body aches; is sleepy and tired; is sleepy and tired; she went to the doctor because she knew she had a sinus infection; Positive COVID-19 Rapid test; Positive COVID-19 Rapid test; she had a hard time breathing; her allergies are acting up; This spontaneous report was received from a contactable Nurse (patient). A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 06Jan2021 (Batch/Lot Number: EL3249) as SINGLE DOSE, dose 1 via an unspecified route of administration, administered in Arm Left on 18Dec2020 (Batch/Lot Number: EK5730) as SINGLE DOSE for covid-19 immunization. Medical history included: Caller states that there has been nothing relevant recently. Chronic allergies and sinus issues, Allergy induced asthma, allergic to pollen. A Flutter in 2012, Caller also had PVCs and Bigeminy on EKG around this time and caller had a Cardiac Ablation for treatment. Caller stated that she had a history of A. Flutter, related to Pneumonia that she had back in 2012, because some of the medications for the Pneumonia threw her heart out of sync. Caller states that she did have a cardiac ablation because the A. Flutter was proximal. Caller states that it took a while for the doctor's to diagnose her because it would only occur every once in a while, and just for a few seconds. Caller states that on EKG she was having PVCs and Bigeminy, but it never really picked up the A. Flutter, but of course the caller could feel the PVCs. Caller states that she has had none of the cardiac issues since this issue occurred in 2012. The patient confirmed that she had no other vaccines on the same day as either dose of the COVID vaccine. The patient's concomitant medication included Unspecified Inhaler for allergy induced asthma. It was reported that, the patient received the COVID vaccine, the first dose on 18Dec2020 and she had the second dose on 06Jan2021, and recently, the caller started feeling some sinus allergies. She had chronic allergies. Caller stated that if her normal allergy medicines work, then she knew she was just having sinus allergies, but right now, caller stated her allergies are acting up. Caller reports that her symptoms started two to three days ago. Caller states that yesterday (25Feb2021), she had trouble breathing, but caller does have a history of allergy induced asthma. Caller states that she just had her windows replaced and she is allergic to pollen so she thought the dust being kicked up by her windows being replaced may have been the culprit of her symptoms, but she went to the doctor because she knew she had a sinus infection, and she also had some symptoms that are not typical of her sinus infections, including chills and body aches. Caller states that she told her doctor to test her for COVID, even though she has had both doses of the vaccine. Caller's COVID test came back positive. Caller states that she is a nurse herself, and she works in a hospital that is considered a COVID hospital. Caller does not work bedside but she does see some outpatient patients, as she is an anesthesia coordinator, and they do COVID testing on patients prior to their procedures. Caller reports that she had the COVID-19 Rapid test today, with the nasal swab. Caller states that it was a gut instinct on her part to ask for the test because she didn't think her symptoms felt real different from her normal chronic allergies and sinus issues, but she is sleepy and tired, she is having muscle aches and chills and a slight fever. Caller states that yesterday, she had a hard time breathing, and even though she does have allergy induced asthma, it seemed that even with inhalers, she was not able to breath normally. Caller states that the worst day of her symptoms was yesterday (26Feb2021), and today she feels a little bit better with her breathing. Caller states that if anything, the vaccine probably helped her with antibodies so that she is not having the COVID quite as severe as if it could be if she had not yet had the vaccine. She reported that about 2 to 3 days ago, caller started having symptoms and today, 26Feb2021, caller had a rapid COVID-19 test and she tested Positive for COVID-19. Outcome of the events she had a hard time breathing was recovering and all other event outcome was unknown.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on the information in the case report and a positive temporal relationship, a causal relationship between event COVID-19 and suspect drug BNT162B2 cannot be excluded.