had a red line on each leg it and it was burning and on the left leg she has some red blood dots./Both legs were burning and then noticed red lines all the way down the front her legs; had a red line on each leg it and it was burning and on the left leg she has some red blood dots./Both legs were burning and then noticed red lines all the way down the front her legs; Arm hurt; Extreme joint pain, felt like she couldn't move; Horrible nightmares, vivid, she felt afraid to sleep, nothing she has ever experienced; headache; memory issue that flared up, thinking got worse, pain was worse in shoulder and arm at first; memory issue; Mood swings, that made her depressed and irritable; Felt like she couldn't think; Migraine; Body pain, she couldn't get out of bed; This is a spontaneous report from a contactable consumer (patient) reporting for self. A 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: ER8730) via an unspecified route of administration, administered in Arm Right on 30Mar2021 14:00 as dose 1, single (at the age of 59-years) for COVID-19 immunization. Medical history included migraine from an unknown date and ongoing, lyme disease from 2016 and ongoing. Patient had the flu shot for flue and after that she had to stay in bed. her mother told her that she got the flu, after getting the flu shot and was in bed for a week. doctor had to come to the house every day. Doctors were trying to figure out where the migraines were came from. Patient was diagnosed at a younger age, and they went away, but came back when she was diagnosed with Lyme disease in 2016, treated for Lyme disease again 2019. Concomitant medications included topiramate taken for migraine, start and stop date were not reported. Patient had taken it for years. The patient experienced had a red line on each leg it and it was burning and on the left leg she has some red blood dots/both legs were burning and then noticed red lines all the way down the front her legs, Left leg, above her ankle, were little red blood spots on 03Apr2021, arm hurt on 31Mar2021, extreme joint pain for a couple of weeks, felt like she couldn't move on 31Mar2021, went to the doctor for this event, migraine, body pain, she couldn't get out of both on an unknown date, horrible nightmares, vivid, she felt afraid to sleep, nothing she has ever experienced on 30Mar2021, mood swings, that made her depressed and irritable, felt like she couldn't think on an unspecified date in 2021. Patient had adverse events with the first dose of the Pfizer COVID vaccine, and she was told to wait to receive the second dose. Doctor thought that patient should not get the second dose. It was reported that arm hurt may have ended 13 days later, but was unsure, stated as may have lasted for a total of 3.5 weeks instead, pain was worse in her shoulder and her arm at first on an unknown date in 2021, extreme joint pain most part it has ended, still has some hand pain, patient had migraines before the vaccine. Her doctor told her if she didn't have migraines on the day of her vaccine, she could get the vaccine. she was not sure, but she remembers in the evening of the day she got the vaccine, she started to get a headache, stated she felt fine and her migraines after the vaccine were different from what she normally experiences. Patient had existing memory issue that flared up after she got the Covid vaccine on an unknown date in 2021. Patient felt like she couldn't think, she felt fine on 31Mar2021 and as the day went on, her thinking got worse. she was back to her normal thought process, it was unknown as she already had an issue, but everyone around her noticed it, after the vaccine. Patient had no other vaccinations within 4 weeks. Doctor suggested as patient shouldn't get the second vaccine and maybe she should get it at a later time. The outcome of the events was extreme joint pain, felt like she couldn't move, Horrible nightmares, vivid, she felt afraid to sleep, nothing she has ever experienced was recovering, had a red line on each leg it and it was burning and on the left leg she has some red blood dots/Both legs were burning and then noticed red lines all the way down the front her legs was recovered on 04Apr2021, Body pain, she couldn't get out of bed on an unknown date in 2021 and it was unknown for other events.  No follow-up attempts are needed. No further information is expected.