She woke up miserable and is still miserable now; she has had a fever of 101.6/It spiked to 103.1; Dry cough; neck pain; swollen lymph node and glands; headache; napped a lot; hot flash; sweaty; off balance and shaky; felt tired all day; joints felt a bit achy/achy joints/shoulder pain; This is a spontaneous report from a contactable Nurse (patient). A 43-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: E10140) intramuscular in her left deltoid on 20Dec2020 08:25 at single dose for COVID-19 immunization. There was no other additional vaccines administered on same date of the pfizer suspect. Medical history included had COVID from Aug2020 to an unknown date and had a pulse-ox. The patient did not have any other medical history. She has had no reactions to any other vaccines before. Her father died of heart attack but with no other medical history prior to that. Her mom died of a brain tumor. In her extended family there is high blood pressure and high cholesterol. She has not personally be diagnosed with any of these conditions. She is healthy. She has no history of any allergies and again repeats she has never had this side effect with anything. Concomitant medications included over the counter vitamins regularly. The patient has had a fever of 101.6 about 24 hours after getting the shot. It spiked to 103.1. She has had a dry cough and all the other common sides effects reported with the vaccine. There is nothing to do but treat the symptoms. She has let her primary care doctor know via email but he is out of the office through today so she hasn't heard back. She had a Fever of 101.6 that was noticed at 2am after the shot, on 21Dec2020. When she woke up about 10 minutes ago is when she noticed a fever that spiked to 103.1, it is about 1:20pm where she is located. The dry cough started around 8am 21Dec2020, she took cough medication and has used her inhaler to stay on top of the cough. Her pulse-ox readings have been fine and she is at 97-98%. She has a pulse-ox because she had COVID Aug2020 and was out of work 6 weeks and on home oxygen. She felt if she got COVID again she would die so she would rather have the vaccine. She notes that about 15 minutes after getting the shot while they were monitoring her, she was joking with the nurse, she experienced what felt like a hot flash and was sweaty on 20Dec2020. She was off balance and shaky on 20Dec2020. This lasted about 15- 20 minutes and then she was fine. Afterward, she did notice she felt tired all day on 20Dec2020 and napped a lot. Also it was reported that her joints felt a bit achy throughout the day. She has never had a reaction to a vaccine before. Other events experienced were neck pain, swollen lymph node and glands, neck and shoulder pain, headache on 21Dec2020, and achy joints on 20Dec2020. All the events have gotten worse since starting. The fever, neck pain, swollen lymph node and glands, neck and shoulder pain, and headache were noticed about 2am. She woke up miserable and is still miserable now. The patient received Tylenol, Benadryl, Advil, cough medication and an inhaler as treatment for events. No any event required a visit to emergency room or physician office. Seriousness criterial for events fever, dry cough, neck pain, swollen lymph node and glands, Aching joints, Headache, felt tired all day, hot flash and was sweaty, off balance and shaky was medically significant. Events outcome of fever, dry cough, neck pain, swollen lymph node and glands, aching joints, headache, felt tired all day was not recovered (reported as worsened), events outcome for hot flash and was sweaty, off balance and shaky was recovered on 20dec2020, while for other events was unknown. Relatedness of drug to reactions for fever, dry cough, neck pain, swollen lymph node and glands, aching joints, headache, felt tired all day was related per primary source reporter.