stress related headache; stress related headache; headache episodes; This is a spontaneous report from a contactable consumer (patient) from a Pfizer-sponsored program. A 60-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular, administered in Arm Left on 26Jun2021 (Batch/Lot number was not reported; Expiration Date: Aug2021) at the age of 60 years old as DOSE 2, SINGLE for COVID-19 immunisation. Medical history included benign meningioma of the left side of her head and was diagnosed in 2017, upper respiratory lung infections, borderline diabetic, blood pressure (abnormal), angina, discomfort in chest, accident and was immune compromised. Concomitant medication included unspecified blood pressure medication. Historical vaccination included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunization given on 05Jun2021 at the age of 60 years old and patient experienced lightheadedness and dizziness (Batch/lot number: EW0217; Expiration date: Sep2021), injected in the left arm in the muscle. The patient reported that she had her second dose of the Pfizer COVID-19 vaccine on 26Jun2021. Approximately the first week of July she started to experience headaches. Her headaches occur off and on, 1-2 times a day, the duration is as long as 10 minutes or so before she takes medicine for the headache. She experiences a 3 or 4 out of 10 pain during these headache episodes. She further explains that prior to receiving the first dose of the Pfizer COVID-19 vaccine she was not experiencing these headaches. She did further share that after her first dose of the Pfizer Covid 19 vaccine series she was dizzy and lightheaded but was unsure if she was dehydrated or what the cause was. Lastly, consumer has a history of benign meningioma of the left side of her head and was diagnosed in 2017. She is being evaluated by her HCP, she notes that she has had stress related headaches before and maybe this could be a stress related headache. The patient did not know if it is a side effect or not. She has a pre-existing condition. She was cleared by doctor to get both doses. She was looking at when she started experiencing one or more symptoms that she is concerned about. She later said there was just one symptom. So, after week 2 of being fully vaccinated is when she started having slight headaches. They are not pounding, just achy top of head type. Maybe she thought she was stressed or overworked or not getting enough sleep. She took Ibuprofen. Since then, week 2, she is starting to experience them on a daily basis, but not every day. On scale of 1-10, it is rated as a 3 maybe a 4. It is short and it goes away. She tries to deal with it and will take a prescription muscle relaxer or ibuprofen. She tries to avoid either one. She said this has happened within the last 3 weeks. She got second dose on 26Jun2021. Headaches were first week of Jul2021. She has not been feverish or carrying some mild symptoms of COVID. She has not had a test done since the first one. She checks temperature and has not been feverish. Right now, her most concern is the headaches. She is not experiencing any sore throat or fever or achiness. Primarily her concern is the headache. She did not have any other symptoms to report. Second dose was given 26Jun2021, Pfizer COVID vaccine. She takes blood pressure medication and that would have been the only medication she was taking either of those days and she does into recall if she took them before the vaccine. She wants someone to advise her and diagnosed benign meningioma on the left side of her head. She had an accident and did an MRI and it was an incidental finding. First dose was in the morning and just before 10am. She had an MRI brain done 29May2021. Outcome of headache episodes was not recovered, while unknown for the stress related headache.   Information on the batch/lot number has been requested.