feeling unwell, not healthy; headache; sore throat; chest cough; she tested positive for covid after the first injection; she has had increased resting pulse rate from 90 to between 122-125/very high, elevated, resting pulse at 94 beats per minute/her pulse has been over 100 beats per minute continuously; arm hurt but not very much, arm was just tender; ran a fever of 101 to 104 for seven days/high fever from 101 degrees Fahrenheit to 104 degrees Fahrenheit; This is a spontaneous report from a contactable consumer (Patient). A (Age: 54; Unit: Unknown) female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot no. EP7534, expiry date not reported) via unspecified route in left arm on 26Mar2021 at 14:40 PM as single dose for COVID-19 immunization. Medical history included anxiety disorder (ongoing), bipolar disorder (ongoing) and bipolar with panic disorder. Concomitant medication included unspecified medication (When probing concomitant medications, she reports she'd been taking psychiatric medications since she was in her 20's. She'd been on all her current medication for at least 3 months or more). No other vaccine in four weeks. The patient experienced feeling unwell, not healthy, arm hurt but not very much, arm was just tender, headache, sore throat, chest cough on an unknown date, ran a fever of 101 to 104 for seven days/high fever from 101 degrees Fahrenheit to 104 degrees Fahrenheit, she has had increased resting pulse rate from 90 to between 122-125/very high, elevated, resting pulse at 94 beats per minute/her pulse has been over 100 beats per minute continuously on 26Mar2021 and she tested positive for covid after the first injection on 01Apr2021. Caller stated she caller to report an experience to the pfizer covid 19 vaccine. Caller stated she had the first dose of the Pfizer covid 19 vaccine on 26Mar2021. Caller stated she tested positive for covid after the first injection and ran a fever of 101 to 104 for seven days. Caller stated she has had increased resting pulse rate from 90 to between 122-125. Caller stated her pulse rate is usually in the 60's mostly 64. Caller stated she was feeling unwell, not healthy. Caller stated she was bipolar with panic disorder and is very scared at this point to get the second dose. Caller wanted to confirm that her increased resting pulse could be a severe allergic reaction. Caller wanted guidance about if or when to receive the second dose. Caller already reported to safety. Caller confirmed her concern was about the increased resting pulse. Caller asked since she had covid, was she protected for 90 days. She was calling about the Covid 19 vaccine. She had her first dose on 26Mar2021, and she immediately had a reaction to it. She had a very high, elevated, resting pulse, it was 94bpm. Since she had received the Covid 19 vaccine her pulse has been over 100 beats per minute continuously. The other thing that was peculiar was that she tested positive for the Covid 19 virus after receiving the Covid 19 vaccine. She had concerned that her pulse has not returned to normal. She has a question about when and if she should get the second Covid 19 vaccine. She was currently scheduled to receive her Covid 19 vaccine on 26Apr2021. She does suffer from an anxiety disorder and bipolar disorder so her pulse rate has been especially frightening for her. She is relieved because her husband has been reading and he's seen some stuff online that people have mental symptoms after the Covid 19 vaccine. She felt better knowing that her medication was still working. Meaning her medication for her anxiety disorder and bipolar disorder is still working. She has no further information on the people online. She reports her arm hurt but not very much. That started the same day that she received the vaccine. Her arm was just tender, she was aware of her arm. Her arm was only tender about 4-5 days. Her arm isn't bothering her now. She did suffer with a high fever from 101 degrees Fahrenheit to 104 degrees Fahrenheit starting on the day she received the Covid 19 vaccine. She's had no fever at all for the last 2 weeks. The only symptom that remains is her increased pulse. She got the Covid 19 virus test on 01Apr2021. She's not sure if was the rapid or the longer Covid 19 test. She received her results in about 24 hours. She also went to the emergency room on the night of 01Apr2021 because her fever was 104 degrees Fahrenheit even taking the Tylenol. When the Tylenol could no longer manage her fever, she went to the emergency room. She was on her second bottle of Tylenol. She reports the first bottle was the brand name of Tylenol, but she has discarded the bottle. It was the 4-hour kind. NDC/Lot/Expiry not known. The second bottle of Tylenol was the (Company name) Tylenol knock off brand of Acetaminophen. Each tablet was 650mg take 2 tablets every 8 hours as needed. Lot# unknown, NDC 0363-0336-01, Expiry Sep2022. She had to get her glasses to read the print on the (Company name) Tylenol knock off brand. She went to the emergency room because the Tylenol was no longer keeping her fever down and she got frightened. She did not have the Covid 19 test at the emergency room, she had the Covid 19 test. She was sent home from the emergency department. She was not admitted to the hospital. She reports the Covid 19 virus definitely moved through her body starting with a headache, sore throat, and a chest cough. She reports her symptoms lasted a bit longer than her fever. She reports the chest cough lasted the longest. She reports that some people think the Covid 19 vaccine would give you the Covid 19 virus. She believes she had the Covid 19 virus before she received the Covid 19 vaccine. She reports she might have remained asymptomatic until she received the Covid 19 vaccine. The event high fever, elevated heart rate resulted in emergency Room. The outcome of event Pulse rate increased was not recovered, Pain in arm was recovered, whereas unknown for all other events. Description of complaint: PC 1: Tested positive for the Covid 19 virus after receiving the Covid 19 vaccine. Received Covid 19 vaccine on 26Mar2021, tested positive on 01Apr2021. Lot# EP7534 in the left arm NDC/Expiry not known PC 2: She also went to the emergency room on the night of 01Apr2021 because her fever was 104 degrees Fahrenheit even taking the Tylenol. When the Tylenol could no longer manage her fever she went to the emergency room.  She reports the first bottle was the brand name of Tylenol but she has discarded the bottle. It was the 4 hour kind. NDC/Lot/Expiry not known. The second bottle of Tylenol is the (Company name) Tylenol knock off brand. Acetaminophen. Each tablet is 650mg take 2 tablets every 8 hours as needed. Lot# unknown NDC 0363-0336-01, Expiry Sep2022 PC 3: She has to get her glasses to read the NDC/Expiry from the (Company name) Tylenol knock off brand. NDC 0363-0336-01 Expiry Sep2022, Lot # unknown   No follow-up attempts are possible. No further information is expected.