no appetite; tremendous headaches; eyes were swollen; Diarrhea; Nausea; heart racing; Patient face looked like someone took a blow torch to it. It was red all over but was not hot.; Insomnia; Temperature; Patient arm was sore and she had to use her right hand to move her left arm. She was unable to raise her arm by itself.; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EM9810, Expiration date: 30Jun2021) via an unspecified route of administration on arm left on 16Feb2021 2:15pm (age at vaccination: 68 years) as dose 1, single for COVID-19 immunisation. The indication verbatim was reported as Covid protection. The patient medical history was not reported. Other Products was reported as no. Vaccination Facility Type was reported as Urgent Care. Patient Medical History (including any illness at time of vaccination) was reported as none. History of all previous immunization with the Pfizer vaccine considered as suspect and Additional Vaccines Administered on Same Date of the Pfizer Suspect was reported as none. Prior Vaccinations (within 4 weeks) was reported as none. The patient Concomitant medications were not reported. On 16Feb2021, the patient experienced body temperature, heart racing (started immediately), Her face looked like someone took a blow torch to it. It was red all over but was not hot, Insomnia (Duration of reaction/event was 2 days), Her arm was sore and she had to use her right hand to move her left arm. She was unable to raise her arm by itself (Duration of reaction/event was 1 day). On 17Feb2021, the patient experienced Diarrhea(Duration of reaction/event was 2 days), Nausea(Duration of reaction/event was 1 day), tremendous headaches, eyes were swollen (Duration of reaction/event was 1 day). On 18Feb2021, the patient experienced no appetite (Duration of reaction/event was 2 days). The events has not resulted in Emergency Room or Physician Office visit. It was reported that patient received the first vaccine 16Feb2021. She had so many adverse effects. She goes back on 09Mar for the second dose. They told her she should just have a sore arm and temperature. She has quite a bit going on. She is apprehensive about getting the second vaccine. As soon as she go the vaccine her heart was instantly racing. Upon getting home which was about an hour after she got the vaccine, her face looked like someone took a blow torch to. Her face was red all over but it was not hot. For two nights she had insomnia. She usually sleeps good. She was unable to sleep and was walking the floor. She farms and is really healthy. She had diarrhea for two days. The morning after it was severe. It skipped a day and then it came back. Provides height as 5 feet 2. Her height was 5 feet three but due to age it has decreased. She does not have a primary care provider. She goes to a clinic as needed. The heart racing lasted about a minute. Her face was red for two hours. While unable to sleep she was up walking. She became nauseated. She felt like her guts were going to come out. She had no appetite. She had a tremendous headache. She never has headaches. Her arm was so sore that she could not move it. She had to take her right hand and use to move her left arm. She was unable to raise her arm. Several of the people that work on the farm said that her eyes were swollen. She is asking if she should skip the next dose. She called the FDA and was told to not take the second dose. Typically there are very few side effects with the first dose. Since she had these with the first dose, the symptoms would be the same and she is concerned about getting the second dose. When asking about concomitant medications, caller states she does not take any prescription medications. She only takes vitamins. Details were not provided. The lab tests included Body temperature: unknown result on an unknown date. The outcome of the event heart racing, Her face looked like someone took a blow torch to it. It was red all over but was not hot, was recovered on 16Feb2021. The events Her arm was sore and she had to use her right hand to move her left arm. She was unable to raise her arm by itself, tremendous headaches was recovered on 17Feb2021. The events Insomnia, Nausea, eyes were swollen was recovered on 18Feb2021. The events Diarrhea was recovered on 19Feb2021. The event no appetite was recovered on 20Feb2021. The outcome of event body temperature was unknown.  No follow-up attempts are needed. No further information is expected.