Severe cramp-like burning sensation radiating down forearm to wrist, veins felt bulging and twisted; Severe cramp-like burning sensation radiating down forearm to wrist, veins felt bulging and twisted; Paresthesia along upper back, starting at Right deltoid, radiated to left posterior shoulder blade and around to anterior pectoral area, extending to unilateral upper and lower extremities, right side; Rash; Redness; Swelling at injection site; Right upper extremity muscle soreness; Weakness; Neck soreness; Nausea; Cold sweats; Light headedness; Shortness of breath; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 26 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 27Oct2021 18:00 (Lot number: Ws1486) at the age of 26 years as dose 1, single for covid-19 immunisation; influenza vaccine inact sag 3v (FLUCELVAX), administered in deltoid left, administration date 27Oct2021 (Lot number: 308520) as dose 1, single. Relevant medical history included: "Hashimotos thyroidosis" (unspecified if ongoing), notes: Hashimotos thyroidosis/ Elevated ATG and TPO/ thyroiditis/autoimmune thyroiditis; "Elevated ATG" (unspecified if ongoing), notes: other medical history: Elevated ATG; "TPO" (unspecified if ongoing), notes: other medical history:  Elevated ATG and TPO; "Thyroiditis" (unspecified if ongoing), notes: other medical history: thyroiditis; "Autoimmune thyroiditis" (unspecified if ongoing), notes: other medical history: autoimmune thyroiditis. There were no concomitant medications. Past drug history included: Known allergies: bactrim, reaction(s): "Allergy", notes: known allergies Bactrim. The following information was reported: MUSCLE SPASMS (non-serious), BURNING SENSATION (non-serious) all with onset 27Oct2021 18:15, outcome "recovering" and all described as "Severe cramp-like burning sensation radiating down forearm to wrist, veins felt bulging and twisted"; PARAESTHESIA (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Paresthesia along upper back, starting at Right deltoid, radiated to left posterior shoulder blade and around to anterior pectoral area, extending to unilateral upper and lower extremities, right side"; RASH (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Rash"; ERYTHEMA (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Redness"; VACCINATION SITE SWELLING (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Swelling at injection site"; MYALGIA (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Right upper extremity muscle soreness"; ASTHENIA (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Weakness"; NECK PAIN (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Neck soreness"; NAUSEA (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Nausea"; COLD SWEAT (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Cold sweats"; DIZZINESS (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Light headedness"; DYSPNOEA (non-serious) with onset 27Oct2021 18:15, outcome "recovering", described as "Shortness of breath". Therapeutic measures were not taken as a result of muscle spasms, burning sensation, paraesthesia, rash, erythema, vaccination site swelling, myalgia, asthenia, neck pain, nausea, cold sweat, dizziness, dyspnoea.  Additional information: The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Other medications the patient received within 2 weeks of vaccination was reported as not applicable. Prior to vaccination, it was unknown whether patient diagnosed with COVID-19 and Since the vaccination, the patient had not been tested for COVID-19.  No follow-up attempts are possible. No further information is expected.