upper respiratory infection; it carried through after getting the second shot; Organ pain; red rash on arms, chest, stomach, back and legs; Fever 102 highest; could only get up for 10 minutes at a time and would have extremely high blood pressure and chest pain; could only get up for 10 minutes at a time and would have extremely high blood pressure and chest pain; intermittent positional light headiness, dizziness; Increased thirst; Sensitivity to light where she could not look at light; deathly ill; headache; chills for 2 hours at a time; Brain fog; Shortness of breath; muscle pain in injection site arm; This is a spontaneous report from a contactable consumer (patient). A 56-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration in arm on 29Jan2021 at 13:45 for COVID-19 immunization. Medical history of the patient included COVID-19 on 13Dec2020 and upper respiratory infection (always has seasonal problems like upper respiratory in the winter). Concomitant medications included IC-minicyclone administered at a dose 100 mg once daily, count size unknown for upper respiratory infection started on 09Jan2021 and stopped on an unspecified date. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: Unknown) via an unspecified route of administration injected in left arm in the muscle on 08Jan2021 at 14:00 for COVID-19 immunization after that she had a small reaction and experienced chills, headache, fatigue and started getting sick to her stomach, which was 26 hours after the first shot, arm pain. On 29Jan2021, at 23:00, after receiving second dose of vaccination, patient was deathly ill and on the same day (29Jan2021) patient experienced headache, chills for 2 hours at a time, brain fog, shortness of breath, muscle pain in injection site arm. On 30Jan2021, patient had fever 102 highest, patient could only get up for 10 minutes at a time and would have extremely high blood pressure and chest pain, intermittent positional light headiness, dizziness, increased thirst, sensitivity to light where she could not look at light. On 31Jan2021, patient experienced organ pain and red rash on arms, chest, stomach, back and legs. Patient stated that she felt tremendously horrible after second dose in comparison to first dose. Patient reports that following symptoms after this second dose: rash on body. intermittent positional light headiness, chest pain, high blood pressure, headache, chills shortness of breath. Patient explains that most of her symptoms have subsided except the rash on body and intermittent positional light headiness. Patient was calling to ask how long her symptoms will last. Patient states that she was afraid to get a booster or ever get this vaccine again. Patient reported that she had a very bad reaction to the second dose. She is a Physical therapist Assistant. It happened last week. She did have COVID and works in healthcare. Before she received the vaccine, she was diagnosed with COVID on 13Dec2020. Patient had an upper respiratory infection and contacted doctor prior to getting the shot and it carried through after getting the second shot. They put her on IC-minicyclone. No lot or expiration. It was only 7 days and it did not seem to help. She had shortness of breath, but it did not start until the next day after first shot in 2021. The upper respiratory did not go away until now. She always has seasonal problems like upper respiratory in the winter. Chills would be 2 hours at a time for 2 days. The fever went for 2 days on and off. It would go up and down. On 31Jan2021, she could only stay up for 2 hours at a time. Then she had positional changes which caused lightheadedness. She would feel like she needed to pass out and would have to stop and wait for everything to clear. It was getting better but still has it today. She was getting different pains in different parts of her body that she said was organ pain. She would have to put a fist or pillow into her side until it stopped until it went to a different area. It would be a massive pain and would persist for half an hour and would go away and a couple of hours later, she would get a new one. The rash does not hurt or itch. Increased thirst-she went through 3 gallons of fluid in 2 days. Upper respiratory infection was gone now. She was the second to the last person to get the vaccine where she works. She wanted to know if they do require a booster, is she going to have a bad reaction like she did to this. Outcome of the event 'deathly ill' was unknown, for the events 'headache' and 'red rash on arms, chest, stomach, back and legs' were not resolved, for the events 'chills', 'muscle pain in injection site arm', 'fever 102 highest', 'lightheadedness', 'increased thirst', 'organ pain', 'could only get up for 10 minutes at a time and would have extremely high blood pressure and chest pain' were resolving and for the event 'upper respiratory infection' was resolved on an unspecified date in 2021. On 01Feb2021, she recovered from 'brain fog' and 'shortness of breath'. On 03Feb2021, she recovered from 'sensitivity to light where she could not look at light'.  The lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.