She states no reactions after the COVID-19 vaccine 1st dose aside from a sore arm which she expects to be normal.; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 67 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 16Mar2021 (Lot number: EN6199, Expiration Date: Jun2021) at the age of 66 years as dose 1, single for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: OLMESARTAN taken for blood pressure abnormal; KLOR-CON taken for muscle spasms. The following information was reported: PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "She states no reactions after the COVID-19 vaccine 1st dose aside from a sore arm which she expects to be normal."  Additional Context: Caller is calling on the Pfizer COVID-19 vaccine booster. Caller states she received the COVID-19 vaccine booster last Thursday after work. She reports on Friday, she had slight fever and chills, then Saturday she was good and Sunday she was good. Caller reports Monday morning her lips were tingling and her lips peeled like chapped lips. Caller states her lips just felt weird as she can't describe it. She states she also has a dry red patch of skin on the corner of her mouth. She states near her cheek, chin area. Caller states she thought it would go away. She reports putting Cortisone and Chapstick on her lips. She reports her lips still kept tingling all week and she decided to go to the doctor. Caller states that her doctor said her reactions were an adverse reaction to the COVID-19 Vaccine booster most likely. Her doctor gave her a prescription for the tingling. Primary HCP details: Caller states she saw the Nurse Practitioner today not the doctor because she got in on a whim. Caller states she saw the practitioner but she was sure her primary doctor would have the file. The Nurse Practitioner was the one who advised the caller to call Pfizer. Email unknown. Caller states she should have called after her 2nd dose of the COVID-19 vaccine because she had a reaction. Caller reports having severe anxiety and just weird shaking that started on the inside out. Caller states she was shaking uncontrollably even in her voice. Caller clarifies the shaking was non controllable for 7 days. Caller states her doctor put her on anti-anxiety medication and the shaking just stopped just as quick as it started. Caller clarifies the shaking stopped after 7 days of non function. Caller states she received the COVID-19 Vaccine booster 17Mar2022. Event Details: Lips are tingling: Caller confirms her lips are no longer peeling but still tingle. Caller reports the tingling as a weird tingling feeling that is hard to explain and her lips also itch which started the same time as the tingling. Lips started to peel: Outcome of Event: recovered completely. Dry Red Patch of skin: Caller confirms the dry, red patch of skin is from the corner of her mouth. She clarifies the patch is a big circle  from her cheek to her chin and is very noticeable. Caller states her husband came home and asked what she did to herself. Caller confirms only treatment for these symptoms are Cortisone, Chapstick and the prescription her doctor provided to her. Caller states the card states RTU where the other vaccinations have the date listed. Caller states the lot number was really hard to read the handwriting is bad but she got a magnifying glass out and the writing is crystal clear. Caller confirms the handwriting is bad and she doesn't normally have problems reading. Medical Conditions: Caller states she is healthy just a little overweight. Caller provides prescription provided today as Acyclovir 400mg. Caller states she has already taken one dose. Caller states she was giving the symptoms time to go away and she got scared because the weekend is coming up. No prior Vaccinations (within 4 weeks). Caller states she gets the Flu shot every year with no reactions. She states no reactions after the COVID-19 vaccine 1st dose aside from a sore arm which she expects to be normal.   Follow-Up (31Mar2022): Follow-up attempts are completed. No further information is expected.  No follow-up attempts are possible. No further information is expected. Sender's Comments: Linked Report(s) : US-PFIZER INC-202200482328 Same patient, product, different dose and event.