running nose; her ears are bothering her; eye is now red; left lymph node that causing her discomfort; found her asleep while doing online school; her body felt hot on the inside like whenever she had a MRI with contrast; she is exhausted; kept her up most of the night; she was only able to sleep for 2-3 hours; bad headache; throat hurt/sore throat; coughing; arm was sore where injection; muscle pain; she kept feeling worse; throat red but not swollen; This is a spontaneous report from a contactable consumer (patient's grandmother).   A 16-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EP7534), via an unspecified route of administration, administered in Left arm on 14Mar2021 15:30 (at the age of 16 year old) as dose 1, single for COVID-19 immunisation. Medical history included a lot of sinus issues. Patient is a typical teenager, she has had strep throat and has been in and out of school. Concomitant medications reported as none. On 14Mar2021, patient received the first dose, but had no reactions, but after 12 hours of vaccination, on 15Mar2021, during the night, patient woke up with a bad headache, at some other time, her throat got hurt as like her throat was on fire, and was coughing. Patient's arm was sore where the injection went, where arm was never red and never swollen. She also had muscle pain. It was reported that her headache was worst, she has ever had. Patient tried to do school online, but she kept feeling worse. Patient mother took her to the urgent care and they did a COVID test and result was negative. The doctor at the urgent care told that her throat was red, but not swollen. The next day, patient felt worse and she did not go to school. Patient's headache kept her up most of the night; she was only able to sleep for 2-3 hours at a time. Also, she was coughing a lot through the night, blowing her nose, and headache was so bad, all kept her up. Patient was taking Tylenol. Patient did not loose her appetite, she still ate and drank fine. On Wednesday, 17Mar2021, she still could not do school. On 18Mar2021, patient felt better, and was able to do school, however, the patient's mom found her asleep while doing online school. On the same day, night, her body felt hot on the inside like whenever she had a MRI with contrast, where no fever at all but she felt worse. Patient took a cool bath to see if it would help it. Patient was up all night with a headache.  Patient got up and did school, after school she was exhausted. Patient would sleep for 2 or 3 hours at a time. Patient has been eating. Patient has not slept for more than 3 or 4 hours at a time due to the coughing and sore throat. Patient falls asleep during the day. Patient has been sleeping off and on around the clock. Patient's headache was not as bad. On 19Mar2021, patient experienced running nose and her ears were bothering her. At the time of report, patient still has a headache, was coughing a lot, and has a running rose. Her eyes were in red.  It was reported that reporter's daughter wondered whether patient had strep throat and it was worsened by the vaccine.  Also reported that, patient's left lymph node, that causing her discomfort. Therapeutic measures in response to the events included Tylenol. The outcome of the events headache, Muscle pain, myalgia was recovering and of events pain in extremity, feeling abnormal, middle insomnia, Somnolence was unknown and of other events was not recovered.  No follow-up attempts are possible; no further information is expected.