Insomnia; Fever/Her temperature has consistently been 99.1 degrees Fahrenheit.; flushed hot cheeks; severe headaches especially when bending over; muscular pain around lymph nodes from collar bone up; really sore neck; really sore jaw; soreness from back of neck from chest up; Muscle stiffness; Fatigue; This is a spontaneous report from a contactable consumer (patient herself). A 37-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6205, Expiration date: Unknown), via an unspecified route of administration in left arm on 23Apr2021 at 14:45 as dose 2, single (at the age of 37-years-old) for COVID-19 immunization. History of all previous immunization with the Pfizer vaccine considered as suspect were none. Additional vaccines were administered on same date of the Pfizer suspect were none. The patient's medical history included rheumatoid arthritis from Dec2019, lupus from Mar2021, antiphospholipid antibodies syndrome from Feb2020, narcolepsy with cataplexy from Jan2019, ADD (attention deficit disorder), generalized anxiety disorder, HSV2 (herpes simplex) from Jun 2020 and presumed latent tuberculosis from Feb2020 and were ongoing. The patient's concomitant medications included isoniazid 300mg by mouth daily taken for latent tuberculosis from 06Mar2021, hydroxychloroquine 200mg by mouth twice daily taken for rheumatoid arthritis and lupus from Dec2019, acetylsalicylic acid (BABY ASPIRIN) 81mg by mouth daily taken for antiphospholipid antibodies from Feb2020; valaciclovir hydrochloride (VALTREX) 1gram by mouth daily taken for HSV-2 (Herpes simplex) from Jul2020, amfetamine aspartate monohydrate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (MYDAYIS) 15mg daily taken for nacolepsy with catalepsy and ADD (attention deficit disorder) from 2015; amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) 20mg by mouth twice daily taken for nacolepsy with catalepsy and ADD (attention deficit disorder) from an unspecified start date, clonidine hydrochloride (CLONIDINE HCL) 2mg by mouth, two at bedtime taken for off label: narcolepsy with cataplexy from an unspecified start date; clonazepam (KLONOPIN) 2mg by mouth daily taken for generalized anxiety disorder from an unspecified start date; norethindrone 35mg by mouth daily taken for progestin only birth control due to history of migraines from an unspecified start date and sulfasalazine (SULFASALAZINE (ENTERIC COATED)) 1000mg three times daily taken for rheumatoid arthritis from Jul2020 and ongoing. The patient previously received the past drug BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: ER8727, Expiration date: Unknown), via an unspecified route of administration on 02Apr2021 as dose 1, single for COVID-19 immunization. On 23Apr2021, the patient experienced fatigue. On 24Apr2021, the patient experienced muscular pain around lymph nodes from collar bone up, really sore neck, really sore jaw, soreness from back of neck from chest up, muscle stiffness and severe headaches especially when bending over. On 25Apr2021, the patient experienced fever, her temperature had consistently been 99.1 degrees Fahrenheit and flushed hot cheeks. On 27Apr2021, the patient experienced insomnia. She had an appointment with her physician today. She was calling because auto immune disorders were not included in the studies. It was reported that they didn't test in clinical trials with people with auto immune conditions. That was unexpected. She was in a group and everyone was nervous and freaking about the vaccine. The adverse event did not require visit to emergency room and physician office. The patient underwent lab tests and procedures which included body temperature: 99.1 degrees Fahrenheit. The outcome of the events muscular pain around lymph nodes from collar bone up, really sore neck, really sore jaw, soreness from back of neck from chest up and muscle stiffness was recovering. The outcome of the events severe headaches especially when bending over, fever, her temperature had consistently been 99.1 degrees Fahrenheit and flushed hot cheeks was not recovered. The outcome of the event insomnia was unknown.   No follow-up attempts are needed. No further information is expected.