chills; Fever; Achy; had a hard time sleeping; did not feel well; headache; Arm was sore; This is a spontaneous report from a contactable nurse reported for herself. This 69-year-old female patient received the 2nd dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0171) via an unspecified route of administration in the left arm on 10May2021 at 16:00 for COVID-19 immunization. Medical history included chronic pain from multiple back and hip surgeries, 8 surgeries in 10 years, it seemed like it was every January; Covid in January. Concomitant medications included atorvastatin for cholesterol for about 2, maybe 3 years; ergocalciferol (VIT D) for osteoporosis for 5 years; gabapentin for a couple of months for nerve pain; medical marijuana since she had multiple failed fusions and 8 surgeries in 10 years, calcium. The patient had no other vaccinations within four weeks prior to the first administration date of the suspect vaccines. The patient previously received the 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: ER8731) via an unspecified route of administration (injection in the left arm) on 19Apr2021 for COVID-19 immunization, experiencing Arm was swollen and sore, felt achy, headache and fever. The patient previously received Trumemba meningococcal vaccine about 2017 and had seizures. The patient had an aneurysm on an artery to her spleen and had to have surgery. Since it was on her spleen it affect her immune response. She had to get a bunch of vaccines, that was one of them. The other was pneumococcal and other ones. She just had like under the weather feeling but not horrible from the meningococcal vaccine. After the second vaccine, the patient experienced arm was sore, headache, fever, chills, achy. Around 8 o'clock on 10May2021, her arm was getting sore and she was getting a headache. This was a quicker response than the first vaccine. She had a hard time sleeping. When she got up this morning, she knew she had a fever. She took it first thing and it was 100.4. She got up and had something to drink and then it took her about an hour and a half to get something to eat. Her temperature went up to 101 a couple of hours after that. She waited two hours and caved and took tylenol. The patient reported that that one dose helped her not to feel so chilled, achy and feverish. The patient stated that the CDC Website and the paperwork on the vaccine does not say if it was okay to take Tylenol afterwards. Event websites said to contact healthcare provider but she did that and she cannot get through. She ended up taking 600, 2 regular strength - the patient stopped the sentence and stated she actually took 650 mg of Tylenol and then her temperature came down to 99 and she felt better. The patient stated said she had to do this. She felt too sick. She hoped that it was okay. She called her local health department and they transferred her to the vaccine line. It was automated and she could not get a person to ask if she could take Tylenol. The patient added she still had a sore arm there, but at this point, knock on wood, it was not as bad as it was the first time. She tendedto sleep on her right side more. It was sore. It was not like horrible. It was not like she can't use it, because she can. The worse thing was that she was achy and under the weather with a low grade fever which she heard people get but none of her friends have. None of them had Covid. She waited over 3 months for the vaccine because her husband's doctor, a doctor she did not see, said do not get it too soon because people get more of a reaction if they got it too soon. He said wait three months, so they waited 3 and a half months. About chills and achy, the patient did not feel as cold right now so she knew the Tylenol helped. She was starting to get warm and was wearing a few sweaters. She expected something and she will be grateful if this was as bad as it got. She did not take a lot of Tylenol because she did not like to take too much of anything so she tried not to take anything again until later if needed. The patient stated there was no question that the second set of symptoms were caused by the vaccine. The patient added that the second set of symptoms were also not life threatening and confirmed as not serious. The patient confirmed as left arm was sore, the arm where she received injection. She guessed everything she had experienced was actually medically significant because of the fact that Pfizer wanted people to report things like this. The patient stated she had her vaccine card but was not sure why she might need it, going forward it might be important to have for various things. The patient received a chest x-ray at the end of February, and she just saw pulmonologist and had to go back for a pulmonary function test. The patient confirmed this was from before the vaccine and to follow up after she had had Covid, it was a formality. It was not from the vaccine, it was from the virus. The event did not required a visit to Physician office or Emergency Room after the vaccines. The patient was nervous to get bnt162b2, but was happy to make it through the first one. Now, she was on day 2 of the second one and as long as she can take Tylenol to help with the symptoms she will be okay she things. She did not think she was getting worse. These kinds of things come in waves. The patient added that she would not have been able to talk to call handler three hours ago because of the fever and achy and dizzy and everything. Outcome of the events was unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021533417 same patient/drug, different dose/event