positive COVID-19 test with symptoms; This is a spontaneous report from a contactable consumer (patient herself). This consumer reported similar events for 2 patients (for herself and for her husband). This is the first of two reports.   A 72-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), dose 1 via an unspecified route of administration, administered in top of left arm on 23Feb2021 16:10 (Batch/Lot Number: EN6200) as single dose for COVID-19 immunization (protection; felt it would help). Medical history included thinking she thinks she got COVID from her husband, ongoing headache prior to receiving the vaccine. Concomitant medication includes taking unspecified blood pressure medication and thyroid medication. Patient stated that she and her husband got the first dose of Pfizer COVID-19 vaccine and got COVID within a few days of getting the immunization. She believed they got it from the clinic. Patient stated she got COVID Vaccine 23Feb2021 at 4:10pm and she tested positive for COVID on 05Mar2021 and on that same day states she was treated with COVID antibodies/monoclonal antibodies. She thinks she got COVID from her husband. Symptoms started on 01Mar2021 with a cough, which started getting worse. Then, headache started and she felt 'all together down'. She stated that symptoms almost felt like a sinus infection. Patient stated that her doctor said that her lungs were affected. Patient stated that overall symptoms have improved, but she still experiences lack of energy and a little shortness of breath which she thought was due to the lack of energy. Patient stated that she has to sit down more due to the weakness, stating she can only walk around in her garden once before she has to sit down and take a break, which is more often than before. She stated that she did get headaches prior to receiving the vaccine, but they are normally in the back of her neck area and now they are higher in the head. Patient stated she still gets intermittent headaches, and she is not sure if they are from COVID or not. Weakness and shortness of breath started a few days later after the cough. Clarified as Wednesday, 03Mar2021 or Thursday, 04Mar2021 when these started. By the time her husband tested positive, she immediately was tested for Rapid COVID test on 05Mar2021 and they went in for antibodies. She knows that her husband had it worse, as they caught hers quicker. Patient added that she always felt like she had a fever; felt flush; skin felt warm but had no fever, her highest temperature was 99.5. Patient also stated that pretty early on, her legs felt like they weighed 100 pounds, from her knee to ankle felt like they had a band around them, by the end of the week it was at it's worst. It still hurts some now, but she can get around more. Patient stated her doctor sent her to get a doppler study to make sure she didn't have any blood clots, the results were negative on Mar2021. Patient stated that her doctor told her that this could happen to people with neuropathy, which could be common for her age. Patient took a second PCR COVID test on 17Mar2021 and it was still positive. Vaccination Facility Type was urgent care not facility. The AE required a visit to Emergency Room (treated with antibodies and sent home) and Physician Office. The doctors have advised them to take the second dose three months later. Patient wanted to know if she get the second dose 3 month later and would she have to restart the series of the vaccine all over again. The outcome of the event was recovering.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021315088 same drug, similar events, different patient