Caller reports that her symptoms worsened; chest pain, hurts really bad; little bit of shortness of breath; Cough; fatigue- slept all day; nose and throat pain; nose and throat pain; feeling congested; Runny nose; This is a spontaneous report from a contactable consumer. This consumer reported that 26-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 18Mar2021 15:00 (Age at vaccination 26 years) as dose 1, single for covid-19 immunisation. Medical history included none. The patient's concomitant medications were not reported. Patient family medical history was unknown (she knows someone has Diabetes, but none related to adverse event). On 19Mar2021, the patient experienced nose and throat pain; nose and throat pain; feeling congested; runny nose; On 20Mar2021, fatigue- slept all day; On 21Mar2021, chest pain, hurts really bad; little bit of shortness of breath; cough; On an unspecified date, caller reports that her symptoms worsened. No relevant test was performed. It was reported that nose and throat pain was reported as worsened. Caller reports that her symptoms worsened and it is now day four after she took the shot. Caller reports she received the shot on Thursday 18Mar2021. Caller reports on the day of the shot, she had no symptoms. The next day, Friday, she had nose and throat pain, she felt congested, and had a runny nose in the morning. On Saturday, she experienced fatigue and slept all day, on top of the nose and throat pain. On Sunday, she had chest pain that hurt really bad and she had a little bit of shortness of breath. Caller reported she doesn't have an HCP. Caller reports that the nose and throat pain are getting worse because she did not have a cough before and now she has a cough. Caller clarified the cough started on Sunday night. Caller states for the congestion and runny nose, its either one or the either. Caller explains one second her nose was running and then she cant breathe through it. Outcome unknown for little bit of shortness of breath. Caller reports the shortness of breath was really bad yesterday, but she was not noticing it as much today. Caller reports the shortness of breath is still going on and from time to time she can feel a little bit of shortness of breath, but compared to yesterday its not as bad. Caller states that it's kind of hard to tell the outcome. Nose and throat pain along with feeling congested and runny nose started in morning, it went away and came back in the evening. Fatigue started on Saturday night. Chest pain and Shortness of breath started in the evening. Vaccine was not administered at military facility. Patient history of all previous immunization with the Pfizer vaccine considered as suspect was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Patient was not visited to emergency room and physician room. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Adverse event following prior vaccinations was none. The clinical outcome of events little bit of shortness of breath and caller reports that her symptoms worsened was unknown; while outcome of other events was not recovered.  Investigation Assessment: No  Follow-up attempts completed. No further information expected.