couldn't lift her arm; couldn't sleep on that side, and had trouble with everyday things; It kind of goes like a numb thing; talking in her sleep and pointing at things; Sore throat; Nauseous; Nosebleeds; Pain at injection site; Fatigue/ very heavy fatigue; Not feeling well; It was definitely worse in the first 7 to 10 days/ It has lightened up; Headache; Muscle between her shoulder has been very tight since she had the vaccine on the left side; she fell asleep/she doesn't take naps and yesterday and today she took a 3 hour nap.; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (patient) reported that a 25-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EWO172, Expiry date: unknown, at the age of 25-year-old), dose 1 via an unspecified route of administration, administered in Arm Left on 08Jun2021 10:30 or so as dose 1, single for covid-19 immunisation. Medical history included asthma from an unspecified date and ongoing (She has had it her entire life), insomnia from an unspecified date and ongoing (She was diagnosed in high school), Borderline anemia from an unspecified date in May2021 and ongoing (It began in the beginning of May), diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity, Cholesterol (Her grandpa had high cholesterol. Concomitant medication included fluoxetine at 20 mg from 20May2021 and ongoing and ascorbic acid, folic acid, iron, lysine hydrochloride, nicotinic acid, pyridoxine hydrochloride, riboflavin, thiamine, zinc sulfate (MULTIVITAMIN IRON) pill from an unspecified date and ongoing (every other day) for Borderline anemia. She had taken it for a couple weeks back in May and was eating foods to try and boost her iron and with the iron pill was overdosing. The patient experienced pain at the injection site and was feeling fatigue on 08Jun2021. She wanted to hold on getting the second dose because she is not feeling well. She has been doing better than she has been over the past week. Pain at injection site was really bad the first and continued throughout the rest of the week. It was her second week, and she couldn't lift her arm, sleep on that side, and had trouble with everyday things. That is when she started to get concerned and annoyed. She put ice on it last night and over the past week has been trying Dayquil and Nyqui. She took Daytime Cold and Flu Multi Symptom Relief, lot: 9LKO654, expiration date: Apr2021. The lot has either an O or 0. She doesn't know where the Nyquil. She doesn't remember when she took them. In the first week she tried to make use of the medications she had. When she tries to do exercises, she still gets pain. Her arm wanted to go to sleep like it did not want her to use it. It has lightened up. It was definitely worse in the first 7 to 10 days. She can move her arm now. When she touches her arm it does hurt, but the pain kind of gets less throughout the day. It kind of goes like a numb thing and wants to go to sleep. On 15Jun2021 or 16Jun2021 she thought she was good to go, and the next day she was nauseous on 08Jun2021, her arm was hurting, she had a headache on an unspecified date, and she had a sore throat. She thought she was doing better, but normally she doesn't take naps and yesterday and today she took a 3-hour nap. In the middle of something she will fall asleep. The first week she was watching a movie with her siblings and they said she fell asleep in the middle of it but was talking in her sleep and pointing at things. It is a very heavy fatigue. Sore throat would be the first thing she noticed when she woke up in the morning. It was definitely the morning after she had the vaccine, and for the first week it was every day she woke up with a sore throat and later had a nose-bleed. She chalked it up to being dehydrated and drank coconut water. Another symptom she noticed only for the first week that started on 08Jun2021 was nosebleeds. That does not commonly happen. She tries to stay hydrated and drink water. It was the first 7 to 10 days where she had a nosebleed al-most every day. She has a pain that causes headaches where the muscle between her shoulder has been very tight since she had the vaccine on the left side. She tries to put ice on it, and it does cause a headache every now and then. She tries to take cold showers and an ice pack to relax the muscle. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Prior Vaccinations within 4 weeks was none. The outcome of events Pain at injection site, It was definitely worse in the first 7 to 10 days and nauseous was Recovering and for Fatigue, Headache was Not recovered and for rest of the events it was unknown.