she had a little insomnia; back pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 64 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 29Apr2021 (Batch/Lot number: unknown) at the age of 64 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Neuromyelitis Optica" (unspecified if ongoing), notes: it causes torso pain, burning in feet, and pain in the joints; "Neuropathic Pain" (unspecified if ongoing); "Migraines" (unspecified if ongoing); "Lupus" (unspecified if ongoing); "torso pain" (unspecified if ongoing); "burning in feet" (unspecified if ongoing); "pain in the joints (joint pain in her fingers, joints, and hips)" (unspecified if ongoing); "infusion" (unspecified if ongoing), notes: She had an infusion of Ratuximad in January ; "severe pancreatitis" (unspecified if ongoing), notes: She had severe pancreatitis; "blood infection" (unspecified if ongoing), notes: She had severe pancreatitis, a blood infection. Concomitant medication(s) included: PREGABALIN taken for neuralgia, start date: Feb2021; OXYCODONE taken for neuralgia; SUMATRIPTAN taken for migraine. Past drug history included: Gabapentin, notes: previously she was on Gabapentin. The following information was reported: INSOMNIA (non-serious) with onset 29Apr2021, outcome "unknown", described as "she had a little insomnia"; BACK PAIN (non-serious) with onset 29Apr2021, outcome "unknown", described as "back pain".  Additional information: Patient reported that, she had her first Pfizer COVID vaccine yesterday, She had an infusion of Ratuximad in January and she had to wait 90 days after that before she could take the vaccine. Last night she had a little insomnia and back pain but today she woke up today and the pain in her body has went away. She has Neuromyelitis Optica and it causes torso pain, burning in feet, and pain in the joints. She has had joint pain in her fingers, joints, and hips for 3-4 days and when she woke up at 6am today she had no pain. When she got up today she took her pregabalin and that's it. She hasn't taken any pain medications that she normally takes every 4 hours, she didn't have to take her Hydrocodone or anything. She has zero pain and her joints don't hurt not one bit. It's 1pm and people say well that's only half a day but for me it's a miracle. She told her daughter and she knows, even one hour was a miracle. She reports around Jan2019 something happened, 2 weeks before everything closed down with COVID. she doesn't know if she had some type of variant but she never wants to be that sick again. She had severe pancreatitis, a blood infection, and was in intensive care for a week. They were just trying to keep me alive. She reports in 3 weeks she came out and had another flare up. Her friend who is 90 years old had something like this in November of 2020 with GI symptoms, pain in the belly, vomiting and she tested positive for COVID. Caller then states that her friend was sick like she was. Then the caller clarifies she was sick earlier, in Jan2020. Patient started pregabalin about 2 months ago; previously she was on Gabapentin. No additional information provide regarding the Gabapentin. It was noted she has Lupus; the Lupus acts as a coagulant. Patient did not receive any other vaccines within 4 weeks prior to covid vaccine. Concomitant medication pregabalin 100 mg, 3x/day and oxycodone 5 mg (every 4 hrs) both taken orally for neuropathic pain, sumatriptan 0.5 mg intramuscularly for migraine, astrexa on tuesday and thursday she takes a 0.7mg subcutaneous injection for lupus. No additional vaccines administered on same date of the Pfizer Suspect. AE not resulted in emergency room and physician office.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.