Nausea; Sense of unwellness; Chills; Headach; Soreness in left arm after first dose; Soreness in left arm after first dose; muscle was sore; Coldness and chill effect going through veins; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 71 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 07Mar2021 12:15 (Lot number: EN6206) at the age of 71 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "stent in the heart", start date: 2017, stop date: 2017; "diagnosed allergies" (unspecified if ongoing); "compromised immune status" (unspecified if ongoing); "respiratory illness" (unspecified if ongoing); "genetic/ chromosomal abnormalities" (unspecified if ongoing); "endocrine abnormalities" (unspecified if ongoing); "Pre-diabetic" (unspecified if ongoing), notes: Pre-diabetic diagnosed in 30 years ago; "Obesity" (unspecified if ongoing), notes: Close to being obese. The patient's concomitant medications were not reported. Vaccination history included: Flu shot, administration date: 2020, for Immunisation, reaction(s): "sore Left arm". The following information was reported: PAIN IN EXTREMITY (non-serious), VACCINATION SITE PAIN (non-serious) all with onset 07Mar2021 15:00, outcome "recovering" and all described as "Soreness in left arm after first dose"; FEELING COLD (non-serious) with onset 07Mar2021 12:25, outcome "recovering", described as "Coldness and chill effect going through veins"; CHILLS (non-serious) with onset 31Mar2021 12:45, outcome "not recovered", described as "Chills"; HEADACHE (non-serious) with onset 31Mar2021 09:00, outcome "not recovered", described as "Headach"; NAUSEA (non-serious) with onset 02Apr2021 11:00, outcome "not recovered", described as "Nausea"; MALAISE (non-serious) with onset 02Apr2021 03:00, outcome "not recovered", described as "Sense of unwellness"; MYALGIA (non-serious) with onset 07Mar2021 15:00, outcome "recovered", described as "muscle was sore". Therapeutic measures were taken as a result of pain in extremity, vaccination site pain, feeling cold, headache.  Additional information: No Investigation Assessment. With the first one, the only symptom was soreness in arm for a day and a half. She later stated she had a coldness that was in her veins after the first dose as well. With the second one, like the first one, she had this coldness and chilling effect in her body. It did not last long. Now in second one, it is almost like she could feel the same chillness go through her body hours after she got the injection. Almost kind of like when you eat ice cream and it goes down cold, except it was in your veins and goes down. It went into the left elbow, which was the same arm that she had it in the next day after receiving the first dose, she could only raise left arm half up because her muscle was sore. By the third day, it was much better and by 4th day, she had no problem. It got her muscle pretty good and inflamed it and nothing more unusual than a flu and shingles shot. She had not had the shingles shot, but she knew it was a big needle and her arm would be sore. After second dose, she felt coldness and it subsided and went away and two days later on Wednesday, she got real chilled at night and is still having chills. Everyday since, she has gotten a headache. She took 2 Tylenol because she has a stent in her heart and they prefer no ibuprofen, because the medication she was on was already thinning her blood. The stent was in 2017, which was prior to getting vaccine. The headache comes and goes but is not any more intense, just irritating. She was basically fine and this started Wednesday. Then she started having chills again last night kind of like when you have the flu. She has not had any fever. She just had a headache and now has nausea. She wanted to know if it was unusual to be fine and then 3rd day out get symptoms. She was under the impression that you should not be having symptoms this far out 48-72 hours and wanted to know if was normal to have them 3 days out. She does not feel like she has COVID 19, she doesn't have any smell problems or fevers or knowledge of any contact. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was None. NO ER or physician's office required. Prior Vaccinations (within 4 weeks) was none. Family medical history was none. Relevant test was No test. She woke up while she was sleeping and thought she did not feel well. There was no prescriber.   No follow-up attempts are possible. No further information is expected.