migraine; off-balance/loss of balance; dizziness/woozy like symptoms; Mild headache; didn't feel very good; sensitive to light; she might have body pain; her brain was over sensitive/brain wasn't right; felt stiff; This is a spontaneous report from a contactable other healthcare professional (patient herself). A 63-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EK5730), via an unspecified route of administration on 22Dec2020 at single dose at left arm for immunization. Medical history included migraine (had migraines probably all of her life, the official diagnosis was 12- 15 years ago), fibromyalgia, subclinical seizures, asthma, chronic lung disease, allergies, paralyzed vocal cord, trach, hum hum flu epidemic, infection and sick. The patient's concomitant medications included fremanezumab (AJOVY) every month and a couple of other things, like zonisamide (ZONEGRAN) which was a seizure med that she took daily that also helped manage her migraines, both of those are old and have been on board and being used for a long time. Patient got the COVID vaccine, clarified later to Pfizer COVID vaccine, on 22Dec2020 and was reporting a mild headache on same day. Patient had dizziness, a loss of balance, and migraine with woozy like symptoms on 23Dec2020. Patient was not doing much, she didn't feel very good. Patient said this was just a regular headache, no big deal. She said she came home and felt stiff and took Acetaminophen and was fine it was no big deal. She said she went to sleep. She said she sometimes had migraines without headache, body migraines, with dizziness, or she might have body pain, more like she is woozy or dizzy. Patient said she was sensory sensitive, her brain was over sensitive. She said she stood up from bed to get up for the day and said her brain wasn't right. She said she decided to have some tea and was getting started for the day, after about an hour and a half to two hours she took her migraine medicine, it usually resolved in about an hour or two. She said having the vaccine triggered a migraine, gone full blown, how it felt when she was sensitive to light, sounds are too much, she was off balance. Treatment medication for headache was acetaminophen, reporter said she didn't have it with her right now and if she went to get it she wouldn't feel good. She said she took the regular high dose acetaminophen, the extra strength, one dose by mouth last night. She said she took the migraine medicine today, 2.5mg, about half an hour ago. She said the name brand for it is called naratriptan hydrochloride (AMERGE), she took the generic named naratriptan. Naratriptan NDC: 0054-027903, LOT/EXP covered over with a pharmacy label. She says this is a new medication for her, it was prescribed 20Oct2020. Patient got the Pfizer COVID vaccine on 22Dec2020 at ten minutes until 04:00PM eastern time, and she received no other vaccinations. She said since she had allergy issues previously they had her wait a little longer. Patient had her second vaccine dose scheduled in three weeks. For medical history, patient said her migraines, fibromyalgia, and subclinical seizurfves were diagnosed all at once by the neurologist, diagnosis was 12-15 years ago, diagnosis for asthma it was hard to say when, she has been treated more specifically for it the last 10 years. She said she had a paralyzed vocal cord after she had a trach when she was 11 and had an infection and ended up paralyzing her vocal cord, and they also started treating the chronic lung disease and asthma at that point, about ten years ago. Patient had a history of allergies. She said something about a location having had a hum hum flu epidemic, and she was in ICU very sick at some point in the past. Unable to clarify these statements. Patient labs had been great in 2020. Patient asked if she should go ahead and have the second dose after having this reaction this time or if there was information on how to prepare for that. Outcome of all events was unknown.