warm sensation, like something is on her body / heat sensation became warm; her pressure has elevated; headache / pounding and throbbing in her head / dull headache; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 76 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 16Mar2021 10:45 (Lot number: EL8982) at the age of 76 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "regulate her pressure" (unspecified if ongoing). Concomitant medication(s) included: CENTRUM SILVER [ASCORBIC ACID;BETACAROTENE;BIOTIN;CALCIUM;CHROMIUM;COLECALCIFEROL;COPPER;FOLIC ACID;IODINE;IRON;LYCOPENE;MAGNESIUM;MANGANESE;NICOTINAMIDE;PANTOTHENIC ACID;PHOSPHORUS;PHYTOMENADIONE;POTASSIUM;PYRIDOXINE HYDROCHLORIDE;RETINOL;RIBOFLAVIN (ongoing); BYSTOLIC taken for blood pressure abnormal (ongoing); D3 (ongoing); VITAMIN B12 W/VITAMIN B6/FOLIC ACID (ongoing); VITAMIN C [ASCORBIC ACID], start date: 2021 (ongoing). Vaccination history included: Flu shot, administration date: 2016. The following information was reported: HEADACHE (non-serious) with onset Mar2021, outcome "not recovered", described as "headache / pounding and throbbing in her head / dull headache"; FEELING HOT (non-serious) with onset 19Mar2021, outcome "not recovered", described as "warm sensation, like something is on her body / heat sensation became warm"; BLOOD PRESSURE INCREASED (non-serious) with onset Mar2021, outcome "unknown", described as "her pressure has elevated". The events "headache / pounding and throbbing in her head / dull headache", "warm sensation, like something is on her body / heat sensation became warm" and "her pressure has elevated" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache.  Additional information: The patient did not receive any other vaccine within 4 weeks prior to COVID-19 vaccine. It was further reported that patient began to get a headache, and it progressed three days after the vaccine (19Mar2021). On the third day (19Mar2021), Friday afternoon, she started to experience a warm sensation. Patient took acetaminophen that they gave her on 16Mar2021, patient did not take it because the headache was not that severe, but as it progressed she took it on Friday afternoon. On that 4th day (20Mar2021), it became unbearable, it was pounding and throbbing in her head, she had a heat sensation then became warm, had an extremely bad headache, and a dull headache. Patient took her temperature and she was not running a temperature, it was not showing that she had a temperature, but she had a heat sensation. It was on a Tuesday last week (from day of report), warm sensation like something was in her body and was still ongoing. Patient took one acetaminophen 325 mg (Lot number: P116692, Expiry date: Aug2022) when she came in from the doctor at about 10:00 to see if it could reduce the headache because her pressure has elevated. The patient also reported that she had a reaction to the flu shot, it was over 5 years ago and it seems like it was almost what she experienced here.   No follow-up attempts are possible. No further information is expected.