3 bluish purple bruises that appeared out of nowhere on her legs; Ear pain; shortness of breath/hard to breathe; chest palpitations/heart palpitation; headache; chills; hot flashes; very blurry vision; "breaking out" of rashes all over both of her hands; a chronic cough; blood clots; This is a spontaneous report received from a contactable reporter (consumer) from medical information team. The reporter is the patient.  A 31 year-old female patient received bnt162b2 (COMIRNATY), administration date 29Nov2021 at 9:00 am (Batch/Lot number: unknown) at the age of 31 years as dose 1, single for covid-19 immunisation. Vaccination facility type was hospital. Relevant medical history included: "SVT" (unspecified if ongoing), notes: SVT, She sees the cardiologist for this heart issue. Family history included: "Heart attack" (unspecified if ongoing); "Aneurysm" (unspecified if ongoing). Concomitant medication included: ATENOLOL A L taken for supraventricular tachycardia (SVT). The following information was reported: THROMBOSIS (medically significant) with onset 2021, outcome "unknown", described as "blood clots"; RASH (non-serious) with onset 29Nov2021, outcome "recovering", described as ""breaking out" of rashes all over both of her hands"; DYSPNOEA (non-serious) with onset 01Dec2021, outcome "not recovered", described as "shortness of breath/hard to breathe"; VISION BLURRED (non-serious) with onset 29Nov2021, outcome "not recovered", described as "very blurry vision"; PALPITATIONS (non-serious) with onset 01Dec2021, outcome "not recovered", described as "chest palpitations/heart palpitation"; COUGH (non-serious) with onset Nov2021, outcome "not recovered", described as "a chronic cough"; HEADACHE (non-serious) with onset 30Nov2021, outcome "not recovered", described as "headache"; CHILLS (non-serious) with onset 29Nov2021, outcome "not recovered", described as "chills"; HOT FLUSH (non-serious) with onset 29Nov2021, outcome "not recovered", described as "hot flashes"; CONTUSION (non-serious) with onset 05Dec2021, outcome "not recovered", described as "3 bluish purple bruises that appeared out of nowhere on her legs"; EAR PAIN (non-serious) with onset 01Dec2021, outcome "unknown", described as "Ear pain". The events "blood clots", ""breaking out" of rashes all over both of her hands", "shortness of breath/hard to breathe", "very blurry vision", "chest palpitations/heart palpitation", "a chronic cough", "headache", "chills", "hot flashes", "3 bluish purple bruises that appeared out of nowhere on her legs" and "ear pain" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: blood test: (2021) unknown results, notes: blood levels and platelet levels. Therapeutic measures were taken as a result of rash, headache. Clinical course was as follows: The patient mentioned that she received her 1st dose on 29Nov2021 and was complaining of "breaking out" of rashes all over both of her hands, shortness of breath, very blurry vision, chest palpitations, a chronic cough that she cannot stop, a headache every morning in which no over the counter medications work for, chills, hot flashes, and 3 bluish purple bruises that appeared out of nowhere on her legs. She was asking if these side effects have been reported especially the bruising or blood clotting because she mentioned that she has a heart issue. The patient was told that her signs might be indicative of an allergic reaction. She was referred to the healthcare professional (HCP) for confirmation and mentioned that if it is considered a severe allergic reaction, then it would not be recommended for her to take a 2nd dose. The rash broke out all over hands, both of them, after she got the vaccine on 29Nov2021 and clarified that she first experienced the rash about 2 hours later, after the vaccine. She was still experiencing the rash now but, stated that it was healing up. She still has pockets all over her hands and had to get medication for it and clarified that she used a topical cream called Triamcinolone. Blurry vision started the same day, that she got the vaccine, 29Nov2021. It has gotten worse, and it was also hard to breathe. The shortness of breath started 2 days later after the vaccine on 01Dec2021 and has gotten a little worse. Her chest palpitations/heart palpitations which started on 01Dec2021 have gotten worse. She also had chronic cough that she cannot stop since Nov2021. The headache every morning started the day after the vaccine on 30Nov2021. She has been taking medications (Aleve and Ibuprofen) every day and it's fine but then after that, it still hurts. The headaches have gotten worse, and it was a sharp pain going through the head. She stated that the pain in the head is also in the ears and clarified that the ear pain started the day after the headache on 01Dec2021. Chills and hot flashes both started the same day, 29Nov2021 and she is still experiencing them now. She noticed 3 bluish purple bruises that appeared out of nowhere on her legs on 05Dec2021. There is one bruise on the front of her kneecap on the left side. On the right side, she has one right above and one bruise on right on her hip. Patient clarified that when she went to the hospital last night, she just went to the Emergency room and was not admitted to the hospital. The patient had no other treatments or medications other than the topical cream, Aleve and Ibuprofen that was previously mentioned. They did blood work last night, checking her blood levels and platelet levels. She was concerned about this because it might indicate some blood clots. She was concerned because she has heart issues, which she did not specify. The patient has no history of previous immunization with the Pfizer vaccine and no additional vaccines administered on same date. The patient had no prior vaccinations (within 4 weeks) and had no adverse events (AEs) following prior vaccinations.  The lot number for BNT162b2 was not provided and will be requested during follow up.