arm aching; my hand with arthritis aching; joints ache; muscles ache; head hurts; eyes burn; Lymph nodes swollen; Cannot focus, do not want to hold my head up; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 55-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 21Jun2022 at 09:15 as dose 4 (booster), single (Lot number: fl3197) at the age of 55 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Breast Cancer", start date: Sep2018 (unspecified if ongoing), notes: Breast Cancer; "low HDL" (unspecified if ongoing); "basal joint arthritis" (unspecified if ongoing), notes: basal joint arthritis; "Known allergies: Sulfa drugs" (unspecified if ongoing), notes: Known allergies: Sulfa drugs. Concomitant medication(s) included: LIPITOR; CELEBREX; TAMOXIFEN; TRIAMTERENE HYDROCHLORIDE; TYLENOL. Past drug history included: Levaquin, reaction(s): "Drug allergy", notes: Known allergies:levaquin; Erythromicin, reaction(s): "Drug allergy", notes: Known allergies:erythromicin. Vaccination history included: BNT162b2 (Dose Number: 3, Batch/Lot No: fh8027, Location of injection: Arm Right, Vaccine Administration Time: 10:00 AM), administration date: 12Dec2021, when the patient was 55-year-old, for COVID-19 immunization; BNT162b2 (Dose Number: 2, Batch/Lot No: ep6955, Location of injection: Arm Right), administration date: 22Apr2021, when the patient was 54-year-old, for COVID-19 immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: el3247, Location of injection: Arm Right), administration date: 28Feb2021, when the patient was 54-year-old, for COVID-19 immunization. The following information was reported: DISTURBANCE IN ATTENTION (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "Cannot focus, do not want to hold my head up"; LYMPHADENOPATHY (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "Lymph nodes swollen"; PAIN IN EXTREMITY (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "arm aching"; EYE IRRITATION (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "eyes burn"; HEADACHE (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "head hurts"; ARTHRALGIA (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "joints ache"; MYALGIA (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "muscles ache"; ARTHRITIS (non-serious) with onset 21Jun2022 at 20:30, outcome "not recovered", described as "my hand with arthritis aching". Therapeutic measures were not taken as a result of pain in extremity, arthritis, arthralgia, myalgia, headache, eye irritation, lymphadenopathy, disturbance in attention.  Additional information: Started on Wednesday evening around 8:30 pm with arm aching, and my hand with arthritis aching. Woke up today and joints ache, muscles ache, head hurts, eyes burn. Cannot focus, do not want to hold my head up, Lymph nodes swollen, particularly under arms. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. Did the patient receive any other vaccines within 4 weeks prior to the COVID vaccine was no. List of any other medications the patient received within 2 weeks of vaccination: Lipitor, Celebrex, Tamoxifen, Triamterene HCL, Tyl.  Follow-up attempts are completed. No further information is expected.