burning sensation in my injected arm; woke up 8 hours later in the middle of the night; pain in my arm, head and body; I also had the worst headache I've ever had  (8/10 before Advil and 7/10) after/ pain in my arm, head; also have shooting pain from my injected arm to my right leg. It radiates throughout my trunk.; black spots in my vision; my BP was 85/50; HR was 111 (normally 70-80); acidic pain in my abdomen; It hurt to move my head and my eyes; It hurt to move my head and my eyes; I have been in bed for over 24 hours without any improvement; booster; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) (patient).  A 21 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 05Jan2022 18:45 (Batch/Lot number: unknown) at the age of 21 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Postural orthostatic tachycardia syndrome" (unspecified if ongoing). Concomitant medication(s) included: CORLANOR; FLUDROCORTISONE; MODAFINIL; YAZ; ZYRTEC [CETIRIZINE HYDROCHLORIDE]. Vaccination history included: Bnt162b2 (Dose Number: 1, Location of injection: Arm Left), for COVID-19 Immunization; Bnt162b2 (Dose Number: 2, Location of injection: Arm Left), for COVID-19 Immunization. The following information was reported: IMMUNISATION (non-serious) with onset 05Jan2022 18:45, outcome "unknown", described as "booster"; BURNING SENSATION (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "burning sensation in my injected arm"; SLEEP DISORDER (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "woke up 8 hours later in the middle of the night"; PAIN IN EXTREMITY (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "pain in my arm, head and body"; HEADACHE (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "I also had the worst headache I've ever had (8/10 before Advil and 7/10) after/ pain in my arm, head"; PAIN (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "also have shooting pain from my injected arm to my right leg. It radiates throughout my trunk."; VISUAL IMPAIRMENT (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "black spots in my vision"; BLOOD PRESSURE DECREASED (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "my BP was 85/50"; HEART RATE INCREASED (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "HR was 111 (normally 70-80)"; ABDOMINAL PAIN UPPER (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "acidic pain in my abdomen"; HEAD DISCOMFORT (non-serious), OCULAR DISCOMFORT (non-serious) all with onset 05Jan2022 19:45, outcome "not recovered" and all described as "It hurt to move my head and my eyes"; BEDRIDDEN (non-serious) with onset 05Jan2022 19:45, outcome "not recovered", described as "I have been in bed for over 24 hours without any improvement". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of burning sensation, sleep disorder, visual impairment, blood pressure decreased, heart rate increased. Therapeutic measures were taken as a result of pain in extremity, headache, pain, abdominal pain upper, head discomfort, ocular discomfort, bedridden.  Additional Information: Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been not tested for COVID-19. Serious: No. Seriousness criteria-Results in death: No. Seriousness criteria-Life threatening: No. Seriousness criteria-Caused/prolonged hospitalization: No. Seriousness criteria-Disabling/Incapacitating: No. Seriousness criteria-Congenital anomaly/birth defect: No. Reported Event: After receiving the injection, I had a burning sensation in my injected arm. I woke up 8 hours later in the middle of the night with pain in my arm, head and body. When I stood up, I had black spots in my vision and my BP was 85/50 (normally 100/68) and my HR was 111 (normally 70-80). I sat down and my symptoms did not immediately alleviate. I also had the worst headache I've ever had (8/10 before Advil and 7/10) after. It hurt to move my head and my eyes. I also had acidic pain in my abdomen which did not relieve itself after rest and applying heat. It is significantly worse after eating. I took Tums without relief. All in all, I have been in bed for over 24 hours without any improvement. I have iced my arm, taken Advil with the onset of symptoms and gotten plenty of rest. I also have shooting pain from my injected arm to my right leg. It radiates throughout my trunk. Hospitalization Prolonged: No. ae resulted in: [None of the above]  The lot number for bnt162b2 was not provided and will be requested during follow up.