ringing in her ears / ringing was worse; swollen ankles/ swelling in ankles and feet; swollen ankles/ swelling in ankles and feet; horrible sore throat, upper respiratory; rash to feet; headache; ringing in her ears / ringing was worse; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 78 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 31Aug2021 10:00 (Lot number: FA6780) at the age of 78 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Arthritis" (ongoing), notes: Arthritis, diagnosed 20 years ago, runs in the family; "Allergy to flu vaccine" (unspecified if ongoing), notes: she has had allergic reactions to other vaccines, like the flu vaccine,; "Guillain Barre Syndrome" (unspecified if ongoing), notes: she had the beginnings of Guillain Barre Syndrome and Bells Palsy; "Bells Palsy", start date: 1976 (unspecified if ongoing), notes: she had the beginnings of Guillain Barre Syndrome and Bells Palsy; "GERD" (unspecified if ongoing); "Reflux" (unspecified if ongoing); "Irritable bowel syndrome." (unspecified if ongoing); "Campylobacter" (unspecified if ongoing); "Allergy to antibiotic" (unspecified if ongoing), notes: she is allergic to almost every antibiotic out there; "heart valve damage" (unspecified if ongoing), notes: she has heart valve damage; "scarlet fever" (unspecified if ongoing), notes: she had scarlet fever as a teenager; "semi allergic to Tetanus" (unspecified if ongoing); "legs tingling", start date: 2009 (unspecified if ongoing); "eczema" (unspecified if ongoing), notes: she has eczema,. Family history included: "eczema" (unspecified if ongoing), notes: she has eczema, just got it when she got older, partly genetic, her dad and brother. There were no concomitant medications. Vaccination history included: Bnt162b2 (First dose, Vaccine Lot Number: FA6780, Vaccine Lot Expire Date: unknown, Anatomical Location: Right arm), administration date: 03Aug2021, when the patient was 78 years old, for COVID-19 Immunization; Flu shots (Her doctor said not to get any more of flu shots.), reaction(s): "Numbness in legs", "tingling". The following information was reported: TINNITUS (non-serious) with onset 2021, outcome "not recovered", CONDITION AGGRAVATED (non-serious), outcome "not recovered" and all described as "ringing in her ears / ringing was worse"; PERIPHERAL SWELLING (non-serious), JOINT SWELLING (non-serious) all with onset 2021, outcome "recovered" and all described as "swollen ankles/ swelling in ankles and feet"; OROPHARYNGEAL PAIN (non-serious) with onset 2021, outcome "not recovered", described as "horrible sore throat, upper respiratory"; RASH (non-serious) with onset 2021, outcome "recovered", described as "rash to feet"; HEADACHE (non-serious) with onset 2021, outcome "unknown", described as "headache". The events "ringing in her ears / ringing was worse", "ringing in her ears / ringing was worse", "swollen ankles/ swelling in ankles and feet", "swollen ankles/ swelling in ankles and feet", "horrible sore throat, upper respiratory", "rash to feet" and "headache" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional details: She had a horrible sore throat, upper respiratory, rough days, could have been worse. She was over everything in about six or seven days. Three or four weeks later, she got swelling in ankles and feet. From her toes up to ankle, like ventricles, gradually the swelling went away. Swelling persists in the large ankle bones, rash to feet went away, she was over everything and then this came along later. She doesn't know why some people get the swelling and some the swelling stays longer. Her swelling is nearly gone, outer ankles are where there's still some swelling. Before having covid she already had ankle swelling from being older, her doctor said it was normal and nothing to be concerned about. Strange, after all that time, other wise doing good. Ringing in her ears got worse, she had had ringing for decades, hearing damage, the ringing is a brain problem not a hearing problem, after receiving the covid shot she had some ringing, after having covid virus ringing was worse. She read an article from a Doctor withheld  who works in one of the covid departments, he had ringing too and the ringing is like having a screaming microphone in the ear.Her doctor had her stay unvaccinated until August because of some of her medical allergies, once it got to be August, he said delta plus and omicron are here and she should take the risk and take the shot. He watched her for a good hour, hour and half, she has a weak heart, so he had an epi pen ready. She felt safe to receive the covid-19 vaccine, she didn't have an reaction to the shot itself. Medical History: twice at eating at restaurants she got Campylobacter, She has GERD, reflux, mild controlled with diet Irritable bowel syndrome. Her doctor told her she was likely to get food poisoning because she was on Nexium, so it was easier to get the Campylobacter.  Investigations: She went to ENT doctor for her throat, which was fire engine red, could be covid or could be from her sinuses, ears, could have been either one. The doctor considered doxycycline but said only if the redness was not covid, he called back and said it was covid so not to take the doxycycline, she did not take doxycycline, she is allergic to almost every antibiotic out there, the only one she has left is Clindamycin, which has terrible side effects, she knew that doxycycline would be hard on her digestion. Longer she lives live the more problems that develop. The reason she has heart valve damage is because she had scarlet fever as a teenager, her heart doesn't rest like it should between beats.  No follow-up attempts are possible. No further information is expected.