had really hard time breathing; that went for 3 days; I was able to walk outside and it took me like 15 minute to walk back; when I got the vaccine within minute so I felt pain in my hand and it kind of swelled up and then the arm in which I got the injection; base of my neck like it was like crackling back of my neck up to my skull and then I got dizzy; I sit down and my heart started palpitating really fast, it start beating really fast; I started getting really cold; I had the severe reaction; when I got the vaccine within minute so I felt pain in my hand and it kind of swelled up and then the arm in which I got the injection; base of my neck like it was like crackling back of my neck up to my skull; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202200167108.  A 63 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 13Jan2022 (Lot number: FD7218) at the age of 63 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Name of Drug as Reported: Latex; Reaction: Allergy" (unspecified if ongoing). There were no concomitant medications. Past drug history included: Codeine, reaction(s): "Name of Drug as Reported: codeine; Reaction: Allergy"; Vitamin c ester lotion, reaction(s): "Name of Drug as Reported: vitamin c ester lotion; Reaction: Allergy". The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 13Jan2022 17:00, outcome "recovered with sequelae", PERIPHERAL SWELLING (non-serious) with onset 13Jan2022, outcome "unknown" and all described as "when I got the vaccine within minute so I felt pain in my hand and it kind of swelled up and then the arm in which I got the injection"; DIZZINESS (non-serious) with onset 13Jan2022 17:00, outcome "recovered with sequelae", described as "base of my neck like it was like crackling back of my neck up to my skull and then I got dizzy"; PALPITATIONS (non-serious) with onset 13Jan2022, outcome "unknown", described as "I sit down and my heart started palpitating really fast, it start beating really fast"; FEELING COLD (non-serious) with onset 13Jan2022, outcome "unknown", described as "I started getting really cold"; VACCINATION COMPLICATION (non-serious) with onset 13Jan2022, outcome "unknown", described as "I had the severe reaction"; DYSPNOEA (non-serious) with onset 14Jan2022, outcome "recovered" (17Jan2022), described as "had really hard time breathing; that went for 3 days"; GAIT DISTURBANCE (non-serious) with onset 14Jan2022, outcome "recovered" (14Jan2022), described as "I was able to walk outside and it took me like 15 minute to walk back"; NECK PAIN (non-serious) with onset 13Jan2022, outcome "unknown", described as "base of my neck like it was like crackling back of my neck up to my skull". Therapeutic measures were not taken as a result of pain in extremity, peripheral swelling, dizziness, palpitations, feeling cold, vaccination complication, dyspnoea, gait disturbance, neck pain.  Additional information: On the date when she got the vaccine within minute, so felt pain in her hand and it kind of swelled up and then the arm in which she got the injection. She got the vaccine on 13Jan2022. She felt like this it was like back it was base of her neck like it was like crackling back of her neck up to her skull and then she got dizzy. So, she waited but she went into my car because going home I didn't think I am going to have a problem. I went after work grab my dog and she was sitting in my car, so I went inside my car I felt like little bit dizzy, but I had to get home. I didn't realize that having symptoms that I should mentioned it because people were saying that they side effects. So, I went home, and I started getting really cold so, it turned the heater and then my boss called me and then asked me how I was felling, and I told them I am very dizzy he said oh my gosh you not even sound right, and I need to sit down. So, I sit down, and my heart started palpitating really fast, it starts beating really fast. I sat for a while and then got up and went to bed. The next morning, I woke up and had really hard time breathing. It was cold because we are in withheld. I was able to walk outside, and it took me like 15 minute to walk back and forth to finally be able to take the breath and that went for 3 days. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There is no list of any other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, patient had not been tested for COVID-19.  No follow-up attempts are possible. No further information is expected.