really bad migraine/pain in her neck turned into a migraine headache; body aches; Runny nose; trouble swallowing; Dry cough; could barely move; joint and muscle pain; could barely move; joint and muscle pain; could barely move; joint and muscle pain; Chills; pain in her neck; Dizziness; Headache on her way home from vaccine; feeling bad; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 72-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9266), via an unspecified route of administration, administered in arm right on 20Feb2021 23:28 (at the age of 72-year-old) as dose 1, single for covid-19 immunisation (not at military facility). Medical history included breast cancer from 2007, Took out 8 Lymph nodes in left arm, polymyalgia, connective tissue disease, pain, arrythmia, Glaucoma in left eye. There was no illness at the time of vaccination and family history relevant to Ae was reported as none. History of all previous immunization with the Pfizer vaccine considered as suspect was none. The list all vaccines administered on same date with the Pfizer vaccine considered as suspect was none, Prior to the first administration date of the suspect vaccine list any other vaccinations within four weeks was none. AE prior vaccinations was none. Concomitant products included ongoing prednisone for polymyalgia and connective tissue disease, ongoing oxycodone hydrochloride, paracetamol (PERCOCET) for Pain (She never takes a whole pill of Percocet at once. Takes half, then waits 30 minutes then takes the other half. If she takes a whole one, it makes her too spacey and nauseous), ongoing Verapamil SR for arrhythmia and this also lowers her blood pressure, ongoing Xalatan for glaucoma in left eye (Only takes it every other day. No Lot/NDC/Expiry because it was really little, she could not read it even with her glasses). On 20Feb2021, the patient had pain in her neck (20 min after vaccine), dizziness (40 mins after vaccine), headache on her way home from vaccine. On 20Feb2021 18:00, the patient could barely move; joint and muscle pain, chills. On 21Feb2021 2:00 AM, the patient experienced trouble swallowing, dry cough, runny nose. On an unspecified date in 2021, the patient had really bad migraine/pain in her neck turned into a migraine headache, body aches. Patient takes 4mg prednisone daily. The patient asked other doctors if it was ok to continue prednisone while around vaccination and stated that she really cannot move without taking the prednisone. After she got the vaccine she had an episode got really dizzy and a really bad migraine, pain in her neck turned into a bad headache, joint pains and body aches, steroids were not working, had trouble swallowing for a couple of hours, she was concerned about getting second dose. The patient questioned that it would it be ok to take the steroids. She also experienced runny nose and dry cough 2 a.m. Sunday. The reporter wanted to know the efficacy after first dose of Pfizer-BioNTech COVID-19 Vaccine and about the second dose timing (receiving it later than 3-weeks). The patient took Covid-19 vaccine because she does not want to die. She got her 1st dose on Saturday and she got really sick. Patient stated that she has other medical conditions and takes 4mg prednisone daily. She asked her Oncologist and Rheumatologist if it was okay to get the vaccine and to continue taking the steroid and was told yes. She does not take the prednisone then she can't move due to underlying conditions. She also takes Percocet for pain, and a heart pill. After she took the vaccine, about 20 minutes after she left, she had a strange pain in her neck but she just thought she slept wrong. About 20 minutes later, she started to get dizzy, then the pain shot up from her neck up into her head and she got this awful headache. She went home and she started feeling bad about 3pm, by 6pm, she could barely move, meaning that the steroids that she takes to be able to move weren't working. States that she had a really bad night, had chills, and she had trouble swallowing at about 2am Sunday morning. Stated that she got a little panicked, but she had no trouble breathing. The patient stated that when she was getting the injection, she was told that the 2nd injection would be worse, but there was another nurse there that said that she had to take a Benadryl before her injection because she was allergic to a lot of things, so her doctor advised her to take a Benadryl before getting the vaccine. She also asked her Cardiologist about this and he said not to take steroids for 2 days, but she knew that she would be in trouble if she don't take the steroids, so then she asked her Oncologist and Rheumatologist what they thought. Patient stated the pain in her neck turned into a migraine headache. She was just a little lightheaded. It gets better every day and was not there all the time. She knew that joint and muscle pain are part of the side effects, and she had that normally, but this was magnified horribly. She could barely move at all on Saturday night and it still hurts to move. She had trouble swallowing for about 4 hours around 2am Sunday morning. She needs back surgery, but she was too old to do it due to pain and also because it was a 10 hour procedure. The patient took Tylenol in between all this, about 1 every 6 hours, to help her feel better and maybe half a Percocet at night to help her sleep because she felt bad. Therapeutic measures were taken for all events. Patient did not visit emergency room and physician office for AE. No other relevant diagnostic and confirmatory tests for events. Outcome for trouble swallowing recovered on 21Feb2021, pain in her neck recovered on 20Feb2021, headache recovered on 21Feb2021 (around 6am the next morning), outcome for dry cough, chills, runny nose, really bad migraine/pain in her neck turned into a migraine headache, body aches was unknown, outcome for dizziness, could barely move; joint and muscle pain was recovering.  No follow-up attempts are possible. No further information is expected.