Extreme itching all over head and arms; Chills, with uncontrollable shaking; Chills, with uncontrollable shaking; Cannot get rid of dryness in throat; Hands and feet are frozen; This is a spontaneous report from a contactable consumer (patient). A 37-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot Number: EW0168; Expiration Date: 31Aug2021) via an unspecified route of administration on 10May2021 at 07:40 (at the age of 37-years-old) as a single dose for COVID-19 immunisation (to protect self and kids). Medical history included shingles in left eye from an unspecified date (diagnosed two weeks ago) and unspecified if ongoing. The patient had no history of previous immunizations and had no history of adverse events that followed prior vaccinations. Family medical history was reported as none. Concomitant medications included moxifloxacin (eye drops; strength: 0.5%; Lot Number: AGT001; Expiration Date: Jun2023) ophthalmic taken for shingles in left eye from an unspecified date (started two weeks ago) to an unspecified date (stopped a week ago per doctor's instructions) at 1 drop (in left eye), 4x/day; prednisone (eye drops; strength: 1%; Lot Number: E90450; Expiration Date: Aug2023) ophthalmic taken for shingles in left eye from an unspecified date (started two weeks ago) and ongoing at 1 drop (in left eye), 4x/day and acyclovir (ACICLOVIR) orally taken for shingles in left eye from an unspecified date (been on it for two weeks) to an unspecified date (did not take it today) at 200mg, 5x/day. The patient did not receive any additional vaccines on the same date as the COVID-19 vaccine or within 4 weeks of the COVID-19 vaccine. On 10May2021 the patient experienced extreme itching all over head and arms, chills, with uncontrollable shaking, cannot get rid of dryness in throat and hands and feet are frozen. The clinical course was reported as follows: The patient received the first dose this morning. She waited the recommended fifteen minutes and was fine. While she was driving home, she started to feel extreme itching all over arms and head. She made sure that she did not have a rash. She had to take care of her son that got injured and take him to the pediatrician. The patient's throat did not close, but she cannot get rid of the dryness. She had been drinking and drinking, but her throat was extremely dry. Her son's pediatrician advised her to take Benadryl, so she took 2 teaspoons, but was still experiencing uncontrollable shaking, chills, throat dryness, extreme itching on arms and head, and hand and feet were frozen. She had chills with uncontrollable shaking. She stated that it was uncontrollable, she was shaking uncontrollably. She did not have a fever. She was aware that chills were a known side effect. She asked whether dryness of the throat was common. She could not get rid of the dryness in her throat. It was not getting better. She clarified that she was not having breathing issues. The extreme itching was all over her had and arms, it would get better, start, and stop. She was not allergic to anything. The patient stated that she had the COVID vaccine scheduled for two weeks ago and then cancelled the appointment. Her doctor said there was no reason to cancel the COVID vaccine appointment because there would be no interaction between the drugs and the COVID vaccine. She did not take Acyclovir today. She was supposed to go for a follow-up appointment today, but she canceled it. The adverse events required a call to her primary care physician. The adverse events did not require a visit to the emergency room. Relevant tests were reported as none. The clinical outcomes of the events extreme itching all over head and arms, chills, with uncontrollable shaking, cannot get rid of dryness in throat and hands and feet are frozen were not recovered/not resolved.   Follow-up attempts are completed. No further information is expected.