photophobia/phonophobia; photophobia/phonophobia; pounding headache; dizziness; swollen gland; The initial case was missing the following minimum criteria: (ICH- Unspecified product). Upon receipt of follow-up information on (06Oct2021), this case now contains all required information to be considered valid.  This a spontaneous report received from a contactable consumer (patient) via a Pfizer-Sponsored Program, Pfizer . A 56-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot Number: EP7533) intramuscularly on 04Mar2021 at 11:00 (at the age of 56-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included migraines (rare) from an unspecified date and unspecified if ongoing, cluster headaches (as a kid during pregnancy in 1982 - 1988) from an unspecified date and unspecified if ongoing, allergies to cats, dogs, dust, mites, feathers, fish derived (products), milk, mold, trees, wheat, shellfish derived (products)- all from unspecified dates and unspecified if ongoing, Hashimoto's thyroiditis from an unspecified date and unspecified if ongoing, menopause from an unspecified date and unspecified if ongoing, asthma from an unspecified date and unspecified if ongoing, depression from an unspecified date and unspecified if ongoing, recurrent herpes labialis from an unspecified date and unspecified if ongoing, colonoscopy in Apr2015, hysterectomy in Apr2015, former smoker from an unspecified date to 02Oct2010 (packs/day: 1; years: 30; pack years: 30; types: Cigarettes; years since quitting: 11.5), alcohol use from an unspecified date and unspecified if ongoing (occasional), concussion (has had 3 concussions) on unspecified dates, sulfa (sulfonamide antibiotics) allergy from an unspecified date and unspecified if ongoing, used to get a funny smells (oranges, pollen, metallic smell, then would get a headache; duration: 112-2 hour; never passed out) from an unspecified date and unspecified if ongoing and sinus problems from an unspecified date and unspecified if ongoing. Concomitant medications included levothyroxine sodium (SYNTHROID) taken for Hashimoto's thyroiditis, start and stop dates were not reported; aciclovir (ACYCLOVIR) taken for cold sores, start and stop dates were not reported; estrogens conjugated (PREMARIN) taken for menopause, start and stop dates were not reported; epinephrine, budesonide/formoterol fumarate (SYMBICORT), salbutamol (ALBUTEROL HFA), guaifenesin/pseudoephedrine hydrochloride (MUCINEX D), cyanocobalamin, calcium, acetylsalicylic acid (ASPIRIN EC), indometacin (INDOMETHACIN) and multivitamin, all taken for unspecified indications, start and stop dates were not reported. The patient previously received erythromycin and Bactrim on unspecified dates for unspecified indications and experienced allergy. Family history included pituitary benign tumor and lymphoma and lung cancer in mother and cirrhosis and hemochromatosis in father. On 04Mar2021 (within two hours of the first vaccine), the patient experienced pounding headache, dizziness, swollen gland and on an unspecified date, the patient experienced  photophobia/phonophobia. The events did not require a visit to the emergency room. The events pounding headache and dizziness required a physician office visit. The patient stated that she was in good/great health before she received the vaccines. Within 2 hours of first vaccine, she experienced a pounding headache, dizziness, swollen gland. She was still advised to get the second dose of the vaccine. She stated that in her opinion we needed to remove the lipids and any other thickening agent that was added to the vaccine. She stated that the vaccines could have killed her. She stated that she received the COVID-19 vaccine that was reported to be safe. If she had known that the people in the study trial had an autoimmune, she never would have gotten the vaccine, she was healthy before the vaccine (as reported). She stated that she would not get the booster because she was still dizzy and used the wrongs words still (captured in AER: 202101332733). The patient saw a neurologist on an unspecified date: After the first shot, the patient started getting headaches/dizziness within 2 hours. Continuous headache lasted 3 weeks after each dose of the vaccine. Dizziness was constant but had improved to intermittent now. Headaches were in the mid frontal area, throbbing, lasted constantly, 10/10, had photophobia/phonophobia, now resolved. Dizziness was intermittent, I/day. Review of systems was reported as: General: Negative for Change in Weight. Negative for Fever; Eyes: Negative for Glaucoma, Negative for Cataracts, Positive for Glasses; ENT: Negative for Trouble Swallowing. Negative for Nose Bleeds, Negative for Dentures. Positive for Sinus Problems; Cardiac: Negative for Chest Pain, Negative for Irregular Heartbeat. Negative for Heart Failure, Negative for Angina. Negative for Murmur, Negative for High Blood Pressure. Negative for Pain in legs w/exercise, Negative for Blood Clots, Negative for Leg Swelling; Respiratory: Negative for Shortness of Breath, Negative for Cough/heezing, Positive for Asthma. Negative for Other Lung Problems; Hemel/Lymph: Negative for Swollen Nodes/Glands. Negative for Bleeding Problems, Negative for Anaemia; GI: Negative for Negative for Blood in Stool. Negative for Diarrhea, Negative for Intestinal Bleeding, Negative for Poor Appetite, Negative for Hiatal Hermia, Negative for Ulcer, Negative for Haemorrhoids, Negative for Vomiting/Nausea, Negative for Constipation; G/U: Negative for Pain/Burning, Negative for Urinary Frequency/Urgency, Negative for Blood in urine, Negative for Slow or Small Stream, Negative for Poor Bladder Emptying, Negative tor up at Night to Urinate, Negative for Sexual Dysfunction; Endo: Positive for Cold or Heat Intolerance, Negative for Hot Flashes/Flushing, Negative for Abnormal Thirst. Negative for Change in Body Hair; Skin: Negative for Lumps or Nodules, Negative for Breast Lumps, Negative for Rashes/Sores; Psych: Positive for Depression/Anxiety. Musculoskeletal: Negative for Joint Replacement. Negative for Broken Bones. Physical exam was as follows: Constitutional: She is oriented to person, place, and time and wen-developed, well nourished, and in no distress. No distress.HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Mouth/Throat: No oropharyngeal exudate. Eyes: Conjunctivae and EOM are normal. Pupils are equal. round, and reactive to light. Right eye exhibits no discharge. Left eye exhibits no discharge. No scleral icterus. Neck: Normal range of motion. Neck supple. Cardiovascular: Normal rate, regular rhythm, normal heart sounds and intact distal pulses. Exam reveals no gallop and no friction rub. No murmur heard. Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress. She has no wheezes. She has no rales. She exhibits no tenderness. Musculoskeletal: Normal range of She exhibits no edema and no tenderness. Neurological: Mental Status: Level of alertness: Normal: Awake. appropriate. Attentive. Orientation: Normal: Oriented to person, and time. Affect: Normal. Speech and Language: Normal: Speech fluent with intact naming, repetition,  comprehension, reading, and writing. Cranial Nerve: Il - Xll normal. Muscle tone examination showed normal tone. Muscle strength testing revealed 5/5 both upper and lower bil extremity. Deep tendon reflexes were 2/4 both upper and lower bil extremity. The plantar reflex was flexor and bilateral. There was no evidence of rest. postural or kinetic tremor. There was no dysmetria seen on the bd found on finger-nose-finger testing and heel to shin testing. Rapid alternating movements were normal bilaterally. There was Normal perception of primary and cortical sensory modalities. extinction on double simultaneous stimulation. There was no extinction on the Bilateral with bilateral simultaneous stimulus. The gait examination was normal including tandem gait. Skin: Skin is warm. She was not diaphoretic. Psychiatric: Memory. affect and judgment normal. The clinical outcomes of the events pounding headache and photophobia/phonophobia were recovered/resolved on an unspecified date, dizziness was recovering/resolving and swollen gland was unknown.