achiness,  an inability to move and gets up from bed fatigued; all of her energy was gone and felt like all muscles were dying/ weak; achiness,  an inability to move and gets up from bed fatigued; achiness; feels like all of her muscles are dying; wasn't feeling well; can barely stand at the sink to do dishes; all her muscles ache; lethargic; This is a spontaneous report from a contactable consumer (patient). A 63-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6199, Expiration Date: 30Jun2021), second dose via an unspecified route of administration, administered in arm right on 16Mar2021 at 10:30 (at the age of 63-years-old) as single for COVID-19 immunisation. Medical history included anaemia. Concomitant medication(s) included citalopram 20 mg taken for premenstrual syndrome (she began taking Citalapram a decade ago. It was the pill that made her normal and she loves it. This is why she didn't think depression or anything like that was what kept her off of her feet. The medication worked and was perfect for her. She was taking it especially when menstruating, PMS and when ovulating also would have hormonal variance. Hormonal related changes and behavior occurring. The caller was taking this pill to be even keel all the time). The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EN6201; Expiration Date: 30Jun2021), administered in arm right on 23Feb2021 (at the age of 63-years-old) as single for COVID-19 immunisation. The patient did not administer additional vaccine on same date of the Pfizer suspect and did not receive any prior vaccinations within 4 weeks. On unspecified date in Mar2021, a week after second dose the patient experienced all of energy was gone. However, she started taking iron and it didn't help. She had used one bottle of iron and started a new one. Doctor took an iron test because thought it was iron and she said iron was normal. She had taken three iron tablets at the time she went in to get iron blood work done and her iron was normal. She thought if she went off the iron, then what. The patient stated that this did not occur the same day the caller received the second dose Pfizer COVID 19 Vaccine. The patient recalls she had an insurance appointment on 07Apr2021 and was having difficulties at this time. She was pretty sure that she was having these symptoms the week before as well. She had been feeling that way for several days, it was over a week by the time of 07Apr2021. The patient stated this energy being gone was mostly ongoing, it has not gone away and was persisting. Her energy being gone has improved a tad and had bursts of energy. The patient worked for four hours in her yard 3 days ago and that was highly unusual for the her this Spring. But for the fact the caller worked four hours. The previous year, she worked 6 hours in her yard every day. The patient was so weak and can barely stand at the sink to do dishes and states she had been doing dishes for a week now, that part has gotten better and was improving. Followed by patient feels like all muscles are dying: The patient stated this began at the same time as all of energy being gone. She clarified that having this on 07Apr2021, having these symptoms the week before as well. The patient lays in bed and all her muscles ache. The patient though of getting out of bed, had no energy to get out of bed but the patient would. The patient was very lethargic and very tired. The patient sat at a desk a lot of the day when not outside. The patient sat at the desk cooling down and would get so tired just sitting up in a chair. The patient would go lay down on the bed, which was not like the caller. The patient didn't sleep, not sleepy, not tired, just didn't had the muscles to sit up in the chair. The patient would lay down in the bed. Now, it was not that bad anymore, the caller was improving as far as that goes. The patient though she was anemic because she was anemic years ago. Had the caller never been anemic before, the caller didn't just go to the doctor, didn't know medical things, get weird ideas. The caller stated she would wake up well but by noon. The caller did end up going to the physicians office. The patient underwent lab tests and procedures which included blood iron: normal on unspecified date and blood test: no result on 22Feb2021. The outcome of the events movement disorder, asthenia, fatigue, ache, feeling unwell, difficulty in standing, muscle pain and lethargic was unknown, and outcome of the rest of the event muscle weakness was resolving.  Follow up needed, further information has been requested.