this time she began to pass out; tingly sensation in her left arm and left hand; numbing feeling; brain has a swooshy feeling; she was in a position of where she might pass out; did not feel so great; she felt weird; like she is groggy; This is a spontaneous report received from a contactable consumer (patient). A 56-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot Number: EW0170) via an unspecified route of administration on 28Apr2021 at 14:00 (at the age of 56-years-old) as a single dose in the right arm for COVID-19 immunisation. Medical history included car accident in 2019 (two years ago; she slammed her hand into the steering wheel and she was not sure if that was the injury that caused her hand to hurt like arthritis), arthritis from an unspecified date and unspecified if ongoing and history of passing when she gets shot or blood drawn as a young girl from an unspecified date and unspecified if ongoing. Medical history (including any illness at time of vaccination) and family history relevant to the adverse event were both reported as no. The patient stated that she had never had symptoms or adverse events after prior vaccinations. Concomitant (other) products were reported as no. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine or on the same date as the COVID-19 vaccine. The patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot Number: ER8737) via an unspecified route of administration on 06Apr2021 at 12:15 (at the age of 56-years-old) as a single dose in the right shoulder upper arm for COVID-19 immunisation and experienced she felt high, inflamed bursitis in the knees, could not walk, felt a little depressed, could not form words very well, she felt sleepy and her arm and her hand was hurting. On 28Apr2021 the patient experienced this time she began to pass out, tingly sensation in her left arm and left hand, numbing feeling, brain has a swooshy feeling, she was in a position of where she might pass out, did not feel so great, she felt weird and like she is groggy. The clinical course was reported as follows: The patient stated that she was supposed to wait 15 minutes after getting the second dose of the vaccine and within a few minutes she had a tingly sensation in her left arm and left hand that was more so towards the pinky and her ring finger area. She used to have a history of passing when she got a shot or blood drawn as a young girl, but as her brain had experienced this over and over again she had been fine; however, this time she began to pass out. Since she knew it was coming with the tingling, she knew it was not normal, so she immediately went and told the employees that she was in a position of where she might pass out. So, she laid down and did not feel so great, but probably 20 minutes went by and she felt weird. It took her 45 minutes to decide to sit up and then 15 minutes later she left. The tingly sensation in her left arm and left hand was gone, but she had a left-over numbing feeling. The patient also reported that her brain had a swooshy feeling, like she was groggy, and she did not want to turn her head too fast because she felt like she would not like it. Relevant tests were reported as no. The clinical outcomes of the events this time she began to pass out, tingly sensation in her left arm and left hand, she was in a position of where she might pass out, did not feel so great and she felt weird were recovered/resolved on 28Apr2021 while the clinical outcomes of the events numbing feeling, brain has a swooshy feeling and like she is groggy were not recovered/not resolved.