This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in left arm on 04May2021 11:30 (Batch/Lot Number: EW0172; Expiration Date: Oct2022) at the age of 58-year-old as dose 1, single for COVID-19 immunization. Medical history included Menopause since May2011 been in for 10 years and ongoing, she has been on and off hormone replacement therapy for those 10 years. Concomitant medication(s) included Progesterone and Estradiol taken for hormone replacement therapy from 12Aug2020 and ongoing. From the first dose, patient experienced Left arm pain on the same day on 04May2021, and was on fatigue started the night of the shot. The next day, on 05May2021, she continues to have headaches, not every day, frequently. She is not inclined to headaches because she drinks a lot of fluids. She has been extremely bloated started on 05May2021. Nauseous started on 06May2021. She felt like she was going nuts. It is persisting, not worsening. She is so not inclined to nausea either. It is kind of blowing her away how her body is reacting to this whole thing. Patient got a period, has been in menopause for 10 years. She was bleeding on 02Jun2021 or 03Jun2021. It was significant bleeding, not spotting. She was using her daughter's tampons. It persisted until 09Jun2021, she used naprosyn (Lot: 1AR0657, expiry: 36871UWF7, Exp: Oct2022) in day to stop the bleeding. No bleeding since about 09Jun2021. Patient got the second dose on 25May2021, exactly three weeks after first dose, 04May2021. She was still so nauseous, has headaches and fatigue. No Emergency Room or Physician Office visit. Treatment for nausea: Tums, is generic. She was taking something that was like a generic for Mylanta. She is now taking Ultra-strength natural antacid tablets, calcium carb USP 1000 mg, taking two of those. Took it after ran out of generic for Mylanta (UPC: 5042837052, Lot#: 80735, Exp: Jan 2023). Both manufactured by CVS health, and have the same information. Treatment for headaches: Tylenol 500mg, also generic from Costco. She takes the generic for Bayer aspirin, she quit taking it because she was afraid it exacerbated the bleeding, so she switched to the Tylenol. She knows the Tylenol is expired but can give codes on it - it's Acetaminophen, Exp: was Feb2019 and the code underneath that is 7EE1277A; NDC is [withheld]. It is 500mg, 500 come in the bottle, states she has two bottles and cannot say if she took from both, she has one upstairs and one downstairs, she reduced one to a smaller bottle, so wouldn't have information to provide, and regardless, they were a two pack, so it would be real close to the same thing. And Bayer is equivalent of aspirin genuine, 325mg. She was primarily using this until the bleeding, she realized it would just make the blood thinner, then switched to Tylenol or acetaminophen. Aspirin: generic aspirin, UPC 5042832084, adds P124656, Exp: Mar2023. She was taking one 325mg and if the one didn't work, was taking a second one. Treatment for fatigue/bloating: no treatment, has a very old diuretic but did not take anything. Patient had a biopsy of her cervix with unknown results at the time of reporting. The outcome of fatigue and fatigue, Bloated feeling, nauseous were not recovered, other event outcome was unknown.