she felt numbness in her big toe, in her toes, her right foot, bottoms of both her feet, has moved to the sides of her legs and beside her knees; it's also warm and sensitive to the touch; it sounds like an inflammatory reaction on her nerves; her back and left shoulder hurt really bad for a week or 2; her back and left shoulder hurt really bad for a week or 2; She had a bone density scan this past week that showed osteopenia; the heat and tiredness she is having in her sides of her legs; the heat and tiredness she is having in her sides of her legs; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0162), via an unspecified route, administered in in Arm Left (Left upper arm) on 18Aug2021 at 11:15 (at the age of 66-year-old) as Dose 1, Single for COVID-19 immunization at physician office and not at military facility. She was not related to a study or programme. There was no medical history and concomitant medication reported. The patient had not received any other vaccine within 4 weeks prior to Covid-19 vaccination. Historical vaccines included: Patient had the flu vaccine, pneumonia vaccine, and the two doses of the shingles vaccine. After receiving the flu vaccine in her late 50's, she felt like she had the flu for 2 weeks. This happened with 2 flu vaccines, one received on 08Oct2015 made her feel like she had the flu for 2 weeks. She received 4 vaccines last winter 2020. A flu vaccine she received on 24Sep2020 made her feel like she had the flu for 2 days. This reaction had really stumped her. Patient also had all 3 of the shingles vaccines. Patient reported she had her first shingles vaccine, the Shingrix vaccine on 06Nov2020. Patient received her second shingles vaccine, or Shingrix vaccine on 15Jan2021 (lot number CE45H) in her left arm. About 5 years ago patient had the other shingles vaccine, the first one that was made. Patient received her pneumonia vaccine on 08Oct2020. The patient stated that her son had a breakthrough case of the Covid 19 virus after receiving the Moderna Covid 19 vaccine. Her brother also after receiving a flu vaccine, her brother was sick for 2 months. Patient thought it's probably because the more she got the flu vaccine, the less of a reaction she'll have to it. On 18Aug2021, she had experienced numbness in her right big toe and on her right foot. A couple of days later the numbness moved onto her left foot. She said there was numbness in her toes, and at the bottoms of both her feet. She was trying to walk some each day, but the numbness has moved to the sides of her legs and beside her knees. She said it was warm and sensitive to the touch. She stated it sounds like an inflammatory reaction on her nerves. She said she was normally very healthy and does not take any medication. The patient saw an orthopedic doctor last week to make sure there wasn't something wrong with her back because her back and left shoulder hurt really bad for a week or 2. She went to a chiropractor and her back and shoulder were better for a day but, then it started hurting again. The patient wanted to update the doctor with the heat and tiredness she was having in her sides of her legs. Patient reported her blood pressure was good. Patient stated that she going to physical therapy next week in Nov2021 for regular check-up. Patient was still waiting to see a neurologist because the neurologists in her town are all booked up and by the time the neurologist it would have been 2 months since she received the first Covid 19 vaccine. Patient's primary care doctor the one who told her to hold off on getting the second Covid 19 vaccine. Patient's primary care doctor referred her to a neurologist immediately after she told her primary care doctor about the numbness. These adverse events resulted physician office visit. No Emergency room visit was reported. The patient was waiting to get the second dose as advised by her primary care doctor. Patient had a bone density scan this past week that showed osteopenia, not osteoporosis and told that osteopenia was normal for someone of her age. Patient had no other testing so far. Patient had no other bloodwork.   The clinical outcome of hypoaesthesia, inflammation, feeling hot, fatigue was not recovered and back pain, arthralgia outcome was recovered in 2021 and the osteopenia outcome was unknown.  Follow-up attempts are completed. No further information is expected.