an immediate pain when and where it was administered; had a slight shoulder pain, lower  down but closer to the injection site and just below; tired; slight itching that just started around the injection site and slightly above; swollen; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 58 year-old female patient received bnt162b2 (BNT162B2, Solution for injection), administration date 24Aug2021 09:30 (Lot number: EW0191) at the age of 58 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Reactivated Epstein Barr", start date: 2017 (ongoing); "Chemical sensitivity" (ongoing); "Migraine" (ongoing); "very low b12" (ongoing); "NTHFR", start date: 2012 (ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (First Dose, Time of vaccination: around 9am,, Anatomical location: Upper left shoulder), administration date: 26Jul2021, for Covid-19 Immunization, reaction(s): "spasm in left side of neck and jaw area", "Breathing issues", "pre-migraine", "cognitive issues", "slow speech", "hypoglycemic", "head was itching", "tired", "numb", "hurting really bad", "shoulder got red and swollen", "shoulder got red and swollen", "sore throat", "swollen lymph nodes". The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 24Aug2021, outcome "recovered" (2021), described as "an immediate pain when and where it was administered"; ARTHRALGIA (non-serious) with onset 2021, outcome "recovered" (2021), described as "had a slight shoulder pain, lower  down but closer to the injection site and just below"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "tired"; PRURITUS (non-serious) with onset 2021, outcome "unknown", described as "slight itching that just started around the injection site and slightly above"; SWELLING (non-serious) with onset 2021, outcome "unknown", described as "swollen". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of swelling.   Additional information vaccine and who wanted to report side effects. She got the first shot in 26Jul2021 and had lots of side effects after the first dose. The second dose was just 2 days ago, on 24Aug2021, and she reports minimal side effects after the second dose.  Primary Healthcare: no email First was on 26Jul2021 at around 9am, in the upper left shoulder. The second dose was given on 24Aug2021 at around 9:30am, given in the right upper arm, Lot: EW0191 After the first dose and with in the first 5-10 minutes of receiving the first shot: she had spasm in left side of neck and jaw area, this lasted several days and it has resolved. Breathing issues that lasted 15-20 minutes and resolved. Slight headache, what she describes as a pre-migraine on the left side. She has a history of migraines. It then moved, the pain, to the middle suture and to the right side of the head all the way to the right jaw resulting in what she calls a classic migraine. This lasted about an hour and a half. She started having cognitive issues which was like a disconnect for her to get out what she is trying to get say, described as slow speech. Caller remarks she is hypoglycemic and has had before. This lasted about 5 minutes, she did better when drank something. She waited for 15 minutes the moved to waiting in the hall. At this time gradually her head was itching, this lasted about 10-15 minutes. She was at the facility she got the shot at for about an hour and a half just to make sure she was ok. In the evening she was tired, this lasted for a few days. It was explained during this time she also had surges of energy, with euphoric and high feeling and then she would get really tired. This lasted a couple days and went back and forth. Within 1 hour of getting the shot she started getting major left elbow pain and her left palm got numb including her little finger and ring finger on her left hand. This last 2-3 days. Her shoulder starting hurting really bad, left top side of her shoulder, not where the injection site was though. The next day her shoulder hurt more and that evening it started getting red. At the 2.5 day mark it started itching internally and the whole upper shoulder got red and swollen. She used ice and took a Tylenol. She would say at 2 days after getting the shot this got worse and was itching but she tried not to scratch. She called urgent care and on the 29th she went to the walking to make sure it was ok, confirmed she had the Covid arm issue, a mild case. even now she will get a twinge of itchiness but went away from the top but moved to the injection site.This lasted until at least 12Aug2021, so for 2.5 weeks or maybe 3 weeks. She remarks she also had swollen lymph nodes for brief time, this lasted 1.5 to 2 days. She had a sore throat at the same as swollen lymph nodes. Within the first 10 minutes, she had an immediate pain on the right side of the breast bone straight through to the scapula. This lasted awhile; it lasted about week. After the second dose she experienced: an immediate pain when and where it was administered, she remarks maybe it was how it was administered. She had a slight shoulder pain, lower down but closer to the injection site and just below. It is located closer to where it was given. It is better where it spread, it spread out from the injection site but that is better. She says she feels like they might have poked her twice but isn't sure as there is pain in 2 major areas side by side at the injection site. She is a little tired at this point. She noticed some slight itching that just started around the injection site and slightly above. It is the same since starting. It is also slightly swollen but she has been itching 2 times a day. When she first got it, she had a slight lightheadedness and dizziness, more dizzy than anything for 15 minutes. When she got the shot she had the scapula pain on the back of the right side and pain below the rib cage on the right side near the liver area. It is getting better but still ongoing. She had a slight headache, like a tension head and it was different, it was located in the back of head and neck. This is a little better and kind of gone at this point. She also had a spasm in back of neck, still slight spasm but it is better. So far this is way easier than the second dose. It was explained that on 12Aug2021 she discussed it with her doctor, her experience after the first shot and was told to wait an extra week to get the second dose. Maybe that is why she is feeling slightly ok this time around, she waited 4 weeks instead of 3 weeks. no additional treatments related to the events.  Follow-up attempts are completed. No further information is expected.