toes were burning; could not step on her feet since it was painful; she could not move her right arm and it was heavy; ball on right arm; right arm was red; Fever; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 52 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 01Oct2021 17:00 (Batch/Lot number: unknown) at the age of 52 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Prediabetes" (unspecified if ongoing), notes: Diagnosed about 2 years ago and she had real high numbers but was told her numbers have dropped.; "had the covid virus in the beginning of the year with pneumonia" (unspecified if ongoing); "had the covid virus in the beginning of the year with pneumonia", start date: 2021 (unspecified if ongoing); "flu", start date: 2021 (unspecified if ongoing). The patient's concomitant medications were not reported. Past drug history included: Flu shot, start date: 2021, notes: She got the flu shot last year. She got the flu in Aug or Sep 2021. The following information was reported: BURNING SENSATION (non-serious) with onset 02Oct2021, outcome "recovered" (06Oct2021), described as "toes were burning"; PAIN IN EXTREMITY (non-serious) with onset 02Oct2021, outcome "recovered" (06Oct2021), described as "could not step on her feet since it was painful"; MOVEMENT DISORDER (non-serious) with onset 02Oct2021, outcome "recovered" (06Oct2021), described as "she could not move her right arm and it was heavy"; VACCINATION SITE SWELLING (non-serious) with onset 02Oct2021, outcome "recovered" (06Oct2021), described as "ball on right arm"; VACCINATION SITE ERYTHEMA (non-serious) with onset 02Oct2021, outcome "recovered" (06Oct2021), described as "right arm was red"; PYREXIA (non-serious) with onset Oct2021, outcome "recovered" (Oct2021), described as "Fever". Therapeutic measures were taken as a result of burning sensation, pain in extremity, movement disorder, vaccination site swelling, vaccination site erythema, pyrexia.  Additional information: Real bad reaction described as she got the same symptoms as when she had covid, the only difference was that her toes were burning and she could not step on her feet since it was painful, she had a ball on the side of her right arm, it was heavy and could not move her right arm, right arm was red. She took a picture. She was taking Motrin and Tylenol and it was not helping at first. She took Tylenol first for two days and then she started alternating Tylenol and Motrin and the fever started reducing. It took her a while and she had to miss work. Fever lasted two days and went down the second day but all the other symptoms reported lasted from Saturday 02Oct2021 till Wednesday 06Oct2021. Then she went back to work. Anatomical location: right upper arm. History of all previous immunization with the Pfizer vaccine considered as suspect was not reported. Additional vaccines administered on same date of the Pfizer suspect, prior vaccinations (within 4 weeks), relevant tests were reported as none. The events did not require emergency room and physician office visit. She was not able to get up and was in bed due to symptoms. No family medical history relevant to adverse events. It was concerning that her toes were burning and the main thing that scared her was real high fever. She took Pfizer covid shot the beg of this month and had a real bad reaction to it. She didn't call the ambulance since she thought it was part of it. She is scared to take the second dose which was scheduled. The report was not related to a study or programme. She had the covid virus in the beginning of the year with pneumonia and ended up in the ER, prior to getting the vaccine.  The lot number for bnt162b2 was not provided and will be requested during follow up.