palpable lymph node in my L neck the size of a grape; general malaise; After the 2nd vaccine I had intense pain in the L arm that radiated down to my hand making it difficult to move; I also experienced fever and chills the 1st night; After the 2nd vaccine I had intense pain in the L arm that radiated down to my hand making it difficult to move. At night the pain woke me frequently '||CHR(38)||' my L hand went numb.; At night the pain woke me frequently & my L hand went numb; I also experienced fever and chills the 1st night; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 38-year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 13Jul2021 16:00 (Lot number: EW0196) at the age of 38 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Migraines" (unspecified if ongoing). The patient's concomitant medications were not reported. Past drug history included: Erythromycin, reaction(s): "Allergy". Vaccination history included: Pfizer (Dose Number: 1, Batch/Lot No: EW0181, Location of injection: Arm Left, Vaccine Administration Time: 10:00 AM), administration date: 22Jun2021, when the patient was 38 years old, for COVID-19 immunization. The following information was reported: CHILLS (non-serious), PYREXIA (non-serious) all with onset 13Jul2021, outcome "recovering" and all described as "I also experienced fever and chills the 1st night"; PAIN IN EXTREMITY (non-serious) with onset 13Jul2021, outcome "recovering", described as "After the 2nd vaccine I had intense pain in the L arm that radiated down to my hand making it difficult to move. At night the pain woke me frequently '||CHR(38)||' my L hand went numb."; HYPOAESTHESIA (non-serious) with onset 13Jul2021, outcome "recovering", described as "At night the pain woke me frequently & my L hand went numb"; LYMPH NODE PALPABLE (non-serious) with onset 16Jul2021, outcome "recovering", described as "palpable lymph node in my L neck the size of a grape"; MOVEMENT DISORDER (non-serious) with onset 13Jul2021, outcome "recovering", described as "After the 2nd vaccine I had intense pain in the L arm that radiated down to my hand making it difficult to move"; MALAISE (non-serious) with onset 14Jul2021, outcome "recovering", described as "general malaise". The events "i also experienced fever and chills the 1st night", "after the 2nd vaccine i had intense pain in the l arm that radiated down to my hand making it difficult to move. at night the pain woke me frequently '||chr(38)||' my l hand went numb.", "at night the pain woke me frequently & my l hand went numb", "i also experienced fever and chills the 1st night", "palpable lymph node in my l neck the size of a grape", "after the 2nd vaccine i had intense pain in the l arm that radiated down to my hand making it difficult to move" and "general malaise" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of chills, pain in extremity, hypoaesthesia, pyrexia, lymph node palpable, movement disorder, malaise.  Additional information: After the 2nd vaccine the patient had intense pain in the L arm that radiated down to her hand making it difficult to move. At night the pain woke her frequently & her L hand went numb. The patient also experienced fever and chills the 1st night & general malaise the following day. 2 days after the vaccine the patient noted a palpable lymph node in her L neck the size of a grape. The swollen node created pain at the site & up to her jaw/ear. That node was still swollen, hard & palpable, though it has reduced in size (currently 1cm aprox. after 3.5 months). In the last month the patient have had 2 cases of lymph nodes swelling suddenly in her L armpit & L neck, causing radiating pain into her L chest/back/arm or neck lasting for several weeks. Due to these new flare ups the patient was seen by an endocrinologist & had an ultrasound done of her neck. The patient had numerous swollen nodes in her neck (both sides). Drs believed that it was a reaction to the vax & that it may take a year or more for the flare ups and inflammation to resolve. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had no other medications in two weeks. The patient had no covid prior to vaccination. The patient was tested since the vaccination.     Follow-Up: Follow-up attempts are completed. No further information is expected.