Temperature rises and goes down; Shortness of breath; It seems like she's getting hot like she's perspiring; Itchiness; Pain in the joints toes elbow hips not consistent in one place; Chills; Persistent headache; Tiredness/fatigue; nervous; Nausea - very mild; capillaries burst in her left arm; Bruises in left arm; hematoma; This is a spontaneous report received from a contactable other health care professional reported for self. A 64-year old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 vaccine) via an unknown route of administration in upper right arm on 24Mar2021 11:15 (Lot number ER8732) at single dose for COVID-19 immunisation. The patient medical history included emphysema diagnosed between 2003-2005 and unknown if ongoing or stopped, lung disease, previous smoker and ongoing perspiration. The patient stated she felt like she was high risk for COVID-19 due to their age and she had emphysema, for which she received the PFIZER-BIONTECH COVID-19 vaccine. The patient stated she had been in quarantine since Jan2020. The patient concomitant medications included vitamins about a month ago (Mar2021) and stopped. The patient had no history of previous immunization with the Pfizer vaccine considered as suspect. The patient experienced headache on 24Mar2021, fatigue and tiredness from 24Mar2021, nausea on 24Mar2021, chills on 25Mar2021, joint pain on 25Mar2021, itchiness on 26Mar2021, seems like she was getting hot like she was perspiring on 27Mar2021, capillaries burst on the left arm in Mar2021, bruise on top and bottom of the left arm, top of the wrist and underneath the wrist in Mar2021. The patient received the vaccine on 24Mar2021 and was still dealing with some symptoms. The patient stated the headache is unusual. It hurts on her forehead or sides of the head. Sometimes the pain is more severe and sometimes it's dull. It last for about 20-30 minutes. It comes and goes. The patient explained that fatigue and tiredness different for her. The patient said that she was very tired that same day as the vaccine. She said that she and her husband had the same symptoms and they were both very tired. She said that they were extremely tired for 2 days, especially him, and they did not get out of bed. The patient stated she and her husband had the appointment at 11 am and by 12:30pm to 1:00 pm they were already in bed and both fell asleep super fast; within 3 hours. She felt fatigued, but not as exhausted as the first two days. On 05Apr2021, she could be only be in the garden for 2 hours, and then went inside to shower and went to bed. She said that she is currently in bed. Her husband is up walking about. Fatigue is when she can't do anything. The patient had been nauseous. Her nausea was mild and lasted 5-10 min after the vaccine, it was very mild and thought she was just nervous and that she needed to eat. The patient felt chills once or twice a day and lasts for seconded. Chills started in the morning on 25Mar2021. It happens like once or twice a day, just for a few seconds. She states it doesn't feel like a usual chill. She said that it did not feel like a chill that you get when you have a cold or something. It's odd because she has no sensation, but all of hair stands up on end and she feels odd. She adds It's not like when you have a fever. She said that it is very strange. She stated she didn't think she had a fever, but feels like her temperature goes up. Temperature rises and goes down. This lasted for ten seconds at most. The patient stated the joint pain is in her elbow, on 05Apr2021 it was in her toes, then in her hip. It is not in the same place, not consistent in one place, and it's milder but not gone. The patient said that she will seem like she is very hot and she will start perspiring and then she will stop. It is on and off. She also experienced perspiration before and after the vaccine. In the past, she never experienced feeling warm like that, and it doesn't last long, it seems like her body temperature is higher. It seems like she's getting hot like she's perspiring, but she does not have a thermometer to check her temperature. She also had itchiness that started 2 days after the vaccine 26Mar2021. It is mild now, but it was more severe. The patient added that her capillaries burst in her left arm 3-4 days after the vaccine, but started to heal on the same day. On the left arm on the top of the vein, she has black and blue bruises. There is one on top of wrist and underneath the wrist. The bruise is on the top and bottom of the arm and it follows the little veins. The bruise turned red and purple and became a hematoma, but it's clearing now. She's not sure if she has lasting effects, it's still visible but very faded. It doesn't hurt, but the top of the wrist is still very dark. Underneath the wrist has faded. It looks like she has bruises. The patient also had shortness of breath on an unspecified date. She used to be a smoker. This was sometime between 2003-2005. She has corrected that behavior and feels like she's in good health. She was not aware of the condition in the past. Her air exchange is good and she exercises. She had no problem with shortness of breath in the past.  The patient did not treat her symptoms. None relevant tests. The patient is scheduled for the second dose on the 14Apr2021, but is concerned due to these symptoms. The patient was asking if she can safely have the second dose since she has been experiencing some of the symptoms for 14 days now. The outcome of the events itchiness, nausea was resolving. The outcome of the event hematoma was resolved. The outcome of other events Chills, headache, Tiredness/fatigue, Pain in joint, getting hot was not resolved. The outcome of the other events was not provided.   No follow-up attempts are possible. No further information is expected.