fast heart beat/occasional fast heartbeat, feels it for a second then goes away; her pressure and was 166/81. Caller states it had went up a little bit; dizziness/little bit dizzy for a few seconds; blurry vision/looked away and had blurry vision, like grayness; hearing that sounds far/hearing is a little bit far; some nervousness and anxiety; some nervousness and anxiety; a fast palpitation; his is a spontaneous report from a contactable consumer. A 48-year-old female patient received first dose of BNT162B2 (Pfizer-BioNTech Covid-19 Vaccine: Solution for injection; Batch/Lot Number: ER8730), dose 1 via an unspecified route of administration, administered in Arm Left on 24Mar2021 14:30 HR as dose 1, single for COVID-19 immunization. Medical history included ongoing Hashimoto thyroid maybe from 4 or 5 years ago, ongoing multiple spinal stenosis degeneration, joint disease, maybe from 3 or 4 years ago. Concomitant medications included levothyroxine (LEVOTHYROXINE) 75mcg once daily, in the morning taken for thyroid disorder, paracetamol (TYLENOL A) 500 mg, as needed taken for neck pain, back pain, cefixime (FLEXERIL [CEFIXIME]) 5 mg or 10mg by mouth taken for muscle relaxant therapy, sulfamethoxazole, trimethoprim (MORTIN) taken for spinal stenosis, ibuprofen (ADVIL [IBUPROFEN]) 400 mg as needed taken for spinal stenosis, start and stop date were not reported. Caller stated that she would like to mention a side effect. She was concerned. Caller stated she got her first shot at local pharmacy on 24Mar2021. Caller stated after maybe ten minutes of waiting there at the pharmacy, on 24Mar2021 she started getting a little bit dizzy for a few seconds, then it would go away and had blurry vision, also had an occasional fast heartbeat that would like, like it would happen with a fast heartbeat and she feels it for a second and then it would go away. Caller states her hearing is a little bit far. Had blurry vision then got better. Caller stated she told the Pharmacist, they took her pressure and was 166/81. It was reported that it had gone up a little bit and she stated he said it could be normal. Caller stated there was some nervousness and anxiety, which she has both. Caller stated she came back home and occasionally throughout the day, it was happening, not the dizziness, but the heartbeat would come back and go away at night and then around 600AM, then it would go away. Occasional fast heartbeat that has continued, it was more than a couple of hours. She noticed it when she went to go to bed then early that woke her up around 60:0AM for the next two nights. Caller states occasionally she thinks it's still happening, but it's very mild. Caller stated she would get a fast palpitation and then it would go away. Caller stated she doesn't know if it's because of her coffee, then it would go away. Caller stated it's much less when she goes to bed or when she wakes up it is mild. Thinks it was from the vaccine. Caller states it is between improved and it went away, it comes for a few seconds then it goes away, but it hasn't happened. It happened a couple of days she felt the palpitations then it went away after a few seconds. Caller verified that her other symptoms had recovered completely. On 24Mar2021 patient underwent lab tests and procedures which included blood pressure measurement: 166/81 mmhg. The outcome of the events was recovered for fast heartbeat/occasional fast heartbeat, feels it for a second then goes away, her pressure and was 166/81. Caller stated it had went up a little bit, dizziness/little bit dizzy for a few seconds, blurry vision/looked away and had blurry vision, like grayness, hearing that sounds far/hearing is a little bit far and unknown outcome for events nervousness, anxiety and fast palpitation.  Follow up attempts are completed. No further information is expected.