The caller had a really bad one on Sunday that felt like it was in her throat; Heart palpitations; Arthritis in there left thumb and its still hurting her; chills; Body ache; Joint pains/ The caller's right hip and right ankle hurt so bad; fatigue; Pain at he injection site; The caller was so sick for a week; Arm was really sore, the muscle in the arm; This is a spontaneous report from a contactable consumer or other non hcp. A 53-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EW0176; Expiration Date: Jul2021) via an unspecified route of administration, administered in Arm Left on 01Jun2021as dose 1, single for covid-19 immunisation. Medical history included cftr gene mutation, CFTR dysfunction, thyroid disorder, blood pressure high, mitral valve prolapse, she had the covid virus back in Jan 2021 and had the infusion at that time, had odd reactions to things she has a list of antibiotics that she had a severe reaction to, had a reaction to a hair dye one time and she swelled up with whelps. Concomitant medications included levothyroxine sodium (SYNTHROID) 0.88 once a day, hydrochlorothiazide, losartan potassium (LOSARTAN HCTZ) dosage as 12.5 mg once a day ; tiotropium bromide (SPIRIVA) 1.25, 2 puffs daily ; budesonide, formoterol fumarate (SYMBICORT) 4.5 mcg 2 puffs twice a day ; triamcinolone acetonide (NASACORT) two sprays daily ; famotidine (PEPCID AC) 20 mg once a day ; fexofenadine hydrochloride (ALLEGRA) as needed, all taken for an unspecified indication, start and stop date were not reported and estradiol (VIVELLE DOT) taken for hormone replacement therapy, start and stop date were not reported. The caller was scheduled for her second dose on Monday and she was worried about getting it because she was so sick for a week. On 02Jun2021, the patient experienced arthritis in there left thumb and it was still hurting her, chills, body ache , joint pains/ the caller right hip and right ankle hurt so bad, fatigue, pain at he injection site, heart palpitations, the caller was so sick for a week, arm was really sore, the muscle in the arm, the caller had a really bad one on sunday that felt like it was in her throat on 06Jun2021. She had chills, body aches, and joint pain when she woke up the next day. The caller felt chilled when she woke up. The joint pains were like the vaccine attacked the weak parts of the caller body. The caller has arthritis in there left thumb and it was still hurting her. The caller gets cortisone injections because of this. The caller right hip and right ankle hurt so bad. The caller hip did not hurt as bad but her thumb was still hurting her. The right ankle was completely healed and did not hurt at all. She was so fatigued that when she comes home from teaching summer school she has to take a nap, and that was not her. She had blood work because sometimes she takes extra B12 and her iron levels are sometimes low and the blood work came back normal. She having heart palpitations, she has them periodically anyways, they may come once a month or every 6-8 weeks and usually did not last very long. On Thursday when the heart palpitations started through Sunday, would have like 2-4 a day. she would think about going to the doctor but they always got better. She had a really bad one on Sunday that felt like it was in her throat. Since then, she has only had one which is more of her normal. The caller waited the at least 120 days after she had the infusion to get the vaccine. The caller had the infusion on 18Jan2021.The caller arm was really sore, the muscle in the arm. The caller takes medicines for her lungs so she did not know if that has anything to do with it. Since she had the covid virus her hair has been falling out. The patient underwent lab tests and procedures which included blood test: normal , sars-cov-2 test: positive on Jan2021. Therapeutic measures were taken as a result of arthritis in there left thumb and its still hurting her (arthritis). On 03Jun2021, the event chills was recovered. On 06Jun2021 heart palpitations was recovered. On 07Jun2021 body ache was recovered. On Jun2021 sick for a week was recovered. The outcome of the event arthritis and fatigue was not recovered. Outcome of arm was really sore, the muscle in the arm and had a really bad one on Sunday that felt like it was in her throat was unknown. Joint pains/ the caller right hip and right ankle hurt so bad and pain at he injection site outcome was recovering.  Follow-up attempts are completed. No further information is expected.