Achiness; Rhinitis; Sinusitis; Tired; Just came home and slept; I 've had such muscular pain; I can't even hardly write with my right hand because I cant bend my little finger; I couldn't turn my head because my neck; This is a spontaneous report from a Pfizer contactable female consumer (patient). A 69-years-old patient of an unspecified gender received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection), dose 2 via an unspecified route of administration on an unspecified date (at the age of 69-years-old) (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included spinal operation, panic attack and fibromyalgia from an unknown date and unknown if ongoing, ongoing coeliac disease. Concomitant medication(s) included venlafaxine hydrochloride (EFFEXOR XR), clonazepam (CLONAZEPAM and venlafaxine hcl (VENLAFAXINE HCL) taken for an unspecified indication, start and stop date were not reported. The patient previously took first dose of BNT162B2 for COVID-19 Immunization experienced Sinus infection. The patient called to see if can get assistance with Effexor XR again because patient was tried a bunch of the generics and wasn't able to take them. Patient explained can't do the generics they just, don't understand why they should be the same thing except have issues with the binders or whatever you call it with a lot of medications. Patient had panic attacks and forgot what they call it GAD guess they call it, anxiety problems of course things have been worse with everything that's happens, but patient don't want to use that as an excuse. Runs in family. Every time run into the grocery store its like Oh no.  Also mentioned how things had changed because now disabled with back surgery. Patient also shared had your shots for the covid and holy cow had such muscular pain of course had fibromyalgia, had Celiac disease, had everything going on with. Patient can't even hardly write with his right hand because patient cant bend little finger. its been weird had started to feel better but couldn't turn head because neck became so sore on the left side where got your shot so trying to blame it all on your shot but just thinking can live with this stuff because just thinking won't had to be put in the hospital if he got Covid." Patient expressed how when after got shot just came home and slept patient also shared how "his immune system kind of call it depleted, doesn't work with things. the first shot brought on a horrible sinus infection and ear infections and doctor said its because its working its making whatever is wrong with you BOOM and it did. Second time it was just the (inaudible) achiness and all that stuff which with everything had on everyday was like that. Patient had two spinal surgeries don't even want to get up. still above the ground shouldn't make fun of that. Referred to RX outreach but stated it was for generics and patient stated "can't do that tried 3 different ones. Patient expressed maybe doctor can put on regular Effexor not the XR if that's a thing because just don't want to end up in the hospital again end up there thinking having a heart attack or losing mind. Patient explained how couldn't even go to grocery store and couldn't leave house and after 2 days after taking Effexor and clonazepam could go to the grocery store. At end of call patient shared that tried at least 3 generics but couldn't remember the names and couldn't take any of them. Also has allergy problems rhinitis and sinusitis and doctor thinks immune system went into overdrive after the vaccine. Patient also shared how very tired after the vaccine how couldn't even keep eyes open. Outcome of the events was unknown.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.