Yesterday pulsing sensation in palm started; Day before that had tightness in L arm; 20 minutes after receiving vaccination in L arm, L wrist and ring finger felt very cold; 20 minutes after receiving vaccination in L arm, L wrist and ring finger felt very cold; Since vaccination, symptoms in L hand continue daily. May include pins and needles in ring finger, pinky finger, palm and occasionally whole hand/4 days later woke up in early am with pins and needles that progressed to all extremities for hours.; This is a spontaneous report from a contactable consumer, the patient.  A 34-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6199) via an unspecified route of administration in the left arm on 06Mar2021 at 12:30 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. Medical history included concussion 5 day prior (on 01Mar2021), urinary tract infection (UTI) for which the patient finished the treatment on 03Mar2021, visual snow migraines, gastroesophageal reflux disease (GERD), possible irritable bowel syndrome (IBS) and known allergies to sulfa medications, dust, cats and dogs. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Concomitant medications included nitrofurantoin (MANUFACTURER UNKNOWN) from an unknown date until 03Mar2021, loratadine (CLARITIN) and paracetamol (TYLENOL); both for unknown indication from unknown date and unknown if ongoing. On 06Mar2021 at 12:50, 20 minutes after receiving vaccination in left (L) arm, the patient left wrist and ring finger felt very cold. On an unknown date in Mar2021, since vaccination, symptoms in left hand continued daily which included pins and needles in ring finger, pinky finger, palm and occasionally whole hand. On 10Mar2021, 4 days later, the patient woke up in early am (in the morning) with pins and needles that progressed to all extremities for hours, eventually, just hands and after up and moving for the day went away in all other extremities other than left hand/ finger and palm. On 12Mar2021 (reported as day before that), the patient had tightness in left arm and on 13Mar2021 (reported as yesterday), the pulsing sensation in palm started. It had been over a week and the symptoms fluctuated but never went away. The events resulted in doctor or other healthcare professional office/clinic visit. No therapeutic measures were taken as a result of the reported events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events 20 minutes after receiving vaccination in L arm, L wrist and ring finger felt very cold, since vaccination, symptoms in L hand continue daily, may include pins and needles in ring finger, pinky finger, palm and occasionally whole hand/4 days later woke up in early am with pins and needles that progressed to all extremities for hours, yesterday pulsing sensation in palm started and day before that had tightness in L arm was not recovered at the time of this report.   No follow-up attempts are needed. No further information is expected.