throat swelling; hoarseness; difficulty breathing; Having a hard time swallowing; coughing; nose is running; Left arm sore at injection site; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 50 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 23Aug2021 (Lot number: PC3184) at the age of 50 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "diagnosed allergies" (unspecified if ongoing); "compromised immune status" (unspecified if ongoing); "respiratory illness" (unspecified if ongoing); "chromosomal abnormalities" (unspecified if ongoing); "diabetes" (unspecified if ongoing). Concomitant medication(s) included: XANAX taken for anxiety disorder; SUBUTEX taken for pain; NEURONTIN taken for neuropathy peripheral. The following information was reported: PHARYNGEAL SWELLING (non-serious), outcome "unknown", described as "throat swelling"; DYSPHONIA (non-serious), outcome "unknown", described as "hoarseness"; DYSPNOEA (non-serious), outcome "unknown", described as "difficulty breathing"; DYSPHAGIA (non-serious) with onset 24Aug2021, outcome "not recovered", described as "Having a hard time swallowing"; COUGH (non-serious) with onset 24Aug2021, outcome "not recovered", described as "coughing"; RHINORRHOEA (non-serious) with onset 24Aug2021, outcome "not recovered", described as "nose is running"; PAIN IN EXTREMITY (non-serious) with onset 23Aug2021, outcome "not recovered", described as "Left arm sore at injection site". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Caller states that at 3 am the following morning she began to have difficulty breathing. Caller states she now feels like someone is squeezing my trachea. Caller states she feels like her throat is closing up and she cannot breathe well. Caller asking if this is normal and if she should go to the Emergency Room. Response received advised caller immediately that if she feels like her life is in danger and she is having difficulty breathing, she should seek medical attention right away. Informed caller that severe allergic reactions, though rare, have occurred, and typically occur within the first several minutes after injection. Advised caller that most side effects experienced by vaccine recipients were mild to moderate in nature and resolved within a few days. Advised caller to seek medical attention if she has side effects that continue to bother her or do not go away. Patient History and Investigation Assessment was not reported. Received call from consumer who received the first dose of the Pfizer COVID vaccine 2 days ago and said her husband is really sick. She feels like someone is squeezing her throat and it hurts really bad. She is having a hard time swallowing and is sick. Her throat hurts so bad. She feels like it is closing. He is sick from the shot too. Both received it at the same time and place. Separate report completed for her husband. She used to be a Medical Assistant. The pharmacist said he had not heard of anyone else who had these symptoms and wanted her to call Pfizer to report. She did not have an address, phone or email for her primary care provider. Everything happened all at once yesterday or over two days. She is scared. She is supposed to go back on 15Sep2021 for second dose. The pharmacist told her the medications she takes would not interfere with the vaccine. She was on Dialysis for a while and she was on Dilaudid. She wanted to be off of it so they put her on Subutex. She was on Dialysis about 8 years ago. She told them she did not want to be addicted and asked for something that was not addicting. She no longer has any of it to provide a lot or expiration. It has been over 8 years. She takes Neurontin because when she was on dialysis, the urine crystallized in her legs, so it is for neuropathy. She was going to get a flu shot, but she decided not to. Feeling like someone is squeezing her throat and it hurts really bad. Later in the evening. First she thought it was just a sore throat and then it became painful and felt like pressure and someone squeezing it. Patient's Medical History was reported None. Provide other relevant medical history including but not limited to these conditions: diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. She would like to know if this is a normal reaction.  Follow-up attempts are completed. No further information is expected.