severe fatigue/was so fatigued that it gotten to the point that I was sleeping 16 hours a day, and when I was awake I was useless/easily tired, and just feel worn out all the time; was so fatigued that it gotten to the point that I was sleeping 16 hours a day, and when I was awake I was useless; VERY sick; sweating so much I was covered in a constant layer of grime and grease; felt like I cold NEVER get warm; had a breakout of huge whiteheads all over my face, down my back across my chest and shoulders; experiencing more migraines than normal, I do have chronic migraines. Normally I had 1-2 a week now I have AT LEAST 2; headache; earache; chills/shivered; ran a constant fever above 100°; sore throat; cough; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 34-year-old female patient received bnt162b2 (BNT162B2) (Lot number: EW0178) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Diabetes" (ongoing); "current smoker" (ongoing). The patient's concomitant medications were not reported. The following information was reported: FATIGUE (hospitalization) with onset 25May2021, outcome "unknown", described as "severe fatigue/was so fatigued that it gotten to the point that I was sleeping 16 hours a day, and when I was awake I was useless/easily tired, and just feel worn out all the time"; HYPERSOMNIA (non-serious), outcome "unknown", described as "was so fatigued that it gotten to the point that I was sleeping 16 hours a day, and when I was awake I was useless"; ILLNESS (non-serious), outcome "unknown", described as "VERY sick"; PYREXIA (non-serious) with onset 25May2021, outcome "unknown", described as "ran a constant fever above 100°"; OROPHARYNGEAL PAIN (non-serious) with onset 25May2021, outcome "unknown", described as "sore throat"; COUGH (non-serious) with onset 25May2021, outcome "unknown", described as "cough"; HYPERHIDROSIS (non-serious), outcome "not recovered", described as "sweating so much I was covered in a constant layer of grime and grease"; CHILLS (non-serious) with onset 25May2021, outcome "unknown", described as "chills/shivered"; FEELING COLD (non-serious), outcome "unknown", described as "felt like I cold NEVER get warm"; HEADACHE (non-serious) with onset 25May2021, outcome "unknown", described as "headache"; EAR PAIN (non-serious) with onset 25May2021, outcome "unknown", described as "earache"; ACNE (non-serious), outcome "not recovered", described as "had a breakout of huge whiteheads all over my face, down my back across my chest and shoulders"; MIGRAINE (non-serious), outcome "unknown", described as "experiencing more migraines than normal, I do have chronic migraines. Normally I had 1-2 a week now I have AT LEAST 2". Patient got VERY sick with the first dose of the Pfizer vaccine. Patient developed most of the symptoms of covid it's self. Patient ran a constant fever above 1000 1 had a sore throat, a cough, was sweating, had chills and felt like cold never get warm, shivered, had a headache, earache, and was so fatigued that it gotten to the point that was sleeping 16 hours a day, and when awake was useless. Patient was sweating so much was covered in a constant layer of grime and grease, Patient had a breakout of huge whiteheads all over face, down back across chest and shoulders. Patient have never had a breakout like that before and was still suffering from it, although it is improving. Patient went to the ER a week after the first dose because just thought that was sick, they ran all the tests Covid, urine, full blood panel, everything. Patient was clean. They just told Patient it was Some unknown Virus and that We'll treat the symptoms" the symptoms continued for another week and a half for a total of 1 7 days with a fever. Even after the fever broke and to this day was easily tired, and just feel worn out all the time. Patient was also experiencing more migraines than normal, do have chronic migraines. Normally had 1-2 a week now have at least 2. Patient went in for second dose on the 16th, Patient told them everything that had gone on, and they told Patient that they really didn't know if it was a good idea for Patient to receive the second dose. They would give it to Patient, but that Patient would assume responsibility and usually people get sicker from their second dose. Patient choose not to. Patient really hate that too. The events "severe fatigue/was so fatigued that it gotten to the point that i was sleeping 16 hours a day, and when i was awake i was useless/easily tired, and just feel worn out all the time", "was so fatigued that it gotten to the point that i was sleeping 16 hours a day, and when i was awake i was useless", "very sick", "ran a constant fever above 100°", "sore throat", "cough", "sweating so much i was covered in a constant layer of grime and grease", "chills/shivered", "felt like i cold never get warm", "headache", "earache", "had a breakout of huge whiteheads all over my face, down my back across my chest and shoulders" and "experiencing more migraines than normal, i do have chronic migraines. normally i had 1-2 a week now i have at least 2" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: blood test: normal; body temperature: ran a constant fever above 100°, sars-cov-2 antibody test: negative; urine analysis: normal.  No follow-up attempts are possible. No further information is expected.