muscles in my arms and chest were being pulled on/chest pain; heart rate was elevated between 120-130 bpm; nausea; muscle aches; weakness; chills; cold sweats; wake up at night gasping for breath; headache; fever of 102; migraine; diarrhea; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 28 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 16Aug2021 12:15 (Lot number: EW0191) at the age of 28 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "if_covid_prior_vaccination: Yes" (unspecified if ongoing). Concomitant medication(s) included: WELLBUTRIN; LAMICTAL; GABAPENTIN; GUANFACINE. Vaccination history included: Bnt162b2 (First dose covid-19, Administration time: 12:00 pm, Vaccination site: Left arm, I took tylenol), administration date: 21Jul2021, when the patient was 28 years old, for COVID-19 Immunization, reaction(s): "headache", "excruciating migraine", "nausea", "fever of 102", "chills", "cold sweats", "weakness", "muscle aches", "diarrhea". The following information was reported: MIGRAINE (non-serious) with onset 16Aug2021 16:00, outcome "recovered" (Aug2021), described as "migraine"; DIARRHOEA (non-serious) with onset 16Aug2021 16:00, outcome "recovered" (Aug2021), described as "diarrhea"; CHEST PAIN (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "muscles in my arms and chest were being pulled on/chest pain"; HEART RATE INCREASED (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "heart rate was elevated between 120-130 bpm"; NAUSEA (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "nausea"; MYALGIA (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "muscle aches"; ASTHENIA (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "weakness"; CHILLS (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "chills"; COLD SWEAT (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "cold sweats"; DYSPNOEA (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "wake up at night gasping for breath"; HEADACHE (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "headache"; PYREXIA (non-serious) with onset 17Aug2021 03:00, outcome "recovered" (Aug2021), described as "fever of 102". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of migraine, diarrhoea, chest pain, heart rate increased, nausea, myalgia, asthenia, chills, cold sweat, dyspnoea, headache, pyrexia.  Additional information: Prior to vaccination, was the patient diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. known allergies: None aware of. other medical history: None. Seriousness criteria not Resulted in death/Life threatening/Caused/prolonged hospitalization/ Disabling/Incapacitating/Congenital anomaly/birth defect. Facility where the most recent COVID-19 vaccine was administered was Hospital. Vaccine facility information was available. The patient received no other vaccine in four weeks. Patient received other medications in twoweeks: Lamictal, Wellbutrin, Gabapentin, Guanfacine. Adverse event: Patient got the first vaccine on 21Jul2021 around 12 pm. About an hour after patient got it, patient got a headache. Patient was supposed to work that night, so she decided to lay down to sleep off the headache. Patient took Tylenol and went to bed. She woke up around 3pm with an excruciating migraine and nausea. She called off of work and by that night Patient was experiencing nausea, fever of 102 (that subdued with Tylenol but came right back as soon as the Tylenol was out of my system), chills, cold sweats, weakness, muscle aches, and diarrhea. She would wake up at night gasping for breath but be fine when she sat up. The second vaccine she got on 16Aug2021 around 12:15 pm also in the left arm. The reactions began around 4pm with a migraine and diarrhea. she called off of work. By 3am she experienced all of the same adverse effects as she did with the first vaccine except this time it felt like her muscles in her arms and chest were being pulled on, she had chest pain, and her heart rate was elevated between 120-130 bpm.  No follow-up attempts are possible. No further information is expected.