still had not changed in the neck, it was stiffer than it had been; swollen lymph node under the arm and behind on the neck/lymph node that was swollen by the neck/under the armpit patient was also on the left side; swollen lymph node/it interfered patient if patient kept getting pain from that; This is a spontaneous report received from a contactable reporter (Nurse). The reporter is the patient.  A 65-year-old patient received BNT162b2 (PFIZER COVID-19 VACCINE), on 07May2022 as dose 4 (booster), single (Lot number: FM9992) at the age of 65 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "High cholesterol" (unspecified if ongoing). Concomitant medications included: LEVOTHYROXINE; ZETIA taken for hypercholesterolaemia. Vaccination history included: Covid-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for covid-19 immunization, reaction: "never had a problem"; Covid-19 vaccine (DOSE 2; MANUFACTURER UNKNOWN), for covid-19 immunization, reaction: "never had a problem"; Covid-19 vaccine (DOSE 3; MANUFACTURER UNKNOWN), for covid-19 immunization, reaction: "never had a problem".   The following information was reported: LYMPHADENOPATHY (non-serious) with onset May2022, outcome "not recovered", described as "swollen lymph node under the arm and behind on the neck/lymph node that was swollen by the neck/under the armpit patient was also on the left side"; LYMPH NODE PAIN (non-serious) with onset May2022, outcome "not recovered", described as "swollen lymph node/it interfered patient if patient kept getting pain from that"; MUSCULOSKELETAL STIFFNESS (non-serious), outcome "not recovered", described as "still had not changed in the neck, it was stiffer than it had been". Therapeutic measures were not taken as a result of lymphadenopathy, lymph node pain, musculoskeletal stiffness.  Additional information: Patient had high cholesterol and then patient didn't have the thyroid, no that's nothing it's just fine, just cholesterol. Patient took ezetimibe (ZETIA) for the cholesterol and patient took levothyroxine. Patient had a Pfizer COVID booster (second booster) 4 weeks ago on 07May2022 and at the time of booster, after that patient developed right after the booster, "like a day or so", patient developed like lymph node that was swollen by the neck you know head and neck meet right over there and till this day patient still had a swollen lymph node there and determine that "it interfered patient if patient kept getting pain from that". And then under the armpit patient was also on the left side that was the site patient got the shot, the right site was fine. Patient also felt like that patient's lymph node was swollen. Patient wanted to know how long it would take to go down because patient thought there was reaction to the COVID vaccine. The swollen lymph node under the arm and behind on the neck. And patient had the shot was given on the left arm and both areas were on the left side. Patient had had other boosters, patient had had other vaccine, patient had never had a problem. The expiration date was marked out for about 6 months. Patient didn't have the actual expiration date. Patient got events since patient had the injection and that was 4 weeks later. It still had not changed in the neck, it was stiffer than it had been. For the side effects, patient asked if it was just taking ibuprofen (ADVIL) for this swollen lymph node and asked how long it took to go down. Patient just decided today to take ibuprofen, but patient hadn't taken anything no.