runny nose; chills; fever; slight body aches / little bit of body aches; she performed an over the counter covid test, in which the results came back positive; cough/ woke up with a bad cough; neck was hurting; she is weak; muscle ache; feel tired; This is a spontaneous report from a contactable Other Health care professional (patient) reported for herself. A 45-years-old female patient received bnt162b2 (COMIRNATY, Solution for injection, NDC number: Unknown, Batch/Lot number was not reported; Expiration Date: Oct2021), dose 1 via an unspecified route of administration on 19Aug2021 (at the age of 45-year-old) as dose 1, single for COVID-19 immunization. Medical history included cough from an unknown date and unknown if ongoing. Concomitant medication included budesonide (RHINOCORT TOPINASAL) taken for cough, start and stop date were not reported. The stated that she used Rhinocort prior to performing the Covid tests before receiving the vaccine, asked if Rhinocort could hinder the covid testing results and confirmed that she did not use Rhinocort prior to performing COVID testing after receiving the Pfizer COVID-19 vaccine, prior to receiving the Pfizer COVID-19 vaccine (the week prior, probably more than 5 days to receiving the vaccine), the patient and her daughter were sick, in which she thought they had COVID-19. Another snag was that she has been using Rhinocort to help her cough because of the postnasal drip. It was unknown to her if this may hinder the PCR test because it was a corticosteroid. The patient stated she started presenting symptoms of cough, runny nose at 07:00, chills, fever, and slight body aches on 21Aug2021. On Saturday 21Aug2021, she performed an over the counter COVID test, in which the results came back positive, patient and her daughter performed two over the counter tests and a PCR test in which the results were negative for COVID-19, she asked if there was any chance for the vaccine to cause a false positive test, she did not present any symptoms the day of or the day before receiving the Pfizer COVID-19 vaccine, she never had a fever prior to receiving the vaccine and she had just gotten over it (sickness), she was finished with her cough probably the Tuesday prior. The patient questioned if Pfizer recommends that she receives a PCR test based on her symptoms she was experiencing, she was calling to speak to someone because was confused and she does not know 100 percent what to do. She was sick for probably a week and a half with congestion, cough and no fever but she did lose her taste and smell. Well after about a week and a half the cough went away and so she had gone and got the 1st dose of the COVID vaccine on that Thursday evening, later clarified and confirmed to be 19Aug2021. Then that 20Aug2021 (Friday) evening her neck was hurting, the right side, but she got her COVID vaccine on the left side, so she did not think that has anything to do with it. On Saturday morning she woke up with a bad cough and then she started with chills and then a fever. She asked her husband to go get an over-the-counter COVID test like she did last time and it came back positive for COVID. She had gone on the CDC website to see what side effects have been reported after the COVID vaccine. She has had everything on there, well not everything, but she has had a lot going on with muscle ache from the fever and she has had chills. There was nothing on the CDC website with cough and runny nose being reported and that was the only reason she tested because it said that if you have those symptoms then you need to be tested and it came out positive. She didn't know if she needed to report cough as a new side effect or that she came out positive if it was not really positive, like what if it was from the COVID vaccine since it was an antigen that she was getting and the test tests for antigens. It was important to her because she was having to quarantine for 10 days now. She should have called Pfizer first because she did not want to be out of work unless she has to, which she did run a fever this morning, she asked, should she test PCR or not worry about it? If the PCR results were negative, then she might can go back to work if her employer allows her to. The patient neck was hurting, the right side; She said she had the COVID vaccine on that Thursday, 19Aug2021, and the right side of her neck hurting began Friday evening, 20Aug2021. It was still sore. She was just riding down to the lake and it could have been from how she was holding her head and resting in the back seat, but it seems that it would have hurt when she had gotten hurt and it did not hurt until she was about to go to bed and she could tell it was really sore on the right side. It has still been sore. It has gotten better but it was still pretty sore, but it has gotten better. The patient stated about the events Cough: This began first thing Saturday morning, 21Aug2021, Runny nose: This started a few hours after she had got up around 7 something that morning, 21Aug2021. She thought that this was weird. It was a dry cough, and it was continuous that she was coughing. She was coughing every 10 to 15 minutes. She says she still having the runny nose and a little bit of a postnasal drip. The cough was nowhere near what it was, and she thought that was because using Rhinocort to help. She started using that Saturday evening and it was helping with her cough some, but the coughing continued into Sunday and then it had started to take it away. Her runny nose was not as bad as it was, but it was still there, she had a little bit of body aches and chills that started on Saturday afternoon, 21Aug2021, around 1:00 and that was when she had sent her husband to go get an over the counter COVID test. She was starting to look on the internet about the side effects and on Pfizers paper from (Withheld) it had where she had the COVID vaccine and what the side effects are, but it did not mention cough. On the CDC website it also mentioned the side effects and said that if you had cough or runny nose that you need to be tested. Yesterday she still had the chills, they never went away but she was not having any right now. Her last fever was this morning at 6 something. Every time she got fever, she had chills and body aches. She takes Advil and it goes away in about 45 minutes to an hour and then she feels fine after that and her body feels okay. She does feel tired, like yesterday, she was really tired and Saturday she was tired but today she was not extremely exhausted, but she was weak on unknown date in Aug2021 That was probably because she probably needs to drink more fluids. She just has the runny nose and the cough periodically and the fever. Fever started on Saturday as well, 21Aug2021, and she was still having it too now. She was having to take Advil every 6 hours. She has a fever when she has the body aches and chills so she would take her temperature because she got warm, and her temperature was over 100 degrees every time. She did not wait until it gets more than that because she did not see any point in doing so, she did not want to cause any more trouble. She confirmed that she was still experiencing the fever, chills and body aches to now unless she takes the Advil, and it gets better. The patient underwent lab test and procedure which included over the counter COVID test: Positive on Saturday, 21Aug2021, over the counter COVID tests: Negative, she did test twice with over-the-counter COVID tests and they were negative on an unspecified date, over the counter COVID tests: Negative, she did test twice with over the counter COVID tests and they were negative on an unspecified date, PCR test: Negative on an unspecified date. The outcome of event cough was recovering, outcome of events runny nose, fever, chills, neck was hurting, and body aches was not recovered, outcome of events she performed an over the counter COVID test, in which the results came back positive, feel tired, she was weak and muscle ache was unknown.  The lot number for the vaccine, [BNT162B2], was not provided and would be requested during follow up.