left arm pain; left arm swelling; light diarrhea; tired/Exhausted; eyes are red; a bit dizzy; felt a little but dehydrated; crying; Feeling nervous; feels so bad; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 59 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 11Aug2021 (Lot number: EW0196) at the age of 59 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "thyroid" (unspecified if ongoing); "lost several family members from COVID" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for thyroid disorder. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 11Aug2021, outcome "unknown", described as "left arm pain"; PERIPHERAL SWELLING (non-serious) with onset 11Aug2021, outcome "unknown", described as "left arm swelling"; DIARRHOEA (non-serious) with onset 11Aug2021, outcome "unknown", described as "light diarrhea"; FEELING ABNORMAL (non-serious) with onset Aug2021, outcome "unknown", described as "feels so bad"; FATIGUE (non-serious) with onset 11Aug2021, outcome "unknown", described as "tired/Exhausted"; OCULAR HYPERAEMIA (non-serious) with onset Aug2021, outcome "unknown", described as "eyes are red"; DIZZINESS (non-serious) with onset Aug2021, outcome "unknown", described as "a bit dizzy"; DEHYDRATION (non-serious) with onset Aug2021, outcome "unknown", described as "felt a little but dehydrated"; CRYING (non-serious) with onset Aug2021, outcome "unknown", described as "crying"; NERVOUSNESS (non-serious) with onset Aug2021, outcome "unknown", described as "Feeling nervous". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The patient received first dose of the Pfizer BioNTech COVID-19 vaccine on Wednesday 11Aug2021. She sat there for 15 minutes at the facility and nothing came up during that time. After being home for 30 minutes the swelling kicked in. The diarrhea started late Wednesday around 3 or 4 in the afternoon. Tiredness started that night. She went to sleep and woke up and felt a little but dehydrated and drank water. She cannot remember the call she received she was that tired. The patient was now experiencing left arm pain and left arm swelling, light diarrhea and was exhausted. She stated she was supposed to go to work tonight but was not going in because she felt so bad. She had lost a few family members to COVID so she was feeling nervous. She stated that she was going back to the house to rest because she's so tired and her eyes were red. Her left arm was still swollen and going down a little bit since she was putting ice on it. She slept good. She was super tired, eyes were red, and she looks a wreck. She was extremely exhausted and it must be from this shot. She had light diarrhea and felt exhausted, she was tired and a bit dizzy. She tried to reach out to her job. She did not know what to do and she almost got in an accident, there was someone swerving. She did not want to go to work and may fall out and did not want to fall asleep. She could go back and lay down again that was how tired she was. She did not want to take the vaccine and took a chance. She told them that she takes a thyroid medication and was told it would not be an issue to get the shot. She did not want to panic. She started crying and explained that she had lost 7 family members, not all from COVID. She did not know what to do and her son and brother was in the hospital and it scared her because she was thinking it may be due to COVID. She stays in a house with a lady and her kid. The lady was a bus driver and it was months ago, she thinks a guy that lives there has COVID and he lives in the basement. One of the kids got COVID from the bus. The lady's daughter had to be quarantined. She was feeling so off balance she did not want to panic. It was bothersome. If she kept thinking too hard she would start panicking.  Follow up attempts completed. No further information is expected.