injection site pain; muscle pain; redness at the injection site; tiredness and that was much more than she had with the 1st dose; headache; nausea; weakness; feeling of unwell; joint pain/a lot of burning and a lot of pain in the joint in there and has been having a lot of pain there; chills; feeling cold and hot off and on; she has aches and pains and the pain is mostly her upper back and pain in her ankles, legs, neck; pain in her ankles, legs; pain in neck; below the finger there is a lot of burning; This is a spontaneous report from a contactable consumer (patient). An 82-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EP7534 and expiration date not reported), via an unspecified route of administration, administered in Arm Left on 23Mar2021 (at the age of 82-year-old), as dose 2, single, for COVID-19 immunisation. The patient medical history was not reported. There were no concomitant medications. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EN6198 and expiration date not reported), via an unspecified route of administration, administered in Arm Left on 02Mar2021 (at the age of 82-year-old), as dose 1, single, for COVID-19 immunisation and experienced muscle pain, tired, sick and achy. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations within 4 weeks. On 24Mar2021, the patient had injection site pain, tiredness, had muscle pain, and had redness at the injection site. The patient did not put on ice it. She noticed an uneven kind of redness around the injection site. The patient woke up at 2:30am or 3:00am and had no pain in her arm and had the worst headache in her life and she took Advil (expiry date she remembers was 02Nov2021). The patient wasn't sure if she was taking too many Advil, 6 pills of it per day. Took Advil every 4-6 hours as soon as she had severe headache. The patient experienced some nausea, a lot of weakness and just generally feeling of unwell. The patient does not know if she had a fever, because all her life she has not had a fever. The patient had joint pain especially in her left hand and her index finger, below the finger there was a lot of burning and a lot of pain in the joint, had chills and the chills started a little bit and went away and kept feeling cold and hot off and on. The patient experienced aches and pains and the pain was mostly her upper back and pain in her ankles, legs, neck, and her headache. It was reported that, due to her age, her height has shrunk another inch or so and she used to be at least 5'0'' and the elderly shrink; her weight fluctuates above or below a little bit down from 100 pounds and she does not regularly weigh herself but when she goes to the health care professional, she tries to stay very healthy and eats healthy. Did not visit to ER or MD office and she did not feel like the events were severe and they were bad but not to go to the hospital. No relevant tests done. It was reported that, Advil was upsetting her stomach because she was not used to taking it and never takes it. The patient asked if she should keep taking Advil every 4-6 hours if she starts having the headache and she wants to take Advil pills right away or her headache flared up so bad that she was in tears and was crying. The patient stated that, tiredness and aches and pains will go once she starts moving and exercising a little bit. The outcome of chills was recovered while the outcome of other events was unknown.  No follow up attempts are possible. No further information is expected.