Fatigue; Headache; Muscle aches; Nausea; Dry heaves (no vomit).; Pain in spine; pain in knees, elbows/ Pain expanded to shoulders; tingling in spine, knees, elbows/  tingling also expanded to shoulders and arm pits.; Numbness in spine, knees/elbows, left leg, shoulders.; Slight swelling in armpits; Pain expanded to arm pits.; Elevated monocytes; low C-reactive protein; This is a spontaneous report from a contactable reporter (consumer or non HCP).   A 11-year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in right arm, administration date 09Nov2021 at 13:45 (Lot number: FK5127) as dose 1 (tris), single for COVID-19 immunisation and received bnt162b2 (BNT162B2), administered in right arm, administration date 30Nov2021 at 10:45 (Lot number: FK5127) as dose 2 (tris), single for COVID-19 immunisation. Relevant medical history included: "Angioedema"; "Raynauds"; "Anxiety"; "Seasonal allergy" and "Environmental allergy"; all (unspecified if ongoing). There were no concomitant medications. Past drug history included: Amoxicillin, reaction: "Drug allergy".  The following information was reported: FATIGUE (non-serious) with onset an unknown date in 2021, outcome "recovered" (an unknown date in 2021), described as "Fatigue"; HEADACHE (non-serious) with onset an unknown date in 2021, outcome "recovered" (an unknown date in 2021), described as "Headache"; MYALGIA (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "Muscle aches"; NAUSEA (non-serious) with onset an unknown date in 2021, outcome "recovering", described as "Nausea"; RETCHING (non-serious) with onset an unknown date in 2021, outcome "recovering", described as "Dry heaves (no vomit)"; SPINAL PAIN (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "Pain in spine"; ARTHRALGIA (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "pain in knees, elbows/ pain expanded to shoulders"; PARAESTHESIA (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "tingling in spine, knees, elbows/  tingling also expanded to shoulders and arm pits"; HYPOAESTHESIA (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "Numbness in spine, knees/elbows, left leg, shoulders"; SWELLING (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "Slight swelling in armpits"; AXILLARY PAIN (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "Pain expanded to arm pits"; MONOCYTE COUNT INCREASED (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "Elevated monocytes"; C-REACTIVE PROTEIN DECREASED (non-serious) with onset an unknown date in 2021, outcome "not recovered", described as "low C-reactive protein". The events "Fatigue", "Headache", "Muscle aches", "Nausea", "Dry heaves (no vomit).", "Pain in spine", "pain in knees, elbows/ Pain expanded to shoulders", "tingling in spine, knees, elbows/ tingling also expanded to shoulders and arm pits.", "Numbness in spine, knees/elbows, left leg, shoulders.", "Slight swelling in armpits" and "Pain expanded to arm pits" were evaluated at the emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of spinal pain, arthralgia and axillary pain. Therapeutic measures were not taken as a result of fatigue, headache, myalgia, nausea, retching, paraesthesia, hypoaesthesia, swelling, monocyte count increased and c-reactive protein decreased.  Additional information: Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the prior to the COVID vaccine. It was reported that: 4 hours post: fatigue, headache, muscle aches. Fatigue and headache cleared by next morning. 10 hours post: nausea, dry heaves (no vomit). Mostly cleared by next afternoon (28 hours post) 18-20 hours post: pain in spine, knees, elbows; currently, 7 days post and had not cleared. 24 hours post: tingling in spine, knees, elbows, had not cleared. The patient went to urgent care and was told it would clear by 48-72 hours. 30 hours post: numbness in spine, knees, elbows, left leg, shoulders. Pain and tingling also expanded to shoulders and arm pits. Slight swelling in armpits that she could feel, but urgent care doctor said he could not. The patient went back to urgent care and insisted on bloodwork and was told it would go away. No follow up was done to check on her. Pain was currently controlled with treatment. It was more painful when she laid on back (spine) and sat (knees), movement increased tingling/numb. Treatment for the events spinal pain, arthralgia and axillary pain included ibuprofen and acetaminophen and occasionally 0.25mg CBD oil when extra painful. Since the vaccination, the patient had not been tested for COVID-19.