Cannot drive well; Focus in last two days.; Mild headache.; Feeling pain in collar bone up to skull; Pain in collar bone area on left side, when touched  the tender area, felt puffy/swollen; Throbbing pain /woke up with the pain going from her left shoulder to her back, where her shoulder blade is and up her back; Joint pain in left wrist, elbow and shoulder; Tenderness where the shot was given in left arm.; This is a spontaneous report from a contactable consumer, the patient. A 42-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0169) via an unspecified route of administration in left arm on 16Apr2021 at 12:00, (at the age of 42-years old) as a single dose for COVID-19 immunisation. The patient's medical history and allergies were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included birth control medications (MANUFACTURER UNKNOWN) from an unknown date and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in left arm on 29Mar2021 at 12:00, (at the age of 42-years old) as a single dose for COVID-19 immunisation. On 16Apr2021, on the day of second shot, the patient had only tenderness where the shot was given in left arm. On 17Apr2021 at 13:00, the patient experienced joint pain in left wrist, elbow and shoulder, with throbbing pain if moved and the patient tried to lay down once pain started, but to get up for bathroom and to eat or drink something, the pain got intensified. The patient tried to hold her arm in a sling position to try not to use. On 18Apr2021, the patient woke up feeling pain in her collar bone area on left side, when she touched the tender area, it felt puffy or swollen, it was reported that patient's oldest looked and said that it was bloated compared to right and pain continued the whole day. On 19Apr2021, the patient woke up with the pain going from her left shoulder to her back, where her shoulder blade is and up her back. The patient also had mild headache. The patient also reported that her arm didn't feel as bad as the weekend, so she thought it was getting better. From 19Apr2021 to 21Apr2021, the pain in shoulder was subtle or light. On 22Apr2021, still the pain in shoulder, collar bone up to the skull which was painful. On 21Apr2021, the patient was not able to drive well or focus in last two days. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events, tenderness where the shot was given in left arm, joint pain in left wrist, elbow and shoulder, feeling pain in her collar bone area to skull, tender area felt puffy or swollen, throbbing pain/ pain going from left shoulder to up back where shoulder blade is, mild headache, cannot drive well or focus and pain in shoulder and collar bone up to skull was not recovered at the time of report.  No follow-up attempts are needed. No further information is expected.