negative thoughts about dying; I felt pain in my spine from my neck all the way down my back, and started to feel weak in my arms and feet; I felt pain in my spine from my neck all the way down my back, and started to feel weak in my arms and feet; I felt pain in my spine from my neck all the way down my back, and started to feel weak in my arms and feet; I felt pain in my spine from my neck all the way down my back, and started to feel weak in my arms and feet; legs/arms numb; tremors in arms/legs sometimes; Feel pain in different parts of body; high anxiety; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 45-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 18Jul2022 at 11:30 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 45 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "HTN" (unspecified if ongoing), notes: HTN; "hypothyroidism" (unspecified if ongoing); "known allergies: Penicillin-rash" (unspecified if ongoing), notes: known allergies: Penicillin-rash; "known allergies: Penicillin-rash" (unspecified if ongoing), notes: known allergies: Penicillin-rash. Concomitant medication(s) included: LEVOTHYROXINE; LOSARTAN; HCTZ. Vaccination history included: Covid-19 vaccine (Dose Number: 2, Batch/Lot No: Unknown. Not available/provided to reporter at the time of report completion), for COVID-19 immunization; Covid-19 vaccine (Dose Number: 1, Batch/Lot No: Unknown. Not available/provided to reporter at the time of report completion), for COVID-19 immunization. Prior to vaccination, the patient did not diagnose with COVID-19. After a few hours, the patient felt pain in spine from neck all the way down back, and started to feel weak in arms and feet. Since then back pain, legs/arms numb and tremors in arms/legs sometimes. Feel pain in different parts of body and negative thoughts about dying, high anxiety, never had any of these symptoms before.  The following information was reported: PAIN (non-serious) with onset 18Jul2022, outcome "recovered with sequelae", described as "Feel pain in different parts of body"; SPINAL PAIN (non-serious), NECK PAIN (non-serious), BACK PAIN (non-serious), ASTHENIA (non-serious) all with onset 18Jul2022, outcome "recovered with sequelae" and all described as "I felt pain in my spine from my neck all the way down my back, and started to feel weak in my arms and feet"; ANXIETY (non-serious) with onset 18Jul2022, outcome "recovered with sequelae", described as "high anxiety"; HYPOAESTHESIA (non-serious) with onset 18Jul2022, outcome "recovered with sequelae", described as "legs/arms numb"; SUICIDAL IDEATION (medically significant) with onset 18Jul2022, outcome "recovered with sequelae", described as "negative thoughts about dying"; TREMOR (non-serious) with onset 18Jul2022, outcome "recovered with sequelae", described as "tremors in arms/legs sometimes". The events "negative thoughts about dying", "i felt pain in my spine from my neck all the way down my back, and started to feel weak in my arms and feet", "legs/arms numb", "tremors in arms/legs sometimes", "feel pain in different parts of body" and "high anxiety" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (22Dec2022) Negative, notes: Nasal Swab. Therapeutic measures were not taken as a result of suicidal ideation, spinal pain, neck pain, back pain, asthenia, hypoaesthesia, tremor, pain, anxiety. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.