Swollen lymph nodes in both sides of her neck and both armpits; Rash on her neck; Lymph nodes are aching more; Irregular heart rhythm; irregular heart beat; weird racing feeling in her heart; Fluttering; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: PF2588 or PF2558), via an unspecified route of administration in left arm, on 05Sep2021 at 10:30 AM (at the age of 55 years), as dose 1, single, for COVID-19 immunization. The patient had no medical history and concomitant medications. The patient's first dose of the vaccine was on 05Sep2021 and the pharmacist was not willing to give her the second until she calls Pfizer. Around 14Sep2021 (about 2 weeks before the reporting), the patient got swollen lymph nodes in both sides of her neck and both armpits, a rash on her neck, and an irregular heart rhythm (Sep2021; 1-2 days after vaccination). The patient went in and her lymph nodes on both sides of her neck and both armpits are swollen, and her primary checked that. The patient has a rash on her neck and an irregular heart rhythm and had to wear a heart monitor for 24 hours (Sep2021) but does not have results yet. Symptoms started around 14Sep2021 and over the last week and a half, her lymph nodes are aching more (Sep2021) and as they got more sore the rash appeared on her neck. The patient clarified that the irregular heart beat started almost instantaneously after about 1-2 days (Sep2021) and her boss was strong holding her and harassing her to get it (second dose). It was like a weird racing feeling in her heart and she now notices fluttering and irregular beats at least once a day (Sep2021). The symptoms are staying the same, but the lymph nodes are aching more. The patient was being referred to cardiology and pulmonology and is scheduled for an ultrasound of her neck and armpits and a chest X-ray. The patient had her first one and for the last 2 weeks, she has seen her primary too and was told it's too new and she can't speak to this and can't advise her. The patient went to get her second injection and asked about the Pfizer vaccine, but the pharmacist won't give it until she calls the company about the side effects she is having. The patient's doctor doesn't know what to tell her and the pharmacist won't give it to her until she calls the company, and that she was told she only has a 42-day window for her second dose, but she won't have her test results before then. The patient was instructed to call the company by her pharmacy and hopefully, the company can give direction. The pharmacist refused to give the patient her second dose and her primary care won't answer, and she doesn't want to exacerbate the symptoms. The patient was informed she has a 42-day window to get the second dose and her company is mandating that she get it. The ultrasound of her lymph nodes and the chest X-ray are scheduled for 12Oct2021 and that is getting close to the 42 days and she will have to get results and follow up and let her work know. The events resulted in physician office visit. The patient also underwent electrocardiogram (EKG) that was normal on 28Sep2021. The patient had not recovered from the events.  The lot number for the vaccine, BNT162B2, was not clarified and will be requested during follow up.