stiffness when lifting arm; Left sided neck pain; Lightheadedness; Chills; Tiredness; Left sided chest discomfort; chest pain; Left arm hurt; Her muscle would tighten up when it does that; throat pain on the left side from the cheek all theway down her neck; This is a spontaneous report from a contactable consumer (patient herself).  A 57-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in left arm on 07Apr2021 at 09:15-09:30, (Batch/Lot Number: ER8737) as dose 1, single (age at vaccination was 57 years old) for covid-19 immunisation. Medical history included she had a fall and her back hurts (states she sees a chiropractor for her back), she passed out and miscarried while she was pregnant, ongoing blood pressure and ongoing diabetes mellitus. Concomitant medication(s) included hydrochlorothiazide taken for pressure (has been taking for years. It is a water pill) and empagliflozin, metformin hydrochloride (JARDIANCE DUO) taken for diabetes mellitus from Oct2020 and ongoing. Patient clarified that on 07Apr2021, she had not eaten before she got the shot because it was early in the morning. She felt a little lightheaded. She thinks it was because she didn't eat. She went out and ate and then she felt fine for a minute or two. When she was coming home, she started to feel like her arm was hurting. Then it started hurting all the way up to her shoulder area. by the time she got home and got ready for bed she could feel it coming up to her back and more on left side. It was hurting because of the vaccine. That was the first day she took the shot. Patient reported, the first day (07Apr2021) she had lightheadedness, and her arm hurt. By the time she got home, she had some stiffness when lifting her arm up (08Apr2021 in the morning). She also had left side chest discomfort, which travelled to her neck. It is in left neck on left side (on 08Apr2021). It really hurts. Every time it does that, she takes Ibuprofen. She breaks it in half and takes half the dose and the minute the medicine wears off it comes back and hurts. Her muscles on the left side will tighten up when it does that (unspecified date in Apr2021).  When it hurts, she takes Ibuprofen. The pain stops and once it wears off, the pain would come back. Her muscle would tighten up when it does that. She has been putting a warm towel on it. She's worried because she has to take the second one. Her doctor said she should maybe have to take a booster or something before she takes the shot because she might have an allergic reaction or something. The doctor told her to call Pfizer, and she asks what should she do. Reporting about her weight, she at first stated that she was 264 at the time she guesses or 265. She thinks she is 264 or she was the last time she was at the doctor 2 weeks ago. Then she said that she is 265. She is self employed. The reason she took the shot is because she has not been out there working because she is not good in the morning. She has pressure and takes pressure medication and sugar medication. she was not going out of her house to work at all. She went to her doctor's office today and she wasn't in. They are off on Thursday in that location. She left a message for them to call her. At first patient thought she could handle it, but the pain is there. She doesn't want to wait and it gets worse and she doesn't want to take the second shot until she knows she is not allergic to something. She doesn't want to go there and pass out. She wants to know if others have the same symptoms. Patient received first dose of Pfizer BioNTech Covid 19 vaccine last wednesday 07Apr2021.  She's been experiencing throat pain on the left side from the cheek all the way down her neck (unspecified date in Apr2021). Its only on the left side which is the same side as where she received the vaccine. She said there is no lymph node swelling and it feels more like a pulled muscle. She states it's been over a week, and questions how long does this side effect usually occur. She was questioning if there is any Phenergan in the vaccine. She took it while pregnant and she passed out and miscarried. The events were described by the patient as for lightheadedness, she didn't recover completely. She still felt strange of course. For stiffness, when lifting the arm, patient clarified that it started on 08Apr2021 in the morning. It is ongoing more towards her neck. It is to her shoulder and neck. For left sided neck pain, she will take the medicine and the pain will go away. She is concerned because the pain comes back and it has been six of seven days now. Left sided chest discomfort started the night of the vaccine when she went to lay down. It only happened when she laid down. It stopped on 10Apr2021. For the chest pain she drank some tea. The Tylenol wasn't helping the neck pain and changed to Ibuprofen. The chills were from the first day (07Apr2021) through the third day, 10Apr2021. It would come and go. Now, the only time the chills will come is if her daughter comes in and puts the air down. If she notices the air conditioner gets high she will put it down to low and it won't bother her as much for the past few days. She would say the chills are ongoing. it is not as severe as before. At first when she had the cold, it would come with tiredness. The first three days were cold, neck starting to hurting, and then chest thing went away. For the first three days, she experienced tiredness and she thought it was just the vaccine doing its thing. Stop date for the tiredness 10Apr2021. She described Tylenol saying it has a red top and white bottle. She doesn't normally take Tylenol. Provided Tylenol expiration date of Apr2021. This is a 325 mg pill (Quantity dispensed: 20). She took two Tylenol per day for two days twice a day. Provided lot number as 1639370. Indication was high risk. She has sugar and pressure. She didn't want to get infected. She has kids and her husband teaches. She is also a substitute teacher, but hasn't been doing that since COVID. History: States she sees a chiropractor for her back. She had a fall and her back hurts. No further details provided. She went to physician because of the neck pain, but was not able to see the doctor and that is why she called Pfizer's hotline. Patient states while on the phone the pain is starting to come back. She will take some medicine while she holds for Medical Information agent. She's been taking with tylenol but that didn't work and so she's been taking ibuprofen.  It helps with the pain, but is still feeling bad once medicine wears off. Therapeutic measures were taken as a result of left arm hurt, stiffness when lifting arm, left sided neck pain, Left sided chest discomfort, chest pain and muscle stiffness. The outcome of lightheadedness was recovered/resolved with sequel on 07Apr2021 and left arm hurt was recovered/resolved with sequel on 08Apr2021. Events stiffness when lifting arm and chills were recovering, left sided neck pain was not recovered, and outcome for all the other events was unknown.  No follow up attempts  are needed.No further information is expected.