heart palpitation; digestive system problems; extremely ill, what she means is that she could barely get out of bed; headache; diarrhea; stomach problems; Her body aches were the worst; head cold; flu; She said that she was miserable from the time she had received the vaccine; This is a spontaneous report received from a contactable reporter (consumer or other non-healthcare professional) from medical information team. The reporter is the patient.  A 73-year-old female patient received bnt162b2 (BNT162B2), administration date 03Mar2021 17:00 (Lot number: EN6198) as dose 1, single for covid-19 immunisation. Relevant medical history included: "lupus" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: GASTROINTESTINAL DISORDER (non-serious) with onset 04Mar2021, outcome "recovering", described as "digestive system problems"; MALAISE (non-serious) with onset 04Mar2021, outcome "recovering", described as "extremely ill, what she means is that she could barely get out of bed"; HEADACHE (non-serious) with onset 04Mar2021, outcome "recovering", described as "headache"; DIARRHOEA (non-serious) with onset Mar2021, outcome "recovering", described as "diarrhea"; GASTRIC DISORDER (non-serious) with onset Mar2021, outcome "recovering", described as "stomach problems"; PAIN (non-serious) with onset Mar2021, outcome "recovering", described as "Her body aches were the worst"; NASOPHARYNGITIS (non-serious) with onset Mar2021, outcome "recovering", described as "head cold"; INFLUENZA (non-serious) with onset Mar2021, outcome "recovering", described as "flu"; PALPITATIONS (non-serious) with onset 05Mar2021, outcome "recovering", described as "heart palpitation"; FEELING ABNORMAL (non-serious) with onset Mar2021, outcome "recovering", described as "She said that she was miserable from the time she had received the vaccine".  Additional information: The patient reported that she became very, very ill, ill enough that she required assistance from the people in her home. She wanted to know how ill she would be after the second dose. She said that she was miserable from the time she had received the vaccine up to this morning (4 days) and it was terrible. She knows that the adverse events could be worse for the second dose that was why she was concerned. She particularly had digestive system problems and pounding headache that occurred for 3-4 days. The patient further reported that her covid vaccine first dose was on 03Mar2021 at 5PM. She became extremely ill, what she meant was that she could barely get out of bed, with her headache it was like it was going to explode. Today has been the first day that she has been able to be halfway normal. She experienced diarrhea, stomach problems. She was experiencing nothing where they gave the shot, no problems there, she understood that a lot of people complained about that. Her body aches were the worst, she had like a head cold or flu. She got the shot at 5PM on the 03Mar2021 Wednesday, but it was Thursday when she was really not right. Thursday night she was so ill, especially with her digestive system and headache by Friday she was just laying there, she needed assistance to make sure she had liquids. She experienced heart palpitation like she could hear her heartbeat. She told her to get the second shot on 24Mar2021.  No follow-up attempts are possible. No further information is expected.