slight swelling; no energy; shooting pain into her ear; She asked if this could be a lymph node situation, She stated this pain has been going on since Thursday night; I started headache with my TMJ and the left side of face; I don't remember a lot of it, we're like that, I can't concentrate, around in my ear; it hurts to open my mouth really wide sometimes; bothers to swallow; just actually feeling unwell; Spot below your jaw bone in your neck; pain in my ear; I still feel very tired; messed with her TMJ on the left side; extremely tired; This is a spontaneous report of a contactable consumer (reported for herself). A 64-year-old female consumer (patient) received bnt162b2 (PFIZER-BIONTECH mRNA COVID-19 VACCINE, Solution for injection) dose 1 via an unspecified route of administration in the left arm, administered on 30-Mar-2021 at 14:45 (Batch/Lot number: ER8727) as SINGLE DOSE for covid-19 immunisation. The patient medical history includes blood pressure and cholesterol. Concomitant medications included ascorbic acid/rosa canina fruit (VITAMIN C & ROSEHIP) (started 20-25 years ago) at 1000 mg, twice a day for immune system, ongoing, calcium phosphate/colecalciferol (CALCIUM plus D) at twice a day for bone health. Vitamin E (Capsule, soft) for cancer preventive 400 iU, once a day(night) , potassium acetate (Solution for injection), 99 mg, twice a day, magnesium sulfate (Solution for injection) 400 mg, once a day (morning) for unspecified indication, multivitamin/sambucus nigra/sodium, zinc (Chewable tablet) one every other day; fish oil at 500 iU, once a day (morning) taken for cholesterol; colecalciferol (VITAMIN D3 1000) at 1000 iU, twice a day taken for an unspecified indication from 06Apr2021 and ongoing; ascorbic acid/betacarotene, calcium sulfate/colecalciferol/cyanocobalamin/ferrous fumarate/folic acid/nicotinamide/pyridoxine hydrochloride/retinol acetate/riboflavin/thiamine mononitrate/tocopheryl acetate/zinc oxide (PRENATAL VITAMINS) at every other day taken for Hair; pravastatin at 80 mg, once a day(night) taken for cholesterol; zinc chloride (Solution for injection) at 50 mg, twice a day taken for bone health and immunity health; acetylsalicylic acid (ASPIRIN (E.C.) at 81 mg,twice a day, loratadine at 1 tablet taken for an unspecified indication from Oct2015 and ongoing for all drug from an unspecified start date and ongoing.  ibuprofen (ADVIL 12 HOUR); amlodipine besilate (Film-coated tablet) taken for blood pressure; atorvastatin calcium at 80 mg taken for cholesterol; omeprazole; fluoxetine hydrochloride (FLUOXETIN) 40 mg. It was reported that she had the first dose of the vaccine and has been having fatigue/tiredness/no energy. She stated she would compare it to if you have had surgery and go home and the anesthesia keeps kicking you. It makes her want to sleep a lot. Additionally, around her ear/jaw/TMJ area when she pushes on her neck it sends shooting pain into her ear. She asked if this could be a lymph node situation. She stated this pain has been going on since Thursday night. She asked if these symptoms are from the vaccine and if they just have to run their course/how long do they last. She took an Advil for swelling but it did not do anything. She was scheduled to get her second dose a week from today. It was also reported that Vitamin C she started taking it years ago, 20-25 years ago for immune system, Calcium plus D she started taking it years ago. She is supposed to take at least 1000. Vitamin E she started taking it many years ago. Regarding Potassium her doctor wants her to continue to take that. In her lab work last year her potassium was low. States she started taking it at least 20 years ago, longer than that, not sure. Magnesium the doctor before told her she should be taking at least 400 mg so she does when she can get it, sometimes she takes 250 mg. Caller states she started taking it 20 years ago. Multivitamin it was Normal CT Plus Equate, same as Centrum. States it had Lutein and she started taking some several years ago. Products Multivitamin was taking for general purposes, health protection. Additional Information for Fish oil states she accidentally grabbed 1000 IU so right now is taking 1000 IU. States she started about 10 years ago. States her cholesterol reporting is really good. Products vitamin d3 she was concerned she wasn't getting enough and she just started taking it a week ago. Pravastatin: Caller states it was good for other things too but the main reason was cholesterol. States she was guessing maybe in 2009, usually takes 40 mg and he raised it to 80 mg. Zinc she started taking it maybe 15 years ago. coasted aspirin she started taking it probably 3 years ago. Loratadine it was over the counter, Equate Loratadine. States it seems to work pretty well.  She had a cough that wouldn't go away in the fall, the doctor told her to take one every day. Caller states from the day she got her vaccine she has been extremely tired, no energy, and is normally pretty quick on and more her feet. Sometimes she takes 3 naps a day, and still sleeps for eight hours. She is just really, really tired. She feels like when she's had surgery and came out of the hospital and anesthesia is kicking her and makes her want to sit. States it's messed with her TMJ on the left side but it continued to get worse, feels kind of like the mumps.  She had the mumps as a kid and doesn't remember much about it, but discovered it wasn't it because she was able to drink milk. States she drank milk and was able to eat and drink. States it is concentrated around her left ear and sometimes aggravating to swallow, push something below her jaw bone and shoots pain into her ear. When probed for outcome she stated she was extremely tired the other day but got enough energy to vacuum and wash the dishes, but took about 3 naps a day for two days after that. pain- Stated initially she has taken Advil for the pain in the jaw. However, it does not phase it. She is not really supposed to take it, but didn't do anything when she took it a couple of times, so she thought maybe she just should not take it. States the pain is the same as it was yesterday and the day before. Confirmed outcome as persisting. Prenatal vitamin Caller states it was normal over the counter. States it is Vitamin A 4000 IU, Vitamin D 400 IU, Vitamin E 30 IU, Thiamin 1.8 mg, Riboflavin 1.7 mg, Niacin 20 mg, Vitamin B6 2.6 mg, Folic Acid 800 mcg, Vitamin B12 8 mcg, Calcium 200 mg, Iron 28 mg and Zinc 25 mg. Caller states she was taking Tylenol and Advil for pain. She took Tylenol this morning but can't say it's done anything yet.  She clarified the Tylenol is 500 mg Equate Tylenol, it did not seem to be working, she took it two hours ago. Patient didn't remember a lot of it, we're like that, she can't concentrate, around in her ear, where you know TMJ is, and it hurts to her my mouth really wide sometimes, it bothers to swallow and she can push on a she did not know what it was the spot below your jaw bone in your neck and it shoots up the pain in my ear and she just wonder, and she know, Consumer further stated, 'Yes, just actually feeling unwell.' Consumer was informed about the  department: consumer stated, 'Yes she thought she was talking to some one. she was told to hold on the line.' At site of vaccination: consumer stated, 'Left shoulder muscle at the top.' Probed for any Medical conditions or Concomitant medications. Outcome of the event messed with her TMJ on the left side was not recovered. Outcome of the other events was unknown.   No follow-up attempts are needed. No further information is expected.