migraines; headaches; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 59 year-old female patient received bnt162b2 (BNT162B2), administration date 04Mar2021 10:00 (Lot number: P220395-0771) at the age of 59 years as dose 2, single and administration date 11Feb2021 10:00 (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported.  The following information was reported: MIGRAINE (non-serious) with onset 2021, outcome "unknown", described as "migraines"; HEADACHE (non-serious) with onset 2021, outcome "unknown", described as "headaches". The events "migraines" and "headaches" were evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of migraine, headache.  Additional information: She has been having migraines since receiving the Pfizer Covid-19 vaccine (first dose 11Feb2021, second dose 3 or 4 of Mar2021, caller doesn't remember). She never had a migraine that she had been diagnosed with, She had headaches like everyone else in the world. Shortly thereafter in March after both vaccines, she started getting random annoying headaches and then they started to progress tremendously. She saw her family doctor and he referred her to the neurologist. She couldn't see the neurologist for 2 months, the medicine the family doctor prescribed didn't touch the headaches, they were laying her out terribly. Her first meeting with the neurologist was on 31Jul2021 and that is when she was diagnosed with migraines. The neurologist had her on 3 different prescription medications, but she landed in the emergency room with the mother of all migraines and that is not like her. It threw her for a loop. All her tests were coming back negative. The lot number for first dose was reported as P or D 220395-0074L, given at 10:00-11:00AM. She was diagnosed with migraines and they were tracking up terrible and none of the medicine she has been given was sticking. The reporter clarifies she was admitted to the emergency department on 04Aug2021 around 7pm and was discharged on 05Aug2021, Thursday. She was there for 24 hours and had all kinds of test run but they were all negative. On 04Aug2021, she felt like something was slicing through her brain and that was why she went to the emergency room. Her first meeting with the neurologist was on 31Jul2021 and that is when she was diagnosed with migraines. The doctor gave her 3 prescription medications which were somewhat helpful. Her migraines have been increasing with or without the medications. The first one was Aimovig, it was a once a month injectable. The caller has no NDC, lot, or Expiry as the packaging has been discarded; Sumatriptan tablets 100mg was the second medication, NDC: 65862-148-36, no Lot or Expiry was known and Topiramate tables 25mg was the third medication and she has no NDC, Lot or Expiry. Her migraines have been increasing with or without the medications. The patient had no history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines were administered on same date of the Pfizer suspect. No prior vaccinations (within 4 weeks). No adverse events following prior vaccinations. No patient's medical history(including any illness at time of vaccination).   Follow-up attempts are completed. No further information is expected.