dizzy spells; lips swollen & burning; lips swollen & burning; inside cheeks covered with hive like sores; hives on legs, arms, face; eyes swollen nearly shut/Day 8 swollen eyes/Day 14, 15, 16 random eye swelling; wheezing; Coughing; hard time breathing; all consuming itch in tips of fingers and toes/ hand/foot itch; swollen throat-hard to swallow; swollen throat-hard to swallow; chest spasm; sleepy; Days 2,3,4 lower back and uterus pain; uterus pain; extreme exhaustion; stiffness in joints; This is a spontaneous report received from a contactable consumer, the patient. A 43-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 13Apr2021 at 13:00 (NDC Number: ndc 59267-1000-01) as a single dose (at the age of 43 years old) for COVID-19 immunisation.  The patient medical history included unspecified allergies. The patient was not pregnant. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported.  On 16Apr2021 at 07:30 the patient experienced lower back and uterus pain, extreme exhaustion and stiffness joints on 18Apr2021 swollen throat-hard to swallow chest spasm, sleepy; on 19Apr2021 eyes swollen nearly shut, wheezing/coughing, hard time breathing-used inhaler, all consuming itch in tips of fingers and toes, lips swollen & burning, inside cheeks covered with hive like sores, hives on legs, arms, face, took Allegra but no relief; on 20Apr2021 the patient experienced dizzy spells. The events resulted in Doctor or other healthcare professional office/clinic visit. The clinical course is as follows: Days 2,3,4 lower back and uterus pain; Day 5 same plus swollen throat-hard to swallow, chest spasm, sleepy; Day 6 same plus eyes swollen nearly shut, wheezing/coughing, hard time breathing-used inhaler, all consuming itch in tips of fingers and toes, lips swollen & burning, inside cheeks covered with hive like sores, hives on legs, arms, face, took Allegra but no relief; Day 7 same as day 6 + dizzy spells; Day 8 swollen eyes, hand/foot itch less severe but still consuming; Day 9 eyes less swollen, feet/hand itch less consuming; Day 10 manageable itchy feet/hands; Day 11 swollen eyes, itchy hands/feet increased intensity; Day 12 swollen eyes, itchy hands/toes less severe; Day 13 nothing; Day 14, 15, 16 random eye swelling, itchy feet/hands. About a week after last symptoms the patient started getting lower back pain, cramping in her chest and uterus again, it had been intermittent. The patient had been dealing with extreme exhaustion and stiffness in her joints since this all began. The patient underwent lab tests and procedures which included COVID-19 nasal swab: negative on 19Apr2021.   Therapeutic measures were taken as a result of events wheezing/coughing, hard time breathing for which patient used inhaler, and hives on legs, arms, face for which patient took Allegra. No therapeutic interventions were taken for all other events. The clinical outcome of all events was not recovered.   No follow-up attempts are possible. Information about lot/batch number cannot be obtained.