chest pain; sore arm; feeling achy and tightness in her throat; feeling achy and tightness in her throat; she didn't feel good; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 65-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER2613; Expiration Date: Jul2021), dose 1 via an unspecified route of administration, administered in Arm Right on 20Mar2021 13:15 as single dose for covid-19 immunisation. Medical history included Brain aneurysm from 2020 (Brain aneurysm that's bleeding in her head), Painful Lump in left thigh from Jan2021 and ongoing, Blown disc in lower back from 2020 to 2021, ongoing allergy to slight allergies to certain trees maple, elm, ash, and birch, ongoing Iso-view 300 allergy, ongoing hypertension. Concomitant medication(s) included (CHLORTHALIDONE) taken for blood pressure measurement from 05Mar2021 to an unspecified stop date; BISOPROLOL FUMARATE taken for blood pressure measurement, start and stop date were not reported. The patient previously took thimerosal for drug hypersensitivity, gold sodium thiosulfate for drug hypersensitivity, penicillin for drug hypersensitivity, gabapentin for drug hypersensitivity and experienced urticaria. On 20Mar2021, the patient experienced chest pain, sore arm, feeling achy and tightness in her throat, feeling achy and tightness in her throat, she didn't feel good. Caller reports she had the vaccine on 20Mar2021. Waited the allotted time 15-20 mins after the vaccine. When she got home, about 45 minutes after the vaccine, she had some serious chest pain. She doesn't normally react to vaccines- the flu shot, that type of thing. caller wants to know if she should take the second dose of the COVID-19 vaccine if she had a bad reaction after the first dose, she experienced a serious chess pain, sore arm, feeling achy and tightness in her throat, she mentioned that her grandmother on her dad side has a history of allergies. The patient also has underlying conditions including brain aneurism. She received the first dose of the vaccine on March 20th, and she is aware that she has to get an appointment for her second dose between 21 to 42 days after the first one, she has not scheduled an appointment to receive the second dose. Caller will have to travel to have a major surgery due to her brain aneurism and her lower back in order to travel she might need to be vaccinated or have some note stating that she should not have the second vaccine. Caller states that she has a complex health case right now and she was trying to work with the doctor to development a treatment plan. Caller states that her appointment to get the vaccine was at 1:15, she had to wait ten to fifteen minutes to get the shot because it was a mass vaccination thing. Caller reports she does not have any chest pain today. Caller states that she laid down and the chest pain stopped after about an hour. Caller reports she fell asleep and her husband kept an eye on her. It lasted about an hour. Caller reports she didn't feel good the next day, but it was just the normal side effects. Caller explains that they gave them a whole handout on what to expect- achy and what not. Caller states that she had a sore arm and she felt achy and she matched those symptoms with the handout. Questions/Concerns: Caller states that her chest isn't hurting, but she is concerned. Should she get the second dose? Caller also reports that her throat felt kind of tight when she had the chest pain. Caller states that her chest pain pretty well calmed down by the next day. Caller reports that her sore arm lasted about two or three days, clarified as 23Mar 2021. Caller mentions that the shot didn't hurt, she hardly felt it. Caller states that she felt achy later that evening and it wiped her out. She laid around the next day. Caller reports that by the morning of 22 Mar2021, she woke up and felt better. Outcome: Achiness went away. Caller reports that she felt the tightness in her throat for two to three days as well and it didn't go away until 23 Mar 2021-24Mar2021. She had to be careful about eating so she didn't choke on anything for a while. Outcome: She was fine. Caller states that she was on two blood pressure medicines. Caller states that the doctor put her on hydrochlorothiazide 12.5 mg, because she didn't have to cut that pill, starting on 24 Mar 2021. Caller clarifies this was after she received the vaccine. Caller states that when she takes her blood pressure, the bottom number, she forgets what it's called but she knows it's systole and diastole, but the bottom number runs a little high and they are still trying to figure that out. Caller reports she doesn't know what they call it when she has pain in her lower back. Caller states she lost two to three inches of height. She stood at 5'3.5 inches for most of her adult life and now she is 5'1. Caller reports they can't figure out the lower half of her. She had a hysterectomy in 1987. Caller states that her first child was born in 1982, she had a natural birth. She had problems giving birth, her labor pains would not regulate and her muscles got torn apart. Her second child was born in 1985 and they had to put her in the hospital early to regulate labor, born naturally not caesarean and they had to give her medications through an IV and monitor her real close. After the second birth, both children were fine, but she couldn't have any more kids because she couldn't carry them because her muscles down there wouldn't support it. Caller states that it wasn't like hysterectomies are done today- she had a bikini cut hysterectomy. Caller states that she has the worst pain in right top side of her head- in a specific spot, and lower back. Caller clarifies that the pain never goes away ever. They are trying to figure it out now. Caller clarifies this started before the vaccine. Caller states that she had allergy tests done and she has: Allergies to Thimerosal synonyms/components of thimerosal and Gold Sodium Thiosulfate. Slight allergies to certain trees maple, elm, ash, and birch. Slight allergies to certain kinds of mold like Penicillin, asper (she can'tread the rest of it) and hormoden. Caller states that those are the three molds they checked her for. She is also allergic to Gabapentin- she gets hives. She is also allergic to Ceclor. Caller states that she is having tooth work done tomorrow and they told her that she may react to mercury organic compound so they can't use that on her. Caller states that she is also allergic to Iso-view 300- type of dye that has radioactive material in it, MRI. When she gets an MRI they have to use contrast/dye without that in it. Caller states that she did not develop the allergy to Penicillin until later in life. She remembers she was four years old, and she had Rheumatic fever and took penicillin with no reaction. She developed an allergy to penicillin as an adult. Caller states that in 2006, on the right top side of her head, she hit on top of head with a large tree branch at her parents house. That same spot still hurts to this day. Caller reports she remembers it was in 2006 because her Dad died later that fall. Caller reports they just recently found the allergy to Iso-View 300 while she was getting an MRI, the lady gave her without radioactive and she did fine- that is when they found the brain aneurism in her head, she could feel it leaking in her head. The outcome for event chest pain was recovered on 20Mar2021 while sore arm recovered on 23Mar2021. The rest of all events outcome was unknown.  Follow-up attempts completed. No further information expected.