Heart Rate then was in the high 40's like 47-48; Pleurisy; lost smell; lost taste; still sick; drug ineffective; has now been fighting Covid for 3 weeks; fluid around her heart and lungs; really bad headaches; Nauseous; Vomiting; Diarrhea; Shortness of breath; pain in chest and back; pain in chest and back; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team and product quality group. The reporter is the patient.  A 55 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 09Jul2021 (Lot number: FA6780) at the age of 55 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Asthma" (unspecified if ongoing); "COPD" (unspecified if ongoing). The patient's concomitant medications were not reported.The following information was reported: DRUG INEFFECTIVE (medically significant) with onset Jan2022, outcome "unknown", described as "drug ineffective"; SUSPECTED COVID-19 (medically significant) with onset Jan2022, outcome "unknown", described as "has now been fighting Covid for 3 weeks"; PLEURAL EFFUSION (medically significant) with onset 09Jul2021, outcome "unknown", described as "fluid around her heart and lungs"; HEADACHE (non-serious) with onset 09Jul2021, outcome "unknown", described as "really bad headaches"; NAUSEA (non-serious) with onset 09Jul2021, outcome "unknown", described as "Nauseous"; VOMITING (non-serious) with onset 09Jul2021, outcome "unknown", described as "Vomiting"; DIARRHOEA (non-serious) with onset 09Jul2021, outcome "unknown", described as "Diarrhea"; DYSPNOEA (non-serious) with onset 09Jul2021, outcome "unknown", described as "Shortness of breath"; CHEST PAIN (non-serious), BACK PAIN (non-serious) all with onset 09Jul2021, outcome "unknown" and all described as "pain in chest and back"; HEART RATE INCREASED (non-serious), outcome "unknown", described as "Heart Rate then was in the high 40's like 47-48"; PLEURISY (non-serious), outcome "unknown", described as "Pleurisy"; ANOSMIA (non-serious), outcome "unknown", described as "lost smell"; AGEUSIA (non-serious), outcome "unknown", described as "lost taste"; ILLNESS (non-serious), outcome "not recovered", described as "still sick". The events "fluid around her heart and lungs", "really bad headaches", "nauseous", "vomiting", "diarrhea", "shortness of breath", "pain in chest and back", "pain in chest and back", "heart rate then was in the high 40's like 47-48" and "pleurisy" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: heart rate: high, notes: her Heart Rate then was in the high 40's like 47-48. Therapeutic measures were taken as a result of drug ineffective, suspected covid-19, pleural effusion, headache, nausea, vomiting, diarrhoea, dyspnoea, chest pain, back pain, heart rate increased, pleurisy, anosmia, ageusia.  Additional Information:She has never been out of the country, everything she experienced was while in town. Her First Dose was on 09Jul2021, then about 2 days later she went to the Emergency room, she was not admitted to the hospital, they sent her back home because at that time, the hospital was full of covid patients and they weren't admitting anyone. She went to the Emergency Room because when she first got the shot, within 30 minutes she had really bad headaches, she was nauseous, vomiting, had diarrhea, started having Shortness of breath, pain in the chest and in the back. By the time she went to the Emergency Room they were treating her for pleurisy, they told her to follow up with the doctor, they could hear the fluid in her, and they gave her medication as well. She does not know the name of the medication at this time. She followed up with the doctor, because the pain was getting worse. He was treating her with some kind of water pill and something else, she doesn't remember the medication name. Since then she has had a lot of Shortness of Breath, they are concerned because her Heart Rate then was in the high 40's like 47-48, she had to keep an eye on that. Her heart rate is now running in the 80's and 90's, but goes up and down, for example when she uses the stairs her heart rate is in the 120's. Now that has covid, things are getting worse, they want her to see a cardiologist and pulmonologist, but she lost her job 3 weeks ago. She was a contract worker, and because of covid she couldn't work, so they took her off the job, she now has no income in and is still sick. The medical bills, its a new medical bill each time, she is even going back to the clinic today, she is still not better, they are trying to still test her for possible covid. She has lost smell, lost taste, she is nauseous day and night, she is vomiting on states that she is calling in regards to the Pfizer Covid vaccine, specifically the first vaccine. She had got the first dose and within 30 minutes she was having reactions to it. She has been having problems since 09Jul2021.She has been to the Emergency room and the Hospital right after receiving the first dose because she ended up with fluid around her heart and lungs. She has now been fighting Covid for 3 weeks and lost her job.She is getting worse not better, they are concerned that she may end up with covid pneumonia. She is on everything steroids, antibiotics, inhalers. To begin with she already had asthma and COPD prior, they were in control prior but since the shot she cant get her asthma in control.