Headache; Nausea; Positional vertigo/Dizziness, head was spinning, room was turning; Sore arm, pretty sore; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 10Feb2021 at 13:50 (Batch/Lot Number: EL9262) as single dose for covid-19 immunization. Medical history included ongoing postural vertigo. There were no concomitant medications. The patient previously received the first dose of bnt162b2 (Lot: EL3246, Expiration: Apr2021) on 20Jan2021 at 11:10 am in left arm for covid-19 immunization, experienced adverse reactions as following: sore arm from 20Jan2021 to 21Jan2021, face felt tight, mouth and nose dry, blood and clots came out of nose and mouth; all from 21Jan2021 to 21Jan2021. The reporter reported that sore arm started in the evening, face felt tight started around 08:30 or 09:00, mouth and nose dry started in the morning, 'blood and clots came out of nose and mouth' started on the same time that she woke up, she blew her nose and leaned over and noticed a drop of blood on the rug and grabbed a Kleenex, she blew her nose, easy, and all of a sudden blood and clots came out of her nose and mouth, lasted for about 8 minutes. The patient also previously received shingles vaccine years ago and the next day, she had a sore arm and tingles, up and down her arm, she didn't feel food for 7 days and felt achy, it was the first Shingles shot. The patient experienced sore arm, pretty sore on 11Feb2021, headache, nausea on 12Feb2021, and dizziness, head was spinning, room was turning on 12Feb2021, which was diagnosed as positional vertigo later by doctor. The seriousness for all events were not reported. Events details: She stated that shot was fine, a then she got a sore arm, it was pretty sore, it started late at night or early the next morning. On 12Feb2021, she woke up and started to sit up and fell back, her head was spinning, the room was turning and later described as dizziness. She has been going back and forth to the doctor and a specialist. After the 4th week she went to the clinic and they sent her to the emergency room because it had gone on for so long, the doctor in the emergency room said it was positional vertigo, she was kept there for 3 to 4 hours in the emergency room to make sure she wasn't having a stroke. At first, she couldn't get up but it has gotten better. For positional vertigo, she was not sure of the date, but she went to the emergency room and that was what the doctor stated, she was diagnosed late morning, for a couple of days she felt great and then the vertigo came back. For headache, the reporter stated it was in the morning. She stated it was 90 percent better, and describes it as irritating and not, happening, every day. For nausea, the reporter stated it was in the morning. She stated it has gone down a lot since she started going to the specialist and states it was 75 percent better. The events headache and positional vertigo resulted in emergency room visit and physician office visit. The patient underwent lab tests and procedures which included MRI brain: negative on 22Mar2021. The outcome of event sore arm, pretty sore was resolved on 12Feb2021, outcome of other events was resolving.   No follow-up attempts are needed. No further information is expected.