dull constant headache; pain radiating to trapezius and lower neck; pain radiating to trapezius and lower neck; feeling sluggish/lazy; intermittent brief chills; feeling "inflammy" in neck area; gun temp and traditional under the tongue temp read 99.4F; Left arm injection itself didn't hurt-just a brief immediate weird rush down the arm to hand that went away just as fast; arm feeling sore/very sore arm-like a tetanus shot hurt to move/raise; arm feeling sore/very sore arm-like a tetanus shot hurt to move/raise; tinnitus; This is a spontaneous report from a non-contactable other Health Professional.  A 57-year-old female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EK9231), in a hospital, via an unspecified route of administration in the left arm on 07Jan2021 at 17:15 at a single dose for COVID-19 immunization.  Medical history included sulfonamide allergy from an unknown date and unknown if ongoing, Influenza B 3/20enza from an unknown date and unknown if ongoing, sinus disorder from an unknown date and unknown if ongoing, bronchitis from an unknown date and unknown if ongoing, osteoporosis from an unknown date and unknown if ongoing.  Concomitant medications included calcium (MANUFACTURER UNKNOWN), resveratrol (MANUFACTURER UNKNOWN); all taken for an unspecified indication from an unspecified date to an unspecified date.  The patient previously took morphine (MANUFACTURER UNKNOWN) taken for an unspecified indication from an unspecified date to an unspecified date and experienced allergy.  The patient experienced the following events and outcomes: left arm injection itself didn't hurt-just a brief immediate weird rush down the arm to hand that went away just as fast on 07Jan2021 at 20:00 with outcome of recovered in Jan2021, arm feeling sore/very sore arm-like a tetanus shot hurt to move/raise on 07Jan2021 at 20:00 (Vaccination site pain-outcome of recovering; vaccination site movement impairment-unknown), tinnitus on 07Jan2021 at 20:00 with outcome of unknown, dull constant headache on 08Jan2021 with outcome of recovered in Jan2021, pain radiating to trapezius and lower neck on 08Jan2021 with outcome of recovering, feeling sluggish/lazy on 08Jan2021 with outcome of recovering, intermittent brief chills on 08Jan2021 with outcome of unknown, feeling "inflammy" in neck area on 08Jan2021 with outcome of unknown, gun temp and traditional under the tongue temp read 99.4f on 08Jan2021 with outcome of recovered in Jan2021; no treatment was received.  The clinical course was reported as follows (as reported): Thursday evening: "left arm injection itself didn't hurt-just a brief immediate weird rush down the arm to hand that went away just as fast, by 21:00-arm feeling sore, tinnitus." Friday morning: "dull constant headache, very sore arm-like a tetanus shot hurt to move/raise, pain radiating to trapezius and low neck, feeling sluggish/lazy, tinnitus, in afternoon around the post 18hour (name) feeling like something coming on, intermittent brief chills, feeling "inflammy" in neck area, about 24 hours took vitals- within normal limits (WNL), except gun temp and traditional under the tongue temp read 99.4 Fahrenheit. By 22:00, took vitals again, WNL and temperature normal. Short-lived. Arm pain- hurt to lay on it." Saturday: "headache gone, still a little lazy, arm/trap pain diminishing, went for a walk, NL activity." Overall, the patient had mild symptoms: appetite and sleep were not really affected. Did not require over the counter (OTC) medications, or medical care. The patient underwent lab tests and procedures which included body temperature: 99.4 Fahrenheit on 08Jan2021, body temperature: normal on 08Jan2021, vitals: within normal limits (WNL) on 08Jan2021, vital signs measurement: WNL on 08Jan2021. The patient did not receive other vaccines within four weeks of receiving PFIZER-BIONTECH COVID-19 MRNA VACCINE. The patient did not have COVID prior to the vaccination. The patient was not tested for COVID post vaccination.   No follow-up attempts are possible. No further information is expected.