shaking; fever; whole body aches; muscle ache; fatigue; achey arm/progressed to aching so much; can't lift the arm; headache; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202191532358410-jifbg. other case identifier(s): gb-mhra-adr 26625824. a patient (no qualifiers provided) received bnt162b2 (comirnaty), administration date 18feb2022 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 20mar2020 (unspecified if ongoing), notes: unsure when symptoms stopped. the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 01, manufacturer unknown), for covid-19 immunisation. the following information was reported: tremor (medically significant), outcome "not recovered", described as "shaking"; pyrexia (medically significant) with onset 19feb2022, outcome "not recovered", described as "fever"; headache (medically significant) with onset 18feb2022, outcome "not recovered", described as "headache"; myalgia (medically significant) with onset 19feb2022, outcome "not recovered", described as "muscle ache"; fatigue (medically significant) with onset 19feb2022, outcome "not recovered", described as "fatigue"; pain in extremity (medically significant) with onset 18feb2022, outcome "not recovered", described as "achey arm/progressed to aching so much"; hypokinesia (medically significant) with onset 18feb2022, outcome "not recovered", described as "can't lift the arm"; pain (medically significant) with onset 19feb2022, outcome "not recovered", described as "whole body aches". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative, notes: no - negative covid-19 test. reported achey arm on day of second dose and headache which progressed to aching so much the patient could not lift the arm. stated that 24 hours after the dose, the patient had a fever, shaking, headache, whole body aches and muscles pains. patient has not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. the report does not relate to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected