sinus infection; she had Covid exposure; sinus symptoms, like ear fullness- sinus stuff; sinus symptoms, like ear fullness- sinus stuff; post-nasal drip; not feeling well; really bad headache; Sore throat; Fatigue; This is a spontaneous report from a contactable nurse (patient). A 63-year-old female patient received bnt162b2 (BNT162B2 reported PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL1284; expiration date: unknown), intramuscular left deltoid on 06Jan2021 15:15 at a single dose for covid-19 immunization. Medical history included chronic sinusitis, and allergies to mold and pigweed. She was taking shots up to June but stopped. There were no concomitant medications. The patient did not have prior vaccination within the last 4 weeks. The reporter stated that she had fatigue, a sore throat, and "a really bad headache". She further reported that received her shot 2 weeks ago in a hospital and everything has been fine, however on Sunday (17Jan2021), she started having some fatigue. On Monday (18Jan2021), she started getting a slight sore throat and yesterday (19Jan2021), she has had mild, vague symptoms but she ended up with a really bad headache last night along with a sore throat. She is a school nurse and she has had possible exposure to a student that was positive for COVID. She feels like she has very vague, normal sinus-like symptoms. She added that she had Covid exposure on an unspecified date, as she is a school nurse and had contact with a Covid-positive patient. She stated that the contact with a known-positive Covid patient since receiving her first vaccine. She mentioned that she does have chronic sinusitis, so the sore throat is post-nasal drip, and a headache. However, this headache is worse than the headache she has had in the past. She hasn't had any sinus symptoms for the past 5 months, but she was thinking about getting a COVID test to rule this out. She explained that she is due for her second vaccine one week from today and wanted to know can she still get the second COVID vaccine if she was not feeling well on an unspecified date. She was trying to determine if she does have COVID. She inquired if getting the vaccine automatically turn a COVID test positive if she has already received the first COVID vaccine. The she states on Sunday, her symptoms were very vague. It's mostly just been Monday and Tuesday. Her throat right now is better. The patient stated she did V-safe and did fine with that. She further explained that she was just experiencing sinus symptoms on an unspecified date, like ear fullness- sinus stuff that she normally gets. She doesn't feel like it's a reaction to the vaccine and she doesn't think she is having adverse reactions. She has gone through 12 days without having any symptoms, she doesn't think it's a reaction. She stated she either has been exposed to COVID or she is getting a sinus infection. She just started having these symptoms. It's not abnormal for her, but this time since she is getting the second vaccine, she wanted to know can she go ahead and still get the vaccine if she is still having any residual symptoms. The patient clarified that she got a COVID test (non-rapid test) this morning (20Jan2021) but she has not yet received her results. She mentioned that she has her own regimen, so she doesn't have to take antibiotics. The events did not require an emergency room or physician office. The outcome of the events of the events was unknown.; Sender's Comments: Based on the available information and known product safety profile, the events fatigue, headache and malaise were possibly related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). All other reported events are assessed as Unrelated to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE)