severe asthma attack; tinnitus/tinnitus in her ear went up 3 decibels; congestion; fluid in both ears; trouble breathing; head got really stuffed up; whole head filled up and felt like it could pop; couldn't hear out of right ear at all; she started having sinus symptoms; ear pain is still there in her right ear at a level of medium . It is really sore; breathing problems; This is a spontaneous report from a contactable consumer (patient). A 63-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8727, Expiry Date: unknown), via an unspecified route of administration, administered in right arm on 25Mar2021 11:45 (at the age of 63 years) as dose 1, single for covid-19 immunization. Medical history included ongoing severe asthma, since age 2 years old; ongoing multiple nodules on thyroid, diagnosed about 1 year ago; and tinnitus from an unknown date. The patient previously took Flovent HFA (taking this for years) for and Proair HFA over 10 years, both to calms down the airways, from an unknown date. The patient's concomitant medications were not reported. No prior vaccinations within 4 weeks of vaccination. On 26Mar2021, the patient experienced breathing problems. Patient experienced airway issue, breathing problems, had severe asthma attack after the first dose, around 2-3 am in the morning. Her inhalers were not helping. It took her some time to calm that down. She was sent to emergency clinic as well. She also had tinnitus, congestion, fluid in both ears. As reported clinical course: patient had a little issue that night but as it got into the morning hours, she had trouble breathing and the tinnitus in her ear went up 3 decibels. Her head got really stuffed up and she went to the emergency clinic, and she had done it Thursday and she had let it go a little as it is allergy season and all that. Her pulmonologist doctor said to go there and everything. Her inhaler didn't calm that down and after a little while it did calm down. Patient stated that, within next 3 days she kept having asthma attacks and her ears were so full of fluid. She couldn't hear out of her right ear at all. She could hear a little out of it and has some tinnitus that hasn't stopped but it was a little better. She was so full of fluid the pain in her ear was terrible. She was on a decongestant to get the fluid out, that it was almost at the level of getting infected. Patient stated that, the very bad part of fluid wasn't there until a couple days later when she started having sinus symptoms. She was up at 03:00 the next day after the shot and she couldn't breathe. Caller clarified that she had trouble breathing the next morning about 03:00 and it was bad the 1st few days and she was using her inhaler 3-4 times a day and never does that and knows it was from the vaccine. Caller stated it was improved but not gone because she had asthma. Caller provided that the tinnitus was improved. The ear pain was still there in her right ear at a level of medium and it was really sore, but not as bad as it was. She stated that, her left ear also had fluid, but it was worse on the right. Caller stated she did report this to her pulmonologist allergy and asthma. Patient received treatment for breathing difficulty, asthma, and troubled breathing. With Flovent HFA 110 which was a steroid that she took after she took ProAir which opened her airway and the steroid calmed down the airways. She used the Flovent HFA in the morning and usually had to use it when she got up and, in the morning, and sometimes during the day, that right now it was getting to be allergy season and she may use it again. Stated she was using the Flovent HFA 4 times a day after getting the shot and that wasn't normal. ProAir HFA 200meter inhalation 8.5, she used this first as it was a rescue inhaler. Stated she never used it 4 times a day and after the vaccine she was using it 4 times a day. She also took Allegra decongestant, and it did help some fluid down and made the tinnitus worse, but she had to use something to get the fluid down. She also took Flonase nasal spray 3 times a day and that was prescribed. The outcome of all the events was unknown.  No follow-up attempts are possible. No further information is expected.