Joint pain; Right arm pain; Left under arm lymph was painful.; Swollen lymph under left arm/Swollen lymph on left collar bone; Headache; No energy; Left arm injection site soreness; intense fatigue/exhausted; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 39-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0175) via intramuscular, administered in Arm Left on 28Apr2021 10:00 (at the age of 39-year-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included hypersensitivity, immunodeficiency, respiratory disorder, cytogenetic abnormality, endocrine disorder, diabetes mellitus. The patient concomitant medications were not reported. There were no prior vaccinations (within 4 weeks). There was no report related to a study or programme. On 28Apr2021 the patient experienced left arm injection site soreness, intense fatigue/exhausted, on 28Apr2021 18:30 experienced headache, on 04May2021 experienced joint pain, on 28Apr2021 16:00 experienced no energy, on 04May2021 experienced right arm pain, on 29Apr2021 experienced left under arm lymph was painful, swollen lymph under left arm/swollen lymph on left collar bone. Therapeutic measures were taken as a result of headache. Received call from consumer regarding the Pfizer COVID vaccine. She got the first shot a week ago.  She is calling to find out if her symptoms are normal and what she should do about them.She did not wish to provide her address or email. There was no prescriber. She first just had soreness in left arm injection site. Then, around 6pm, she had a headache and took Tylenol.  The next day, she was exhausted, and that has continued. She still has a headache, joint pain and says it is very difficult to do stuff because she has no energy. Her right arm feels like horrible pain going through it.  She has this consistent headache that will go away and will come back.  She has intense fatigue, swollen lymph nodes under left arm and swollen lymph node that has not gone away on collar bone on her left side.  She has fatigue so that her eyes are closing. It is different than not having any energy.  With no energy, she can still work. This persisted for 3 days 28Apr2021 through 30Apr2021. It went away a little and came back. Today it is pretty bad. She does not know the start date for the swollen lymph node on her left collar bone. Left under arm lymph was painful. The other one she did not notice until 03May2021 because she does not usually touch her collar bone.  She looked online and said lymph nodes are one of the symptoms. She was on her second day of her period when she got the vaccine and does not know if that matters or not. She took a test about blood clotting and she is not prone to blood clotting. Patient medical history: Provide other relevant medical history including but not limited to these conditions: diagnosed allergies, compromised immune status, respiratory illness, genetic /chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity: She was overweight. The outcome of Left arm injection site soreness was recovering and outcome of all other events was not recovered.  PSCC Communication:  Caller declined transfer to Pfizer Medical Information, and stated she did not have time right now.  Provided caller with phone of #, option 3, with hours of 8a-8p, Monday-Friday, 9a-3p, Saturday and Sunday, to call back when it was more convenient.  She declined to take websites for additional resources.  No follow-up attempts are needed. No further information is expected.