lost her voice/voice wouldn't come back; her voice has changed and it is not good/voice has not been the same as her previous voice; Even when she went to the doctor, they said it was a cough or something; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202101732260 (PFIZER).  A 65 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 21Sep2021 (Lot number: 30135BA) at the age of 65 years as dose 1, single for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: LEVOTHYROXINE. The following information was reported: APHONIA (non-serious) with onset 25Sep2021, outcome "not recovered", described as "lost her voice/voice wouldn't come back"; DYSPHONIA (non-serious) with onset 25Sep2021, outcome "not recovered", described as "her voice has changed and it is not good/voice has not been the same as her previous voice"; COUGH (non-serious) with onset 2021, outcome "not recovered", described as "Even when she went to the doctor, they said it was a cough or something". The events "lost her voice/voice wouldn't come back", "her voice has changed and it is not good/voice has not been the same as her previous voice" and "even when she went to the doctor, they said it was a cough or something" were evaluated at the physician office visit. Therapeutic measures were taken as a result of aphonia, dysphonia, cough.  Additional information: Lost her voice: Reporter stated it it getting worse and at first, she thought it was a cold. She stated that it was probably like, 3 days later, after the shot that she first had that feeling, that she lost her voice, stating that it was probably 25Sep2021. She stated that it is getting worse and worse. Sometimes it lets up and sometimes it comes back. Treatment: She went to the doctor and they gave her antibiotics and some cough syrup and it is still the same. Clarified that the Reporter did not have a cough, they just gave her the cough medicine. Reporter stated she still has the empty bottles. She provided the name of the antibiotic as Azithromycin 250mg. NDC, LOT, EXP: Unknown. She stated that the medication is in a # Prescription bottle and does not have this information. She stated that the quantity in the bottle was 6 tablets. Reporter provided the expiration date of the cough syrup as Jul2022. Reporter stated that she cannot find the name of the medication on the bottle, stating that she had torn the paper off of it. Name of medication, NDC, LOT: unknown. She was calling about Pfizer covid 19 vaccine. She talked to someone a couple of weeks ago and she never received a call back. She took the first shot 21Sep2021 and took the second dose 01Oct2021. Dates were clarified and documented as reported. After the first dose her voice wont come back to the same voice she had. Reporter provided the expiration date of the cough syrup as Jul2022. Reporter stated that she cannot find the name of the medication on the bottle, stating that she had torn the paper off of it. Name of medication, NDC, LOT: unknown. Regarding the Pfizer Covid vaccination, the Reporter also stated, she does not know why they are giving people these shots and hurting people like that. Second Dose: 1Oct2021 or 25Oct2021. Was previously provided as 25Oct2021 and Reporter stated that the dates 1Oct2021 and 25Oct2021 are both written on the vaccine card. Clarified that the Reporter had only received 2 doses of the Covid-19 vaccine. She stated she was not really sure. Concomitant medications: Reporter stated that she takes other medications. She stated that Pfizer can get there from her doctor. She stated that she takes Levothyroxine 20mg and does not provided any further details about this medication or regarding any other medications. She stated that talking too much makes it worse and the doctor has this information. Time the Vaccination Was Given: in the morning. Additional Vaccines Administered on Same Date of the Pfizer Suspect: No. Did any AE(s) require a visit to: Emergency Room, she went to urgent care. Clarified that it was urgent care and not the Emergency Room. Physician Office, she went one time and got the antibiotics. Prior Vaccinations (within 4 weeks): No. AE(s) following prior vaccinations: None. She stated she goes for the studies sometimes. Patient's Medical History (including any illness at time of vaccination): None. Family Medical History Relevant to AE(s): No, this is the first time she has seen anything like this. Relevant Tests: None.  No follow-up attempts are possible. No further information is expected.