strong headaches; dry eyes; fatigue; upset stomach; the cough again changed from dry to wet but very severe; sometimes I had to cough hard that I couldn't catch my breath; my temperature went up to 99.7; could eat barely anything; she was very shaky; This is a spontaneous report from a contactable consumer or other non hcp (patient).  This is the second of 2 reports from the same reporter involving the same patient. The patient experienced adverse events with both 1st and 2nd dose of the vaccine. This is for the second dose of the vaccine.  A 75-year-old (age at the time of vaccination) female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown), via an unspecified route of administration on 18Feb2021 as 0.3ml, single dose for covid-19 immunization. Medical history included hypertension, arthritis, normally a migraine sufferer, oesophageal disorder, irritable bowel syndrome, covid-19 (in Apr-2020), feeling abnormal, pneumonia, bronchitis, breathing difficulty, cough. Consumer stated that she had something with esophagus so she was taking for digestive because she had 'IBS', in April of last year she was diagnosed with corona virus. She had little bit of breathing difficulty and bronchitis was confirmed with X-ray. Covid was confirmed two days later. About 3 weeks later she felt bad again and she had to go to the emergency room the hospital here and she had pneumonia and received very good medication (treatment) and like the five pills which they give for pneumonia and they wanted to admit her to the hospital, she was in the emergency room for 6 hours and that was enough and they made another Covid test and that was negative but it was the X-ray shown that she had pneumonia. Concomitant medications included calcium (CALCIUM), colecalciferol (VITAMIN D [COLECALCIFEROL]), cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]), fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]). Received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: FL9264), via an unspecified route of administration on 28Jan2021  as 0.3ml, single dose for covid-19 immunization and experienced fever, chills, fatigue, extremely dry eyes and felt hot, they were so dry she had to pull over on the side to drive home; arm was a little bit sore, slight headache, Ice cold hands and feet, shaky, had absolutely no appetite, she was not thirsty and very little urine output, runny nose, she had almost from years a dry cough and this one turned wet, had a very upset stomach that she could not eat or drink anything, extremely tired and it felt like she had the flu, she had a heartbeat for three days which was faster than normal and that lasted for about three days. On an unspecified date, after the second dose of vaccination the patient experienced strong headaches, dry eyes, fatigue and upset stomach, though slightly shorter in duration than she experienced following the first dose. She again had dry eyes, the cough again changed from dry to wet but very severe and sometimes she had to cough hard that she could not catch her breath after second dose. The headache had changed from the first one, it was slight headache for few days but with this it was for three or four days she had headache, her stomach was a bit upset and she could not take a pill (Unspecified Medication). Her headache was severe as if she had a helicopter in there and then extremely tired. She had to go to the bathroom, and she went to bed and thought that she was going to lay down for about five minutes, but she woke about two and a half hours later. Every step she had to walk was almost too much and then my temperature went up to 99.7 and she was very shaky. The headache lasted for about 3 or 4 days and then it was over. She has never had any side effect from any vaccine. She could not take anything for the headache because she thought she will throw up. In the morning, she just took her regular medicine (Unspecified Medications). She could eat barely anything like she said after three or four days. Consumer stated that her height was 5 feet 3 inches, and she shrank some. The patient underwent lab tests and procedures which included sars-cov-2 test positive: positive, x-ray resulted bronchitis. The outcome of the event headache was resolved whereas the outcome of other events was unknown.  No follow-up attempts are possible. No further information is expected.