Intense sharp pains that jumped all over body that would last 1-3 min per spot and then jump to another body part; Right forearm and buttock cheeks were most painful; Right forearm and buttock cheeks were most painful; Very uncomfortable to sleep; Chills; Low grade fever of 99; Large heat rash around injection site with some arm swelling appeared; Large heat rash around injection site with some arm swelling appeared; Lymph nodes under left arm were very tender and swollen; Lymph nodes under left arm were very tender and swollen; Left tonsil swelling making for difficult swallowing; Left tonsil swelling making for difficult swallowing; This is a spontaneous report from a contactable consumer, the patient. A 61-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8729) via an unspecified route of administration in the left arm on 10Apr2021 at 10:38 (at the age of 61-years-old) as a single dose for COVID-19 immunisation. Medical history included supraventricular tachycardia. The patient had known allergies to unspecified medications, food or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any concomitant medications. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8732) via an unspecified route of administration in the left arm on an unknown date in Mar2021 at 13:30 (at the age of 61-years-old) as a single dose for COVID-19 immunisation. On 11Apr2021, the patient woke up at 01:00 with intense sharp pains that jumped all over body that would last 1-3 minutes per spot and then jumped to another body part. It was reported that right forearm and buttock cheeks were most painful and very uncomfortable to sleep. These all events lasted until morning. On 11Apr2021, chills set in around 05:00. On the same day (Sunday), the patient experienced low grade fever of 99 (unspecified unit) all day. On the same day by afternoon, lymph nodes under left arm were very tender and swollen, lasted for 7 days along with left tonsil swelling and making for difficult swallowing, lasted for 10 days. At evening, large heat rash around injection site with some arm swelling appeared which was slowly disappeared in 8 days. On 11Apr2021, the patient underwent body temperature test and the result was low grade fever of 99 (unspecified unit). The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. No therapeutic measures were taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events intense sharp pains that jumped all over body that would last 1-3 min per spot and then jump to another body part, right forearm and buttock cheeks were most painful and very uncomfortable to sleep was resolved on 11Apr2021. The clinical outcome of the events lymph nodes under left arm were very tender and swollen was resolved on 18Apr2021. The clinical outcome of the events large heat rash around injection site with some arm swelling appeared was resolved on 19Apr2021. The clinical outcome of the events left tonsil swelling making for difficult swallowing was resolved on 21Apr2021 and outcome of the events chills and low grade fever of 99 was resolved on an unknown date in Apr2021.  No follow-up attempts are needed. No further information is expected.