burning feeling from waist to neck then spread quickly down both arms; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP and Physician). The reporter is the patient.  A 48 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm right, administration date 31Jul2021 10:00 (Batch/Lot number: unknown) at the age of 48 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Yes many- Allergy tested before dose 2" (unspecified if ongoing); "GERD" (ongoing); "Palpitations" (ongoing); "Anxiety" (ongoing), notes: Chronic; "contraceptive" (ongoing); "Allergies" (ongoing); "Vit D Def." (ongoing); "Thyroid" (ongoing); "Hypothyroidism" (unspecified if ongoing), notes: Chronic; "Allergic Rhinitis" (unspecified if ongoing), notes: Chronic; "Asthma" (unspecified if ongoing), notes: Chronic; "Migraines" (unspecified if ongoing), notes: Chronic; "Menieres Dis." (unspecified if ongoing), notes: Chronic. Concomitant medication(s) included: SYNTHROID taken for thyroiditis (ongoing); RABEPRAZOLE taken for gastrooesophageal reflux disease (ongoing); SERTRALINE taken for anxiety (ongoing); ATENOLOL taken for palpitations (ongoing); MIRENA taken for contraception (ongoing); CETRIZINE taken for hypersensitivity (ongoing); FLUTICASONE taken for hypersensitivity (ongoing); VIT D [VITAMIN D NOS] taken for vitamin d deficiency (ongoing). The following information was reported: BURNING SENSATION (non-serious) with onset 31Jul2021, outcome "recovered" (31Jul2021), described as "burning feeling from waist to neck then spread quickly down both arms". Therapeutic measures were not taken as a result of burning sensation.  Clinical course:  Shot 1 burning feeling from waist to neck then spread quickly down both arms about 10 mins after shot lasted 6/7 mins. Shot 2 Flushed in face and arm 3/5 mins in and metallic taste in mouth almost right away that lasted 6 hours. Reaction/event in MedDRA terminology (LLT): Shot 1 burning feeling from waist to neck then spread quickly down both arms about 10 mins after shot lasted 6/7 mins. Shot 2 Flushed in face and arm 3/5 mins in and metallic taste in mouth almost right away that lasted 6 hours. Date of start of reaction/event: 8Oct2021 17:15. Hospitalization Prolonged: 0 (NO). Treatment Received: 0 (NO)  Additional information: Serious: 2 (NO) . Seriousness criteria-Results in death: 2 (NO). Seriousness criteria-Life threatening: 2 (NO). Seriousness criteria-Caused/prolonged hospitalization: 2 (NO). Seriousness criteria-Disabling/Incapacitating: 2 (NO). Seriousness criteria-Congenital anomaly/birth defect: 2 (NO) Facility where the most recent COVID-19 vaccine was administered: Public Health Clinic/Veterans Administration facility. Did the patient receive any other vaccines within 4 weeks prior to the COVID vaccine: No. List of any other medications the patient received within 2 weeks of vaccination: Synthroid, Rabeprazole, Sertraline, Atenolol (48h no. Reported Event: Shot 1 burning feeling from waist to neck then spread quickly down both arms about 10 mins after shot lasted 6/7 mins. Shot 2 Flushed in face and arm 3/5 mins in and metallic taste in mouth almost right away that lasted 6 hours. Prior to vaccination, was the patient diagnosed with COVID-19?:No. Since the vaccination, has the patient been tested for COVID-19?:No. Did the patient provide information to you regarding the reported adverse event(s) with the use of the product? Yes. If yes above, do you consider the Pfizer product had a casual effect to the adverse event? Yes. Did the patient provide information to you regarding the reported adverse event(s) with the use of the product? Yes. If yes above, do you consider the Pfizer product had a casual effect to the adverse event? Yes  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.