felt like she had a lump in her throat; on Tuesday (09Mar2021) and Wednesday (10Mar2021) she was so tired; Heart racing; Tingling tongue; her tongue felt like it had been scorched, like after eating really hot food; the back of her throat felt funny; This is a spontaneous report from a contactable consumer. A 64-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown) via an unspecified route of administration, administered in Arm Right on 08Mar2021 (at 64-years) at 09:00 as single dose for covid-19 immunisation. The patient medical history included musculoskeletal pain from 2019 and ongoing, rheumatoid arthritis from 2019 and ongoing, systemic lupus erythematosus from 2019 and ongoing. Stated she was diagnosed with Rheumatoid Arthritis at the same time as Systemic Lupus & the Musculoskeletal Pain Issue (either Apr2019 or May2019). She said she woke up 1 morning & couldn't bend her fingers. She said she was in so much pain, she went to the Emergency Room. She said she was put on a high dose of steroids. She said she was taking Motrin 800mg for so long that her doctor told her the Motrin could mess her kidneys up, and she needed to stop the Motrin. The patient's concomitant medications were not reported. Patient had her first COVID-19 Vaccine injection on Monday, 08Mar2021. Patient said she sat in a little room for 15 minutes after receiving the COVID-19 Vaccine, and then left and went out to her car. Patient said her husband started driving, and it was probably 20 minutes after she had received her COVID-19 vaccine that she noticed her heart was racing, and her tongue tingled. Patient said she got scared when her tongue felt funny, clarified her tongue felt like it had been scorched, like after eating really hot food. Patient said the back of her throat felt funny, too, and she was afraid her throat was going to close up. Patient said she thought she was having a severe reaction to the COVID-19 Vaccine. Patient said her husband pulled the car over, and she got out of the car and started pacing back and forth, trying to calm herself down. Her husband told her to take some deep breaths. Patient said when she was able to take deep breaths, she realized her throat wasn't closing up on her. Patient said on was day 4, and she felt like she had a lump in her throat. Her throat felt like it had something in there. Patient keeps swallowing and drinking, and the lump feeling was still in her throat. Patient said on Tuesday (09Mar2021) and Wednesday (10Mar2021) she was so tired. Reported all her doctors told her to get the COVID-19 Vaccine. She said her one doctor told her to stop taking the Methotrexate for a week, which is a chemotherapy, for a week, but to stay on her Prednisone and Hydroxychloroquine, so she stopped taking the Methotrexate on Sunday, 07Mar2021. She said she will restart her Methotrexate this Sunday, 14Mar2021. She clarified she takes 8 Methotrexate 2.5mg tablets every Sunday. She said the Methotrexate 2.5mg tablets are dispensed in a pharmacy bottle, and did not have the NDC, Lot, and Expiration Date listed. She said she started taking the Methotrexate about a year to a year and a half ago, clarifying she knew she had taken the Methotrexate for all of 2020. The outcome of heart racing, her throat felt funny was unknown, tingling tongue, her tongue felt like it had been scorched, like after eating really hot food was recovering, felt like she had a lump in her throat was not recovered and fatigue was recovered.   No follow up attempts are possible. No further information is expected.