like that or eye damage with the Pfizer COVID-19 Vaccine. She was a little concerned and really hesitant about getting the second dose of the Pfizer COVID-19 Vaccine because of the eye events she had. She stated that if these eye events were just short term pain that was not a big deal, but she was worried about long term.  No follow-up attempts are possible. No further information is expected.