feeling in her skin and with a slight touch it has a sharp sharp pain in it; her elbow has a really weird prickly sensation/ really painful; a loss of smell and taste; a loss of smell and taste; couldn't really hardly eat; felt really really really bad/felt really foggy; had a migraine headache; getting sick; sleeping all day; throat is dry; extreme chills; a fever to the chills; extreme vertigo; was totally nauseous and started vomiting; was totally nauseous and started vomiting/ throwing up; had a slight headache/ lingering headache / still had the headache and it was worse; had fatigue and went to bed early, was really really tired/had off and on fatigue; sore arm from the injection; This is a spontaneous report from a contactable consumer reporter.  A 55-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EP7533, Expiration date: 02JUL2021), via unspecified route of administration in left arm on 06APR2021 08:00 (at the age of 55-years-old) for COVID-19 immunisation at drug store. The medical history and concomitant medication were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 06Apr2021, that day patient walked, and she felt 100 percent and was great and walked in there and was fine when she walked out; states she had a sore arm and she stuck around for at least 30 minutes at the drug store and had a sore arm from the injection. Later that night about 8:00pm she had fatigue and went to bed early, was really tired and had a slight headache that started around 9:00pm; woke up throughout the night with a headache and going to the bathroom she still had the headache and it was worse and then at 05:30am she woke up and felt really bad and it felt like she had a migraine headache. Patient had extreme vertigo and it happened when she really slightly lifted up her head when she went to turn around and occurred especially when she was turning on her right side or getting up in bed there was more vertigo; states all through the day she had vertigo and could not lay on her right side and had more vertigo when she leaned on her right side; states she was nauseous and was totally nauseous and started vomiting about 6:00-6:30am the next day (07Apr2021); states she had the migraine, vertigo and nausea and got up to go back to bed and got sick and got up again and started throwing up. Reporter stated that the patient all day long the headache was ongoing, and she was either vomiting and it was horrific and horrible and she was either getting sick or laying down and it completely hit her just like a truck hit her or something; states she was either sleeping or vomiting all day and then went to sleep again and was vomiting all day and tried soda crackers to stop herself from throwing up and threw those crackers up and that was all she ate that day. Patient had vertigo a little bit the next day and when she went to turn on her right side by the end of the day the vertigo seemed to go away and went away eventually; states now her throat was dry. Patient continued with the headache when she woke up the next day after that and all 07Apr2021 (Wednesday), she vomited, had extreme vertigo and had the migraine headache; states she was extremely fatigued and was sleeping all day when she was not vomiting and had extreme chills and a fever to the chills and felt like that through the whole day and the next day after she woke up with a headache, she had the chills and vomited once; states on Thursday she still had the headache, vomiting, and nausea and vomited again and the chills again that morning and was really fatigued and was going back to sleep until about 1:00pm that day. Around 2:30 that day she started eating a little bit of a banana and couldn't really hardly eat and at least held that down without getting sick and had fatigue all through the day; states the next day on Friday she woke up with a headache and fatigue and no chills or fever; states it was just her headache in the morning and fatigue and finally got his appetite back that Friday; states she started eating more and was not overdoing eating and had more vegetables and fruit. On10Apr2021 (Saturday), she woke up with the headache again and felt a little fatigue earlier and felt better; had off and on fatigue, no chills and basically had the headache and fatigue. On 11Apr2021 (Sunday), she was feeling much better and did not wake up with a headache for the first time and seem to be good all the way though and had no headache Sunday to Friday but did have off and on fatigue and the fatigue was sometimes better than other days and on 17Apr2021 (Saturday), she woke up with a headache again and felt really foggy, fatigued on Saturday all through the day felt off; states she did not go to bed late and has not had alcohol since 2 days before the Pfizer shot and was scared to have anything. On Sunday she woke up with a headache again and felt fatigue and fell asleep which was really odd for her and after that got up at 5:30pm at night; was fatigued through the day and in the morning had a lingering headache which was not severe and was mild on 18Apr2021 (Sunday). Patient was watching the news and fell asleep which was so not her and ended up feeling fatigued after 9:00pm and went to bed; on Monday this week woke up with a slight headache again and was a little bit fatigued; on Tuesday yesterday did not wake up with a headache which was gone and no headache today but felt kind of foggy yesterday and has no fogginess today and am fine today with no headache. 20Apr2021 (Yesterday, one day before this report), the patient noticed over the last two days she has a loss of smell and taste and that was ongoing yesterday and today; her elbow has a really weird prickly sensation on the tip of her elbow on the left side and when she turns it she feels it a bit and it was really painful and really weird which started yesterday and feels it a little bit today; states her elbow feels like it has shattered glass in it and she still has that today and it seems a little better but was really weird when she woke up with this feeling in her skin and with a slight touch it has a sharp sharp pain in it and subsided a bit. Patient was now concerned about getting the 2nd dose of the Pfizer vaccine and wants to get the 2nd shot because she does not want to take a chance of dying in the future which was basically what her HCP said; states she was horrified of getting the 2nd dose of the vaccine if the 2nd dose she was sick like she was after the 1st dose; states she knows people that hardly had any symptoms after the Pfizer Vaccine and they did not have symptoms until the 2nd shot; states she does not know what to do with her circumstances and that was her question. It was reported that the adverse events resulted in visiting of the MD office. At the time of this report events, headache, feeling abnormal were resolved 21Apr2021 and chills, decreased appetite and pyrexia on 09Apr2021, outcome of other events was unknown.   No follow-up attempts are needed. No further information is expected.