I have had head pressure; weird symptoms/ been not feeling good; I feel off balance, like on a boat; I am going to fall forward, not dizzy  like vertigo; I can't work at all since the 2nd dose; This is a spontaneous report from a contactable consumer (patient). A 38-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0169, Expiration Date: unknown) via an unspecified route of administration, administered in arm left on 30Apr2021 as 2nd dose, single dose for COVID-19 immunization. Patient had not receive other vaccines on the same day as the suspect product. The patient medical history included itchy red spots on her legs and body (the red areas are gone, but I still itch a little bit), and bad anxiety (Prednisone gave her bad anxiety). Concomitant medication(s) included ethinylestradiol, norgestimate (SPRINTEC) taken for birth control from about two years ago, ongoing and prednisone taken for itchy red spots on her legs and body (took 40mg of Prednisone for three days, then 30mg for three days and then did one day on 20mg and then she stopped taking it because it gave her bad anxiety). The patient previously received the first dose of bnt162b2 (Lot number: ER8732, Expiry: unknown) on 09Apr2021 for COVID-19 immunization and experienced some mild "off imbalance feelings" and "some itching with small red areas". After the first dose of the product, she got all these itchy red spots on her legs and body, and she went to a dermatologist for that and got Prednisone and was on that for about 7 days during when she got her second dose of the product. On an unspecified date in Apr2021, after the second vaccine dose, the patient experienced "I have had head pressure", weird symptoms, "I feel off balance, like on a boat", "I am going to fall forward, not dizzy like vertigo" and "I can't work at all since the 2nd dose". The patient asked whether this were the normal side effect. The patient stated that she had seen reports of imbalance online and discussions between patients who were experiencing these symptoms. She went to emergency department and underwent lab tests and procedures which included ear, nose and throat examination: normal, electrocardiogram: normal and electronystagmogram: normal on an unspecified date. She was scheduled for a Brain MRI on 28May2021. The patient did not know whether what she was going through was related to the vaccine or not, but ever since she got her vaccine, she has been not feeling good, like she has not been able to work. The patient further reported that after her second dose, about five days later she felt off balance and has had a lot of issues. Her events were ongoing and persisting, like there was a point where, when they first started, she went to the emergency room, and she didn't felt like that anymore, but it was definitely still ongoing. The events led the patient to visit emergency room and physician office (had been to her primary and specialists as well) but was not hospitalized. The outcome of the events feeling abnormal and loss of balance was not recovered, and was unknown for the rest of the events.  Follow-up attempts are needed. further information is expected.