she was paralyzed, both hands weren't working; the pain got to her neck; numbness and tingling developed in her fingers, palms, wrists, forearms, and neck and then began in her left leg and toes; numbness and tingling developed in her fingers, palms, wrists, forearms, and neck and then began in her left leg and toes; the pain started to move from her finger to her palm and then a little bit further down the wrist/ pain went all the way to her forearm and to the back of her arm; the pain started to move from her finger to her palm and then a little bit further down the wrist; burning like sensation in her right fingertips/ she was burning; burning like sensation in her right fingertips and they felt swollen but did not appear swollen; The initial safety information received was reporting only non-serious adverse drug reactions. Upon receipt of follow-up information on 12May2021, this now contains serious adverse event. Information processed together.   This is a spontaneous report from a contactable consumer (patient). A 35-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0170), via an unspecified route of administration in left arm on 30Apr2021 at 12:00 at 1st dose, single for COVID-19 immunization. Medical history and family history relevant to the events were reported as none. The patient's concomitant medications were not reported. There was no other vaccine administered on the same date as BNT162B2. There were no other prior vaccinations within 4 weeks of BNT162B2. The patient received her first Pfizer COVID vaccine dose on 30Apr2021 at a pharmacy. On 02May2021, she started to feel a little bit of weirdness in her fingertip, index finger right finger. She received the vaccine in a different arm. It was more like when she burns her finger, it was a burning like sensation in her right fingertips and they felt swollen but did not appear swollen. On 03May2021, she was still feeling the same way in her fingers, there was no development of pain anywhere in her hand yet, she went to the doctor, but they didn't notice what the problem was. On 04May2021, the pain started to move from her finger to her palm and then a little bit further down the wrist. On 05May2021, the pain went all the way to her forearm and to the back of her arm as well. On 06May2021, the patient reported that's when the rest of the development happened so rapidly. The pain, numbness, and tingling got to her neck which has been transferred on the left side. She started feeling the tingling, pins, needles, numbness, and pain on her left hand, fingers, forearm, and arm itself; she was feeling burning in the upper side of her wrist and it went all the way down to her feet, her legs, a little bit on her toes, not all the toes, but some of them. On 07May2021, she went back to the doctor, clearly, she was paralyzed, both hands weren't working, both were numb, with pins and needles and tingling. She was burning, her neck was under a lot of pain as well. She's currently on medication, so it just came back sometimes. Like yesterday (11May2021), she felt like she was on fire, like someone opened the fire inside her. She was burning yesterday, but the day before that she was thinking she was recovering, and today, she's starting to feel the burning in her neck again, it just comes and goes. All her symptoms haven't worsened, that she could tell, just because it comes and goes, she was not sure. She wanted to know if these were reported side effect of the vaccine. She also asked if she could take the second dose of the vaccine. Therapeutic measures were taken as a result of the events. The events required physician office visit. She went to a specialist on Friday because her symptoms were way different than when she started to go to the doctor. There were no relevant tests. The outcome of the events was not recovered.