Felt nauseous; Vomiting; Dry heaves; heart feels like it was racing; Right now she feels like her body was shaking, that was the only way she can describe how she was feeling; Feeling sick; Sick; Ill; This is a spontaneous report from a contactable nurse (patient herself) via a medical information team. A 75-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL9264, Expiration date: 31May2021), via an unspecified route of administration in left upper arm on 29Jan2021 at 09:45-10:00 AM as a single dose for COVID-19 immunisation. The patient's medical history included ongoing tuberculosis microbacterial infection, ongoing pseudomonas infection, ongoing migraine, episode of Afib (it was only in the 70's). Caller states she has tuberculosis microbacterial infection and pseudomonas infection for which she takes Ethambutol, rifampin, and Zithromax but has been on this for quite a while. Also, her right middle lobe has been removed. No treatments. Concomitant medication included zoledronic acid (RECLAST), intravenously from an unspecified date (about 2 weeks ago) for osteopenia. The caller explains she recently got Reclast, which was for her bones, but she was told it was fine to have this medication and the vaccine. It was an IV medication for osteopenia, and she got it about 2 weeks ago. The patient previously took influenza vaccine (FLU) for immunisation and experienced arm to blow up/ swelling like a baseball/ blew up again like a golf ball, bad allergic reaction, arm starts to itch. Family history included migraine, asthma, allergies, both parents and her brothers all died by 52. Migraine and asthma run in her family and she herself has migraines; her kids have allergies. The patient did not receive prior vaccinations (within 4 weeks). The patient did not administer additional vaccines on same date of the Pfizer suspect. It was unknown if she has ever gotten a Pfizer vaccine. She gets the flu shot but normally gets half doses; One half one week and then the other half the next week. It causes her arm to blow up, which she describes as swelling like a baseball at first then it blew up again like a golf ball; she had a bad allergic reaction. This was around 25 years ago, and she could tell right away it was going to happen because her arm starts to itch right away. This did not happen with this vaccine. She was told by her doctor she could get the full COVID vaccine as it was the fillers, she was allergic to and this vaccine was completely different. Her second dose was due on 21Feb2021. Caller reported feeling sick on an unspecified date in 2021 (mentioned vomiting) since she received the Pfizer shot last Friday. She heard from the nurse that the side effects for the second dose was worse and wanted to check if this was true, since she doesn't want to go through her experience again. Caller, reporting on the COVID vaccine and who thinks she had a bad reaction. Caller explains she got the vaccine on Friday and she has been sick on an unspecified date in 2021 ever since. She knows there are side effect, but she has been vomiting and having dry heaves on 31Jan2021 ever since getting the vaccine. It was explained that this started on Saturday when she got up, on Friday she felt ok. It was remarked that if she didn't know any better, she would think she was having an episode of Afib as her heart feels like it was racing on 31Jan2021 but was not, it was only in the 70's. She just went to the cardiologist also, so she knows her heart was ok. Right now, she feels like her body was shaking, that was the only way she can describe how she was feeling on an unspecified date in 2021. She did not throw up or have dry heaves yesterday just felt nauseous on 03Feb2021 kept food down. The caller explains that she was concerned about the second dose. She has heard that with the second dose that was when most people feel the most side effects. If it wasn't the vaccine it would mean she caught a bug or something. She really thinks this was related to the vaccine as she felt fine on Friday when she got the shot. Her husband and friend who had it are both fine. Relevant tests were none. Investigation assessment were none. The patient did not require a visit to emergency room and physician office for any adverse events. The patient weight might be 128 lbs. since she hasn't eaten. When asked a seriousness criteria the caller says she doesn't think she would have needed to go to the hospital though she doesn't know as she was not able to get out of the house due to the snowstorm. She explains she was not able to get out of bed, she was sick and ill on an unspecified date in 2021. The outcome of the events vomiting, dry heaves was recovered on 02Feb2021, not recovered for the events heart feels like it was racing, felt nauseous and unknown for the other events. A causal relationship between bnt162b2 and vomiting, dry heaves, heart feels like it was racing, nausea was assessed as being related by the nurse.