shivering/chills; sick; She felt her body and immune system must not be OK to get the second vaccine; Shivering, achy and chills; Tickles and wheezing; thirsty; felt like she did when she had full Covid; no appetite; weak/no energy; lost control of her bladder; She felt kind of weak tingling feeling in her body.; Severe headache; worst cough from COPD; feeling unwell/feeling ill/Feeling really bad; fever between 100F to 102F/ fever; This is a spontaneous report from a contactable consumer. A 64-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left at age of 64-years-old on 02Jul2021 15:00 (Lot Number: EWO198; Expiration Date: Sep2021) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included COVID from Dec2020, obstructive pulmonary disease (COPD) from 1999 and ongoing, ongoing depression, ongoing insomnia 1999 or 2000, Breakdown, traumatic stress and abuse. Concomitant medications included sertraline hydrochloride (ZOLOFT) taken as antidepressant from 2000 and ongoing; fluticasone propionate, salmeterol xinafoate (ADVAIR) taken for chronic obstructive pulmonary disease from 2011 and ongoing; zolpidem tartrate (ZOPIDEM) taken for sleep from an unspecified start date and ongoing.  The patient experienced feeling unwell/feeling ill/feeling really bad on 02Jul2021, fever on 02Jul2021, fever between 100f to 102f on 03Jul2021, shivering/chills on an unspecified date, worst cough from copd on 03Jul2021, no appetite on an unspecified date, weak/no energy on 03Jul2021, sick on an unspecified date, she felt her body and immune system must not be ok to get the second vaccine on an unspecified date, lost control of her bladder on 03Jul2021, she felt kind of weak tingling feeling in her body on 03Jul2021, severe headache on 03Jul2021, shivering, achy and chills on an unspecified date, tickles and wheezing on an unspecified date.  Clinical course reported as: She had the first dose on 02Jul2021. She started feeling unwell in the evening and in the morning had fever between 100F to 102F. She took Ibuprofen and Tylenol but it did not bring it down and kept going up, but the fever is gone now. She also reported shivering, worst cough from COPD, feeling ill, no appetite, and was weak. She felt like she did when she had full Covid. She was shivering. Her coughing worsened. She was feeling really ill. She tested out and tested out for the fever. She kept testing her temperature. She had the fever Friday (02Jul2021), Saturday and Sunday. It finally broke on Sunday. She was still feeling really bad, weak and sick, on Sunday evening. She had no appetite. she still felt very weak and not feeling well from it. She called her doctor and reported it. She contacted Walgreen's where she got the shot, and they told her to go to the ER if her temperature was rising. She put it off and put it off. She thought it would come down. She stayed at home and tested out. She felt like it threw her into the full Covid symptoms that she had. She felt just weak. She was concerned that she was supposed to have the second shot in 3 weeks. She felt her body and immune system must not be OK to get the second vaccine. She said when she had Covid, it aged her more than she was. With this vaccine, she felt absolutely aged even more. That was how bad it was for her. She had COPD. She was coughing and coughing and coughing. It was just like when she had Covid. She stated that she felt achy. She went to bed. She woke up with chills and fever. She was not feeling well at all. She was weak. She was coughing. It threw her into coughing and coughing. She mentioned when she had Covid, she started losing her bladder. It triggered her. Suddenly she lost her bladder. She was coughing so hard. She lost control of her bladder. She could not control it at all. She guessed she would have to go to the urologist. She said this threw her into her chest and coughing. She did not know if it had something to do with her COPD. She stated her fever started 02Jul2021. Her fever at 06:00 was really bad. It was 100. It kept going up to 101. It reached 102 and stayed at 102. The coughing on 03Jul2021 in the morning was really severe. She had chills and aching. She had severe headache on 03Jul2021. She stated that her fever resolved 04Jul2021. She had no fever right now. She felt it helped with the Ibuprofen and Tylenol rotating. It brought her fever down. She had no fever Sunday. She had a headache yesterday. She felt kind of weak tingling feeling in her body. It was hard to describe. It was like when she had Covid. The tingling started 03Jul2021 and stopped 05Jul2021. She had no energy 03Jul2021. That went on Saturday and Sunday. Now she just started feeling a little more energy. She was not 100 percent. It was coming back slowly. She was improving. She was supposed to test for Covid before getting the vaccine. She was not sure how true that was. She did not think she had Covid when she had the vaccine. Her cough was persisting about the same. It came and went. She got it in the chest. She had to cough, cough, cough. It kind of soothed. She drank a whole bottle of Robitussin. Her doctor told her to get Delsym cough medicine. She had been on Tessalon Pearls. She would think it would have helped this. It was just like tickles. She was wheezing. Tessalon Pearls was not helping. When she had Covid, it seemed like it had helped. She did 2 rounds. She was on Advair for COPD. It was an inhaler. Treatment of Events: Tessalon Pears, Ibuprofen, Tylenol, Robitussin. She lost her bladder  03Jul2021. It has let up some. She had been bringing up so many liquids. She was thirsty. She was getting more fluids in. She was trying to get fever down. When she had Covid, she had weak bladder. She was coughing and coughing. It seemed like it has affected her bladder. It was still going on but better. She was not drinking as many fluids as she was the other day. Outcome of fever was recovered on 04Jul2021,  outcome of worst cough from COPD was not recovered, outcome of weak/no energy, losing her bladder was recovering, outcome of She felt kind of weak tingling feeling in her body was recovered on 05Jul2021, others was unknown.