a little bit of swelling on the outside of neck on my right side/also the injection side; have a cataract in that eye; gotten more sick; COPD and uncontrolled asthma typically happen but are a little worse after the vaccine.; COPD and uncontrolled asthma typically happen but are a little worse after the vaccine.; coughs all of the time; I had drainage and hard to breath; I had drainage and hard to breath; swelling was more in the lymph node area on the right side of her neck on the outside/a little bit of swelling on the outside of neck on my right side; My left eye, the inside lining coming down, they are monitoring it, it could have moved and could be causing me to not being able to focus; causing me to not being able to focus; headache; This is a spontaneous report from a contactable consumer(patient). A female patient of an unspecified age received the first dose of  bnt162b2 (BNT162B2),  via an unspecified route of administration on 08Mar2021 (Batch/Lot Number: EP7534; Expiration Date: 18Mar2021) as SINGLE DOSE for covid-19 immunization. Medical history included Ongoing chronic obstructive pulmonary disease (Has had for 12 years) , Ongoing asthma (Has had for 12 years), ongoing adrenal insufficiency ( Has had for 1 year), Ongoing  hypothyroidism from (Has had for 1 year), Swelling from 2019 and ongoing (swell  right  side all the time. 'Tends to swell if I take something, it started 2 years ago' ),  Concomitant medications included salbutamol (ALBUTEROL HFA) taken for chronic obstructive pulmonary disease, asthma from an unspecified start date and ongoing; hydrocortisone (HYDROCORTISONE) taken for adrenal insufficiency from an unspecified start date and ongoing.  On an unspecified date the patient experienced cataract in that eye that I need surgery for, a little bit of swelling on the outside of neck on my right side (' also the injection side'), gotten more sick, coughs all the time; On 08Mar2021 swelling was more in the lymph node area, throat swelled a bit on the outside, My left eye, the inside lining coming down, they are monitoring it, it could have moved and could be causing me to not being able to focus, headache; On 11Mar2021 had drainage and hard to breath. COPD and uncontrolled asthma typically happen but are a little worse after the vaccine.Treatment was given for the event COPD and uncontrolled asthma.  The clinical outcome of the events  Swollen lymph nodes recovered on 09Mar2021, headache was recovered on 09Mar2021; drainage and hard to breath was recovering while the remaining events was unknown. Clinical course was reported as follows got the first dose,  throat swelled a bit on the outside. States she reacts a lot to different things now since she has gotten more sick. Clarified that her swelling was more in the lymph node area on the right side of her neck on the outside, her throat did not swell up on the inside like she would have trouble breathing. States her eyes were moving around and it felt like she could not focus, like her eyes were jumping around a bit. States it was mild and fine. She  waited for the 30 minutes. Her eyes bothered her the  most because she had to drive home. Also had a slight headache. The swelling was gone the next day, but her eyes were still doing that. States she doesn't know if it was from the vaccine or if her eyes got worse because she coughs all of the time. On the third day, she felt like she was having a hard time breathing and drainage which she gets a lot but it seemed worse than usual and then it went back to her original. Hard time breathing and drainage. She  states it got worse for 2 weeks and then improved, she still has it like before.  She had COPD and uncontrolled asthma, it could have been a reaction to that. These are typically happen but are a little worse after the vaccine. Also stated  Her doctor  said she did not  have an allergic reaction and she could get the second shot.  She doesn't know if these reactions were part of a shot reaction, because she has all those reactions on and off. She took her normal treatments with her nebulizer with Albuterol and that was it. States she took her normal Hydrocortisone and took all of her usual meds that she usually takes and some extra nebulizer treatments. The clinical outcome of the events  Swollen lymph nodes, Neck swelling,  and headache was recovered on 09Mar2021; drainage and hard to breath was recovering while the remaining events was unknown.     Follow up attempts are initiated. Further information has been requested