feeling really really tired; Very bad dizziness; nausea; headache; This is a spontaneous report received from contactable reporter (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 77 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 03Mar2021 14:30 (Lot number: EN6198) at the age of 77 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Diabetes", start date: 2019 (ongoing), notes: Onset date approximately 2 years ago.; "Obesity", start date: 2017 (ongoing), notes: Been this heavy,about 200lbs for probably 4 years.; "Pneumonia", stop date: 2011, notes: Had pneumonia a few times-dates: Last time was years ago,probably 10 years ago.; "COPD" (ongoing); "Kidneys are a class 4", start date: 2018 (ongoing), notes: Onset date about 3 years ago.; "Medication allergies" (ongoing). Family history included: "lot of mini strokes" (unspecified if ongoing), notes: Mother had a lot of mini strokes; other than that couldn't think of anything relevant. There were no concomitant medications. Past drug history included: Plaquenil for arthritis, reaction(s): "really bad rash". The following information was reported: FATIGUE (non-serious) with onset 05Mar2021 09:00, outcome "recovering", described as "feeling really really tired"; DIZZINESS (non-serious) with onset 05Mar2021 09:00, outcome "recovering", described as "Very bad dizziness"; NAUSEA (non-serious) with onset 05Mar2021 09:00, outcome "recovering", described as "nausea"; HEADACHE (non-serious) with onset 05Mar2021 09:00, outcome "recovering", described as "headache".  Additional information: The patient received the first dose of bnt162b2 injection on 03Mar2021. Patient was allergic to several different medications but never had a reaction like with Pfizer-BioNTech COVID-19 Vaccine before. One was just a year ago to Plaquenil for arthritis, she got a really bad rash that lasted a long time from that; but before that it had been years, her allergies were all found out about years ago. Patient had a history of COPD maybe 5 years ago or something like that, COPD was not real bad, she does not need oxygen or anything like that. History of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the Pfizer Suspect was none. The vaccination facility type was senior center. The adverse events following prior vaccinations was None. The patient did not receive any vaccines within four weeks prior to COVID 19. The patient was fine until 05Mar2021. Starting 05Mar2021 she woke up with very bad dizziness, nausea, headache and being real tired. Since the events did not start until 2 days after the vaccine was administered, she asked if they could be related to the vaccine. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care and patient was not hospitalized due to the events. Patient had no relevant tests. Outcomes of all events were improved; 05Mar2021 and 06Mar2021 events were very bad; then on 07Mar2021 events improved and have remained the same since then.  No follow-up attempts are possible. No further information is expected.