felt the prickling and tingling in her chin and neck noting that it was only on her skin; rash / it as one solid circle that was about four inches, slightly raised, warm to the touch and bright red; pain; loss of taste and smell; loss of taste and smell; sit down and fall asleep; Sore ears; woke up like she couldn't breathe; when she swallowed it was irritated; pressure in her throat and ears; Nausea; Generally unwell; Sore Arm; Large, Red, Hot, Swollen, Painful area on Injection Arm; Large, Red, Hot, Swollen, Painful area on Injection Arm; Large, Red, Hot, Swollen, Painful area on Injection Arm; Sore throat; lethargy; tired; Headache; chills; painful lymph nodes on the left side (injection on the left side) then moved to the right axilla; Prickly Itchy area on left side of neck; pressure in her throat and ears; her arm got sore and in the night it felt like she was shot in the arm; nightmares; Caller stated it felt like she had covid again after the first dose; This is a spontaneous report received from a contactable nurse (patient). A 69-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: ER8734, expiration date: unknown), via unspecified route of administration in the left arm on 04Apr2021 at 12:00 (at the age of 68-year-old) for COVID-19 immunisation. Medical history included COVID-19 had previously in late January/early February 2021. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient had quite a reaction to the first dose of the Pfizer COVID 19 vaccine stating she was told it was because she already had COVID then treated with advil and they went away. Patient felt like she had COVID again after the first dose which went away 2.5 - 3 weeks. Patient felt the prickling and tingling in her chin and neck noting that it was only on her skin. A week later the rash appeared in that area and it was quite red for a few days then it went away and prickling and itching still present used cortisone then changed to Aveeno. Eight hours after the first dose her arm got sore, and in the night, it felt like she was shot in the arm and took Advil and then the circle developed which described it as one solid circle that was about four inches, slightly raised, warm to the touch and bright red. The pain went away, decreasing over time and continued Advil over the next couple of weeks. On 04Apr2021, patient experienced headache, chills but no fever, painful lymph nodes on the left side (injection on the left side) then moved to the right axilla, sore throat and pressure in her throat and ears noting when she swallowed it was irritated and it went away after a few days, lethargy (lasted 1.5 to 2 weeks after the first dose) noting she would have to sit down and fall asleep. She reported that halfway through the day she would feel really tired. She had nightmares after the first vaccine and would wake up in the night yelling and she could not breathe, large, red, hot, swollen, painful area on Injection Arm, Sore ears, generally unwell, nausea and sore arm. Patient had loss of taste and smell but noted that it has not come back since she had COVID. She had the rash on her neck on her skin still bothers her off and on since the first dose. The first dose symptoms were more noticeable. The events were assessed as non-serious. The outcome of felt like she had COVID again after the first dose, nightmares, Headache, chills, painful lymph nodes on the left side (injection on the left side) then moved to the right axilla, Prickly Itchy area on left side of neck, pressure in her throat and ears, when she swallowed it was irritated, pressure in her throat and ears, lethargy, tired, Large, Red, Hot, Swollen, Painful area on Injection Arm (Vaccination site erythema), Large, Red, Hot, Swollen, Painful area on Injection Arm (feeling hot), Large, Red, Hot, Swollen, Painful area on Injection Arm (Vaccination site swelling), Generally unwell was recovered; felt the prickling and tingling in her chin and neck, sit down and fall asleep, Sore throat, Sore ears, woke up like she couldn't breathe was unknown; rash / it as one solid circle that was about four inches, slightly raised, warm to the touch and bright red, her arm got sore and in the night it felt like she was shot in the arm, loss of taste and smell (Loss of taste), loss of taste and smell (Loss of smell), pain was not recovered. The causality for the events large, red, hot, swollen, painful area on injection arm, painful lymph nodes, sore ears, prickly itchy area on left side of neck, nightmares; woke up like she couldn't breathe, chills, no fever, sore arm was related.