Only after the booster (3rd shot)-swollen and very painful lymph node under left arm-hurt to move the arm much for 3 days; Only after the booster (3rd shot)-swollen and very painful lymph node under left arm-hurt to move the arm much for 3 days; Only after the booster (3rd shot)-swollen and very painful lymph node under left arm-hurt to move the arm much for 3 days; Tired; Sore muscles in general; Received third dose; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 54 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 22Nov2021 14:15 (Lot number: PJ1620) at the age of 54 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Lyme disease" (unspecified if ongoing), notes: history of lyme disease; "Babesiosis" (unspecified if ongoing), notes: History of babesiosis; "Hashimoto's" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for autoimmune thyroiditis, start date: 1995 (ongoing). Vaccination history included: Bnt162b2 (DOSE 2, SINGLE, Lot Number: EP6955, Anatomical location: Right arm, Administration Time: 10:30), administration date: 31Mar2021, when the patient was 53 years old, for COVID-19 immunisation, reaction(s): "sore muscles in general", "Tired"; Bnt162b2 (DOSE 1, SINGLE, Lot Number: EL3247, Anatomical location: Right arm, Administration Time: 11:00), administration date: 10Mar2021, when the patient was 53 years old, for COVID-19 immunisation, reaction(s): "sore muscles in general", "Tired". The following information was reported: IMMUNISATION (non-serious) with onset 22Nov2021 14:15, outcome "unknown", described as "Received third dose"; LYMPH NODE PAIN (non-serious), LYMPHADENOPATHY (non-serious) all with onset 23Nov2021, outcome "recovered" (Nov2021) and all described as "Only after the booster (3rd shot)-swollen and very painful lymph node under left arm-hurt to move the arm much for 3 days"; PAIN (non-serious) with onset 23Nov2021, outcome "recovered" (26Nov2021), FATIGUE (non-serious) with onset 23Nov2021, outcome "recovered" (Nov2021) and all described as "Tired"; MYALGIA (non-serious) with onset 23Nov2021, outcome "recovered" (Nov2021), described as "Sore muscles in general". Therapeutic measures were not taken as a result of lymph node pain, pain, lymphadenopathy, fatigue, myalgia.  Additional Information: The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Verbatim reported "Only after the booster (3rd shot) - swollen and very painful lymph node under left arm - hurt to move the arm much for 3 days. Tired and sore muscles in general - these were also experienced after the 1st and 2nd doses in March but not as severe as after the booster in November". she had the booster on 22Nov2021 and first experienced the adverse event the next day, 23Nov2021. she did not report it until 29Nov2021. Booster dose was administered not due to high risk of frequent institutional or occupational exposure to coronavirus (and at risk of serious COVID-19 complications).  No follow-up attempts are possible. No further information is expected.