mild sore arm; Slept 12hrs;still struggled to get out of bed after several alarms; Headache pounding and worsened; pain.; Sensitive to light, sound; Sensitive to light, sound; had neck .+ upper/lower back pain.; had neck .+ upper/lower back pain.; bilateral leg pain; Extreme fatigue; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 32 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 03May2021 15:30 (Lot number: ER8735) at the age of 32 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Migraines" (unspecified if ongoing), notes: get migraines every few years, inc. a focal migraine that caused LHS numbness at 24yrs old., My last migraine in 2017; it lasted 36hrs.; "Sinus infection" (unspecified if ongoing), notes: facial swelling at dermal filler site after minor sinus infection (hence prophylactic lisinopril for vaccine).; "Low BP" (unspecified if ongoing), notes: I normally have low-ish BP:, typically 90/60 (100/60 most recent); "transient ischemic attack" (unspecified if ongoing), notes: suspected transient ischemic attack at 29, (grandma died of stroke at 88 but was a lifelong smoker).; "Facial swelling" (unspecified if ongoing), notes: facial swelling at dermal filler site after minor sinus infection (hence prophylactic lisinopril for vaccine).; "LHS numbness" (unspecified if ongoing), notes: get migraines every few years, inc. a, focal migraine that caused LHS, numbness at 24yrs old; "poor sleeper" (unspecified if ongoing), notes: normally a poor sleeper. Concomitant medication(s) included: LISINOPRIL, start date: 02May2021, stop date: 05May2021; MELATONIN. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 05May2021, outcome "recovered", described as "mild sore arm"; SOMNOLENCE (non-serious) with onset May2021, outcome "recovered", described as "Slept 12hrs;still struggled to get out of bed after several alarms"; HEADACHE (non-serious) with onset May2021, outcome "recovered", described as "Headache pounding and worsened"; PAIN (non-serious) with onset May2021, outcome "recovered", described as "pain."; PHOTOPHOBIA (non-serious), HYPERACUSIS (non-serious) all with onset May2021, outcome "recovered" and all described as "Sensitive to light, sound"; NECK PAIN (non-serious), BACK PAIN (non-serious) all with onset May2021, outcome "recovered" and all described as "had neck .+ upper/lower back pain."; PAIN IN EXTREMITY (non-serious) with onset May2021, outcome "recovered", described as "bilateral leg pain"; FATIGUE (non-serious) with onset May2021, outcome "recovered", described as "Extreme fatigue". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, somnolence, headache, pain, neck pain, back pain, pain in extremity, fatigue, headache.  Additional information: Patient took Lisinopril 10mg daily (on day preceding vaccine, vaccine day, and for 2 days post vaccine) and melatonin 6mg nightly within two weeks of vaccination. Patient told he had no family history of stroke/blood clotting disorders at a young age (grandma died of stroke at 88 but was a lifelong smoker). Mirena but no oral birth control or smoking. Patient had no side effects on the day of vaccination. On day 1 post vaccination she had only mild sore arm. On Day 2 she had extreme fatigue; slept 12hrs; still struggled to get out of bed after several alarms (she was normally a poor sleeper). On day 3 she experience same events as day 2 in addition to mid-level headache (HA). HA pounding and worsened w/standing. No relief w/ibuprofen, panadol, water, rest. Went to bed with 6/10 HA. On day 4, Awoke at 4am w/severe HA. 9/10 pain. Sensitive to light, sound. Also had neck plus upper/lower back pain. Slept all day. HA slowly subsided by 5pm W/caffeine + panadol. On day 5, patient had mild HA. Woken by bilateral leg pain. Patient did not had covid prior and post vaccination and did not received any vaccine within 4 weeks of vaccination.  No follow-up attempts are possible. No further information is expected.