pain under arm and armpit, almost like gland or lymph node; pain under arm and armpit, almost like gland or lymph node; headache; fever; fatigue; has pain where vaccine given in arm; nausea/it was like a queasy feeling; still not feeling like great; sweating; it was hard around the area where the vaccine was given too; This is a spontaneous report from a contactable Consumer or other non-HCP ((patient). A 49-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number: ER8736 and Lot Expire Date: Unknown), dose 1 via an unspecified route of administration, administered in Arm Right on 26Apr2021 at 17:00 (at the age of 49-year-old), as DOSE 1, SINGLE for covid-19 immunisation. There were no additional vaccines administered on Same Date of the Pfizer Suspect. The patient medical history was not reported. Patient Medical History (including any illness at time of vaccination) was none. The patient had no family Medical History Relevant to AE(s). The patient concomitant medications were not reported. No prior vaccinations (within 4 weeks). On 26Apr2021, after the vaccination, the patient experienced nausea/it was like a queasy feeling and pain where vaccine given in arm, on 27Apr2021, she experienced headache, fever and fatigue and on 28Apr2021, she experienced pain under arm and armpit, almost like gland or lymph node. On an unspecified date in Apr2021, the patient experienced sweating and not feeling like great. The clinical details of the events as follows: Patient is a 49-year-old female who received her first dose of the Pfizer BioNTech COVID-19 vaccine on Monday, 26Apr2021 and experienced the following symptoms after: headache, nausea, fever, fatigue, pain in the arm where the vaccine was given, pain under the arm and armpit almost like a gland or lymph node, and sweating. Patient would like to know if these side effects are normal. She was concerned about how long they would last. Patient stated that she has heard that these side effects typically occur with the second dose of the vaccine, so she is wondering if she gets her second dose, would her reaction be worse. Basically, has had a lot of side effects all week. She was wondering, it is now Friday and still not feeling like great. She was wondering if this is a normal reaction to the Pfizer Covid Vaccine. Headache: patient stated this began on 27Apr2021. The headache had gone away and now it seems to have kind of came back. Nausea: This began later on the evening patient received the vaccine on 26Apr2021. She stated it was like a queasy feeling and stated this was not ongoing, it went away on Wednesday, 28Apr2021. She stated she did have a little nausea on Tuesday 27Apr2021 also and stated the nausea was gone completely. Fever: This began on Tuesday afternoon 27Apr2021, she stated her last fever was on Wednesday night, 28Apr2021. She did not have fever anymore, it was gone. Fatigue: she stated she also has fatigue. The fatigue began Tuesday, 27Apr2021 and was persisting. Has pain where vaccine given in arm: This began a few hours after she received first dose Pfizer Covid Vaccine. This was ongoing and has improved. She stated it was hard around the area where the vaccine was given too on an unknown date in Apr2021. Pain under arm and armpit, almost like gland or lymph node: This began on Wednesday, 28Apr2021 and was ongoing slightly and stated it has improved. The AE(s) did not require a visit to Emergency room and physician office. Relevant tests were none. There was no Investigation Assessment provided. The patient outcome of the events fever and nausea/it was like a queasy feeling was Resolved on 28Apr2021. The events fatigue, pain where vaccine given in arm and pain under arm and armpit, almost like gland or lymph node was not resolved and the outcome of the other events headache, not feeling like great and sweating and hard around the area where the vaccine was given too was unknown at the time of this report.  No follow-up attempts are needed. No further information is expected.