injection site is hurting; tiredness; 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 78 year-old female patient received bnt162b2 (BNT162B2), administration date Jan2021 (Batch/Lot number: unknown) at the age of 78 years as dose 1, single and administration date Feb2021 (Batch/Lot number: unknown) as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 2021, outcome "unknown", described as "injection site is hurting"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "tiredness".  Additional information: Events headache, nausea, tiredness was added in the dose 3 split case. Consumer says she just had her Pfizer booster shot yesterday, later clarified to being a COVID-19 booster shot, and the first time she got the shots they said do not take Advil for the first day or two. She says she is really hurting and her injection site is hurting and she has nausea. Patient said she was ok, though her back hurts and her joints hurt so she would like to know if she can take Advil or something. She says after her first and second doses she didn't feel much of anything, just some soreness and tiredness, she didn't really have anything. She says this time it is more so; she has joint pain across her back and a slight headache and her arm it is really hard to move it. She says she was at her primary care providers office yesterday. Caller says her first two doses didn't bother her, this one she is more tired, she had trouble getting up this morning, she couldn't wake up. She says she got up at 11:00, she was really sleepy. She says that she is feeling better now, it is just the joint pain across her back. She says she was really nauseated this morning, but she took some ginger, and it is easing up now, and she also ate some yogurt. Caller says she has to wear her glasses to read vaccine card with information typed onto it. She says she doesn't have NDC/LOT/EXP for her first two doses, they just typed on Jan2021, and Feb2021 She says that the first time she got it they didn't give her a card, they gave her a paper, that says got she got Pfizer 19, and then it has 91300 on both of them. She says she is not sure if that is a LOT number or not for her first two doses. She says that this was something printed with no other numbers, a printout from her doctor's office. Pfizer COVID-19 vaccine booster shot: Caller says that the LOT is withheld, it was given 28Sep2021, but the NDC/EXP were not provided on the card they gave her with information typed on it. Caller says last night was when her injection site was sore, and today it is really sore, but it is bearable, it was not so much last night. She says she remembers before when she got the shots, they were saying don't take Advil for a day or two or something, that it could interfere, and she thinks they said take Tylenol. She says that the joint pain she felt when she woke up, and she had a bad headache last that is dull this morning. She says that she has had a headache all week off and on so she can't say she had one from that. She says she has no fever; she just took her temperature, and it was 97.9. Attempted to clarify if caller meant degrees Fahrenheit, and caller continued speaking over call handler. She says she feels warm but does not have a fever, just a headache. She clarifies that she had the nausea this morning when she got up, she didn't notice it before that, she was so sleepy she can't wake up then she didn't notice until she got out of bed. Historical AE: Caller says she had been feeling pretty rotten before this, so she has been to the doctors to try to find out what is going on. She says she had been feeling dizzy and having a headache in the late afternoon and feeling really weak and real fatigued and lethargic so she would lay down because she was sleepy. She says they have been trying to figure it out, she had vertigo 6-8 months ago, and she started having it again, and she had headaches and dizziness, so she went to the doctor yesterday, but he didn't seem to pay attention to it, they took blood work for an arthritis blood test and inflammation, but she hasn't gotten those results yet. She says she was also having chest discomfort, and heart palpitations, they said her heart was fine, she has a few things going on. She says the doctor said her heart sounded perfect yesterday, good. She says her family does have hereditary digestive problems, so the pain could be that, and the chest discomfort, coming from somewhere else, her entire family has big digestive problems. Call handler was unable to clarify details as caller spoke over call handler and continued talking.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.