after the Pfizer-BioNTech COVID-19 Vaccine she had these effects more, breathing heavier and even more short of breath; after the Pfizer-BioNTech COVID-19 Vaccine she had these effects more, breathing heavier and even more short of breath; could sleep all day; feels spacey/feels very spacey; heart rate was faster; legs are weak/weak legs/Lethargic; feels just so tired; after the Pfizer-BioNTech COVID-19 Vaccine she had these effects more, breathing heavier and even more short of breath; strong nasal congestion; increased body temperature of 98.7 degrees Fahrenheit/body temperature has been in the high 98 degrees Fahrenheit range; arm began to hurt and was sore for 2.5 days but did not turn red at all; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6205; Expiration Date: Jun2021), via unspecified route of administration on 05Mar2021 (at the age of 65-year-old), as dose a in left arm, single for COVID-19 immunization. The patient's medical history included Sensitive to medications: ongoing, top of her foot swollen. Addition information for sensitive to medications included: Additional Information for Other Conditions: in general, she found she is very sensitive to medications; a lot of medications never worked for her because she finds she has to take medications at very low dosages because higher dosages she has terrible reactions with. She is getting ready with the new concierge doctor who agreed to find a pharmacogenomics lab to find which medications are or aren't good for her genetically. Further medication names/lots/ndcs/expiries not provided by caller during report, only generalized information provided. Additional Information for Top of her foot swollen: Annual podiatrist visit 03Mar2021 who took foot x-ray. Top of foot swollen, looks like a lump, foot x-ray showed not broken, just a little inflamed from tight shoe laces; wanted to give her cortisone shot she declined; has her in a boot for 3 weeks to relieve pressure. The concomitant medication(s) included Jardiance taken for diabetes mellitus from Dec2020 still ongoing. Jardiance: Her internist told her to stop it because she was getting leg events at the lowest dose; patient did not stop Jardiance as advised. She said she would check with the endocrinologist who told her to continue Jardiance anyway but patient thinks he is wrong. Jardiance is the only oral diabetic medication that she ever took and is not getting any other bad effects; with Jardiance she just has strong leg muscle effects and a few other minor ones. On an unspecified date patient experienced after the Pfizer-biontech Covid-19 vaccine she had these effects more, breathing heavier and even more short of breath, could sleep all day, feels spacey/feels very spacey, on 05Mar2021 patient experienced arm began to hurt and was sore for 2.5 days but did not turn red at all, on unspecified date heart rate was faster, on 07Mar2021 strong nasal congestion and increased body temperature of 98.7 degrees fahrenheit/body temperature has been in the high 98 degrees fahrenheit range, legs are weak/weak, feels just so, after the Pfizer-biontech covid-19 vaccine she had these effects more, breathing heavier and even more short of breath. The patient underwent lab tests and procedures which included body temperature: low to mid 97 fahrenheit on her normal baseline body temperature is in the low to mid 97 degrees Fahrenheit range, body temperature: 98.7 fahrenheit on 07Mar2021, X-ray: not broken; little inflamed from tight shoe laces on 03Mar2021 Not broken; little inflamed from tight shoe laces and heart rate: increased on an unknown date. Patient did not require visit to emergency room or physician office, patient was not hospitalized due to events. Investigation assessment was done. The clinical outcome of event arm began to hurt and was sore for 2.5 days but did not turn red at all was not recovered. The clinical outcome of all other events were unknown.  No follow-up attempts are possible; No further information is expected.