big red patch on left arm/get red under the injection site; Nausea; headache; Swelling and soreness left arm/My arm is pretty swollen; Swelling and soreness left arm; The first day it was very sore and the swelling is continuing to get worse; This is a spontaneous report from a contactable consumer (patient). A 64-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0171; expiry date: unknown) via an unspecified route of administration on 29Apr2021 at 09:45 (at the age of 64-years-old) in left arm as dose 2, single for covid-19 immunisation. Medical history (including any illness at time of vaccination) included brain haemorrhage from 2009 and ongoing, headache from 2011 and ongoing, blood pressure from 2011 and ongoing, cholesterol from 2009 and ongoing, depression from 2019 and ongoing, ongoing migraine and relevant family history include mom blew up her brain on Dec2010 they diagnosed with Arnold Chiari malformation of the brainstem and spinal cord, Apr2011 she had cranial surgery, decompression with laminectomy. Adds they took bone off the top of a cervical vertebrae and removed a piece of her skull to make room. They told her the tonsils of her brain hang down too low, and spinal fluid was not moving, so they had to go in and make room; they also put a patch on her brain. Additional vaccines administered on same date of the Pfizer suspect was reported as none. Concomitant medications included gabapentin (GABAPENTIN) taken for cerebral haemorrhage from 2011 and ongoing; topiramate (TOPIRAMATE) taken for headache from 2011 and ongoing; venlafaxine hydrochloride (VENLAFAXINE HCL) taken for headache from 2011 and ongoing; benazepril (BENAZEPRIL) taken for blood pressure measurement from 2011 and ongoing and her doctor asked her not to take for a month trying to see if she would be okay with it and she is recording her blood pressure; atorvastatin calcium (ATORVASTATIN CALCIUM) taken for blood cholesterol from 2009 and ongoing; citalopram (CITALOPRAM) taken for depression from 2019 and ongoing; erenumab aooe (AIMOVIG) taken for migraine from an unspecified start date and ongoing taking for two years and she had her usual injection a week after the first vaccination. The patient historical vaccine includes bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0151) via an unspecified route of administration on 08Apr2021 at 09:45 (at the age of 64-years-old) in right arm as dose 1, single for covid-19 immunisation and experienced some headache, soreness and swelling on her arm. The patient reported that her arm was pretty swollen, and the redness seems to be increasing and it was starting to creep downwards and around her arm. She had her injection on 29Apr2021, and the redness wasn't there on the first day or so. The symptoms didn't start until a day or 2 later. She did had tenderness in arm. But redness or big patch didn't start until a couple days, and it did double in size overnight. She wondered how she should treat her symptoms and she asked if it was normal. She also had a headache, some nausea and swelling on her arm. This time the swelling on her arm was not going away. The first day it was very sore, and the swelling continued to get worse. She had a red spot that was larger than her entire hand and it was starting to go around her arm. She was wondering if she should ice it. She got the second dose in her left arm because the next day she was having blood work. Mentioned she had an appointment with her doctor on Wednesday. After second dose she had headache right away, but it was better later. She woke up with nausea the next morning after the second dose, and it only lasted about a day and was better. Her left arm was sore but not as sore as it was. Left arm swelling is still there. It was not red the first day, a day or so later it started to get red under the injection site and has increased. Started below the injection site and was creeping up and going down and around her arm. The events did not require emergency room or physician office visit. The outcome of the event nausea was recovered in 2021, for vaccination site erythema and headache was unknown and for all other events was not resolved.  No follow-up attempts are needed. No further information is expected.