She was having pain in her sternum randomly, it was happening multiple times per day; pain radiating across her chest; took her breath away/ was not breathing right; she got severe chills; her throat was hurting, it hurt to swallow,; her throat was hurting, it hurt to swallow,; she was just feeling bad/ she felt so bad; strep throat with a sinus infection; strep throat with a sinus infection; bronchial spasm; not feeling well; everything started hurting, her jaw; tiredness/ extreme fatigue/ exhausted; low grade temp/ fever/ fever of 101.5; coughing/ dry cough/ couldn't talk without coughing; she got nauseous/ nausea; body aches; Headache/ head hurt; This is a spontaneous report from a contactable consumer (patient). A 50-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 29Jan2021 (lot number: EL1284, expiry date: Apr2021) at single dose for COVID-19 immunisation. The relevant medical history included IBS (Irritable bowel syndrome) with constipation from unspecified date and flu from unspecified date (5 years prior to the report). Concomitant medications included ibuprofen (MOTRIN), naproxen sodium (ALEVE), albuterol, azithromycin, prednisone and oxymetazoline hydrochloride (AFRIN SINUS). The patient previously received the first dose of BNT162B2 on 08Jan2021 (Lot number: EL1284) at the age of 50 years old for COVID-19 immunisation. The patient received her second Pfizer Covid 19 Vaccine. She had experienced tiredness, low grade temp and coughing for eight weeks at the time of the report. She had side effects from the COVID vaccine. She could go through a report but the thing she didn't think any one knew but she had a reaction 45 minutes after the second one and she was still having symptoms post 8 weeks out. She had read where it could happen post 6 weeks out but she was perfectly fine before getting it so she could not figure out what was going on. She called her work and they told her she needed a note to come back to work and she was frustrated going through a whole process and going to the doctor and no one knew anything. She needed to know what she needed to do at this point. She would like to know had this happened to anyone else, she did not think they know, the vaccine was just like the virus no one knew, and she was curious, but she thought it was just like, no one knew what was going to happen if you got it. The second dose date was 29Jan2021. She got the shot then she told the nurse she was going for a walk, and the nurse told her to hydrate well so she got a bottle water, 20 ounce and drank it on the ride home. Then on the way home, she clarified it was about 30 minutes after because she was almost home, she got nauseous. She came home, she just went straight to bed, she had body aches, headache, fever, nausea extreme fatigue, she confirmed that was the same day as the shot. Then that went on until, she had to go to Monday, so it began on that Friday at 7:30 in the morning, on Sunday she was feeling better but she was not herself. Monday morning she went to work, she wasn't having fever or nausea so she went to work, she felt pretty okay for a little bit. When asked if the symptoms were ongoing, she said it was really sporadic, which was frustrating. She said that would put her in to first week of Feb, she was not sure of the exact timeline but she was feeling pretty good. Then she was telling her dad she was having symptoms. She was having pain in her sternum randomly, it was happening multiple times per day, it had happened twice where the pain was radiating across her chest like someone was lifting her chest out of her body, it took her breath away. She was supposed to have a colonoscopy on 19Mar2021 and she was trying to decide if she should go in for that, she had no fever no other symptoms. She had to have a colonsopscopy because she had IBS with constipation and they wanted her to have a colonoscopy before they would give her medicine for that, they were going to give her Lunesta. No further information provided. She clarified the IBS was an issue for her prior to receiving the vaccine. She went in for that and she was fine that was Monday 22Feb2021 then at 9:30 that night she was laying in bed and she got severe chills, fever of 101.5, she had to take 1 Motrin and then another 2 Aleve, she thought she didn't remember for sure if that was what she took but she had to take 2 doses of medicine to get it down. No further information provided. Then the next morning she was fine. So this was still ongoing, off and on, she had had to miss work then on 31Mar2021, she was going to work everyday that previous week but the next week she was tired. She was coming home on Wednesday 31Mar2021 she was coming home from class that night because she was in school too and she was tired, her throat was hurting, it hurt to swallow, her head hurt and then, everyone was different but her temperature was 99.5, normally her temp is 97.5. She knew there was debate over whether that was a fever or not a fever not but it was not her normal. She had been taking her temperature for so long because of COVID and going to work they take temperature every day. So she was just feeling bad, she felt so bad, so she didn't go to work that day, she went to the urgent care and when she went back at the urgent care she told them she felt like, she told them she had no body aches, it was just from the neck up, like she had strep throat with a sinus infection combined and since she had gotten the COVID vaccine and the flu shot they did not think it was that but she decided to test her for strep and flu, they did not think it was covid becuase she works at a hospital she did not think she had it either but since she was presenting with symptoms they tested for that too and all that was negative so she thought maybe it's viral, they do have a lot going around and it is the season for allergies with pollen or it maybe a viral sinus infection, that was on Thursday, she slet Friday Saturday and still Sunday and the whole time she was still having like a 99.5 fever by the end of the day so Sunday she was supposed to go back to work. The 31Mar2021 she started feeling really bad and she went to the urgent care 01Apr2021 and had those tests done that were negative and she was home Thursday and the weekend she was not back to herself she was tired but she was not having symptoms COVID but like with her sinuses allowed to use Afrin for 3 days 3 times per day and then stop so she did that then developed a dry cough and by the end of week Sunday she couldn't talk without coughing every time she opened her mouth and air touched her throat she would cough. She didn't know date of that it was not this past Sunday, but the Sunday before she went back to urgent care and they did a chest x-ray and retested for covid, they gave her an Albuterol treatment, they told her there was nothing in her chest and wrote script for a Zpack if she needed it. No further information provided. Then Monday of last week she called her allergist and went to see the allergist and she told her she was not breathing right there was something in there like a bronchial spasm was what she called it and she said everything looked angry, like her ears and her throat. She was not sure why. Her allergist gave her a Z pack, nothing against urgent care but she wanted to get the prescription from her doctor. This had been going on so long so last Wednesday she got the z-pack she left work early at 2 PM and slept for Wednesday through Friday, she did not shower at all she was just exhausted and she was just not feeling well. The cough did get better with a prescription cough drop that she could use 3 times per day for 10 days and her cough was a lot better not totally gone but nothing like it was that Wednesday night. Saturday she was better enough and took a shower and got up and did not feel horrible, she was still tired still, but then Sunday, yesterday, she had a low grade fever at night and was tired and had pain. She said they gave her Prednisone at the urgent care too when she got the chest Xray and on Prednisone didn't feel any aches at all like her knees did not hurt. She went to see the allergist and she was off the Prednisone and everything started hurting, her jaw, her head. She said they told her it was not very much Prednisone but she could find the information. She said it was the 5 day pack. She had to get her glasses. She said it was in a box, its the tapered one, where you do 5 tablets. Yesterday she was still not herself. She took today off again. She was going to call over the weekend they weren't open. But they told her at work she would need a note to come back and she told them her concerns and they said that was not possible and she told them they didn't know, no one really knew. It was a hot mess because she had been getting fatigue and tired and having a low grade fever. She saw 9 patients in a day. She had not called out, she had the flu 5 years prior to the report and she had not been out sick since then so something happened. They told her to go to her primary and she just did not know. The outcome of the events was unknown.  No follow-up attempts are needed. No further information is expected.