painful upon injection; arm pain; Nausea; dizzy; felt Cold; chills; Fever; Headache; eyes were hurting; joint pain; numbness in her hands and toes; dots, pinkish on top of the skin; throwing up; she had a little bit of arm pain; This is a spontaneous report from a contactable consumer (patient). A 36-year-old female patient (age at vaccination: 36 years) received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: ER8737 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 04Apr2021, as a single dose for COVID-19 immunization and second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: ER8735 and expiry date was not reported), via an unspecified route of administration, on 25Apr2021, as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was calling about the Pfizer covid vaccine. The caller was reporting on side effects stating she was at the hospital last night, but everything was okay. On 04Apr2021, the patient had a little bit of arm pain. On 25Apr2021, the patient got her second dose, and it was still painful upon injection, but she didn't feel pain the first 2-3 hours. 3 hours after receiving the second dose, the patient had nausea and was dizzy. 4 hours after the second dose on 25Apr2021 the caller was throwing up, she threw up 3 times, and her arm started to feel pain. About 7-8 hours after the second dose, the patient started to feel cold, like chills, and started to have a low grade fever, arm pain, joint pain, headache, her eyes were hurting, she got mostly all of the side effects. The highest fever was almost 102. The patient had numbness in her hands and toes, too. On 26Apr2021, it was exactly the same thing. The patient had nausea but not throwing up and 102.8 was her highest fever on 26Apr2021. On 27Apr2021, the patient still had a low grade fever of 101 and sometimes 103 and after that she was okay. The patient had a head-ache and numbness, but no more arm pain, only bone pain but lighter than the other two days. When the caller woke up on 28Apr2021, in the morning she was fine but still had numbness in her hands. The patient started to see dots, pinkish on top of the skin, she thought it was a side effect so she wasn't paying attention to it. The patient was wearing a long skirt. Around 6:00pm, she started to see the same "dots" on her legs and her skin- it felt like blood was there. The patient went to the emergency room at 12:00am. The doctor in the emergency room checked the patient's blood. She described that her skin looked like "pieced by pieces, like it was blood". The emergency room doctor thought it could be the patient's platelets or red blood cell count. Then the patient saw this on her lips too. The patient's blood results were fine. The patient still sees this today on her skin but its a little bit lighter now. The numbness in her fingers and toes was still there. The patient was never admitted into the hospital. The patient asked was it rare to have that side effect of the skin. The patient thought it was a rash but the doctors told her that it was an inflammatory response. Outcome of the event she had a little bit of arm pain was recovered on 06Apr2021 and for all other events was unknown.  No follow-up attempts are needed. No further information is expected