woke up a lot and she was moving around all night; feels like the wheels in her head are constantly spinning, mind doesn't stop; runny nose; trouble sleeping/got out of bed at 2:30AM in the morning and she was wide awake at 4:00AM and not feeling tired, she was wide open; mood swings up and down, mad, sad, happy; headache; crying; mood swings up and down, mad, sad, happy; moodiness; Wheels in her head are turning; This is a spontaneous report from a contactable consumer (patient herself). A 51-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch Number/Lot Number: EW0179), via an unspecified route of administration, administered in Arm Left on 24Jul2021 at 10:00 as (at the age of 51-Years-old) dose 1, single for COVID-19 immunisation. Vaccine was not administered at military facility. Medical history included COVID-19 from Feb2021 to an unknown date have the COVID-19 virus in Feb2021. The patient previously received flu vaccine 6 years ago with achy arm. Concomitant medication(s) included omeprazole (OMEPRAZOLE) taken for gastric disorder from an unspecified start date and ongoing. History of all previous immunization with the Pfizer vaccine considered as suspect was not available. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine (prior vaccination was none). The patient experienced mood swings up and down, mad, sad, happy, feels like the wheels in her head are constantly spinning, headache, crying, moodiness and wheels in her head are turning on Jul2021, trouble sleeping on 24Jul2021, runny nose on 25Jul2021, woke up a lot and she was moving around all night and mind doesn't stop on 27Jul2021. AEs were not resulted in visit of emergency room or physician office. Patient even bought a pack of cigarettes because she has to always be doing something. She can't keep going like this. She knows it's a problem that she has to deal with. She's on her fifth day after the COVID-19 vaccine. People that she has spoken with say the second COVID-19 vaccine is stronger and has more effects. If this is the case, and her body is reacting to the vaccine like this, she won't be able to get the second dose. She is asking if her symptoms have been reported. When probing height and weight she states she wondered why no one asked her about her height and weight when she was getting her COVD-19 vaccine. She did call her primary care doctor this morning but he wasn't much help with this. She woke up this morning and thought these symptoms have got to go away. She also wants to be able to go on vacations and the COVID-19 vaccine is being required. She had coworkers who had the COVID-19 vaccine so she went ahead and decided to get it. She reports she doesn't get a flu shot anymore. She provides the following information historically. Years ago both her shoulders were frozen. It's the way she is built and her sister has the same problem. She had one shoulder freeze and the next year, her other shoulder froze up. She had a surgery and the doctor cranked her shoulders around to break up the deposits that were in her shoulders. She received a flu vaccine that year and her arm was so achy and kind of stiff. She was worried about it. She remembers asking if she can receive the flu shot in a different part of her body but she was told she can't. She doesn't get the flu shot anymore. This occurred about 6 years ago. She does not have any product information for that flu vaccine. The patient underwent lab tests and procedures which included sars-cov-2 test with result positive on Feb2021 have the COVID-19 virus in Feb2021. The outcome of the event runny nose was resolved on 25Jul2021, headache was unknown and the outcome of the remaining events were reported as not recovered.