hallucinating; frustrated; doesn't feel good, she's mainly staying in bed; was so tired, extreme fatigue is awful; got very sick, nauseous; got very sick, nauseous; has made her feel crazy/doesn't feel good; afraid; when she's in bed, she's always so cold; She also still had the arm pain, they said her arm would probably be tender for a little bit after the injection; difficulty with breathing, felt like the wind had been knocked out of her; This is a spontaneous report from a contactable consumer (patient self).  A 6-decade-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in Arm Left on 26Aug2021 12:35 as dose 1, single for COVID-19 immunization.  Medical history included ongoing compromised immune system diagnosed 12 years ago, covid-19 from 2020.  There were no concomitant medications.  The patient previously took zofran [ondansetron] and experienced nausea.  No prior Vaccinations (within 4 weeks).  No AE(s) following prior vaccinations.  She called her healthcare provider and she talked to a social worker telling them her concerns.  She stated she did not feel good, she was mainly staying in the bed on 27Aug2021. She called her manager, she had a video appointment with another doctor of hers and she told the doctor, she could see how bad the caller was looking in this video appointment.  Hallucinating: she has been hallucinating, she was so frustrated, she did not hallucinate. It was the very next day after the shot, the next morning when she got up, she went outside. Confirmed began 27Aug2021, ongoing and persisting.  Difficulty with breathing: when she got up she felt off, weird. She went to get some air and she was going to wash her car and she remembered her breathing, she had to stop because of her breathing. The only time she ever had difficulty with breathing was when she did have COVID, which was last year, she did not have any breathing problems since then other than that day. She stopped washing her car and she immediately felt like the wind had been knocked out of her. Confirmed began 26Aug2021 and also ended 26Aug2021. Confirmed she has recovered completely by 95%. She was so tired, extreme fatigue was awful: confirmed began 27Aug2021, ongoing, persisting. She did what she needs to do and has to do and stays in bed the rest of the time, she just wants to sleep. She had to make herself do things, which she usually doesn't do that.  She got very sick, nauseous on 27Aug2021: She has been taking Zofran. She has taken Zofran in the past and it always helped, but it was not helping other than the nausea would subside but it came back. Zofran: 4 mg, tablets- once a day as needed, sometimes twice, just depends. Expiry Date: Jun2024.  She stated before this shot, she maybe had to take it once every three weeks or so but definitely not daily.  Made her feel crazy on 27Aug2021: one day three different things happened. She went to withheld to get some Pepto-Bismol or water and put her debit card in and two times the transaction was denied, when the third transaction went through she realized she wasn't putting her pin in she was putting her telephone number in. The next day after that she went out and came back in had her key out to open the door like she always does, and instead of putting her door key in she switched it to the mailbox key instead to open the door. She stated the third thing that happened, this really shook her, was the maintenance man had stopped her in the parking lot to talk to her so she put her car in park like she always does, and as he was talking to her, she felt her car drifting very slow going forward, she felt herself going past him, she kept looking at the gear, she was in park, she had her foot on the break, she put her foot on the break so hard she felt the muscle, she had to keep in her mind she was stopped, she didn't want to say anything to the maintenance man, but she could see her car still rolling and she knows she was hallucinating, that just made her so afraid on 27Aug2021. She stated one other time she was hallucinating was last night, she was looking out the door, and there was a chair bedside the door, and she saw something in the chair sliding across the chair and out of the chair. She stated she has not hallucinated like that before.  When she was in bed, she was always so cold on 27Aug2021: it was so weird, it was only like that when she was in the bed.  Arm pain: She also still had the arm pain, they said her arm would probably be tender for a little bit after the injection. Stated began same day as injection on 26Aug2021, was ongoing, and improved, it was not as bad as it was.  The AEs did not require a visit to Emergency Room.  The patient visited Physician Office.  Relevant Tests: None.  Outcome of the arm pain was resolving, outcome of difficulty with breathing was resolved on 26Aug2021 while outcome of the other events was not resolved.  The lot number for the vaccine [BNT162B2] was not provided and will be requested during follow up.