swollen lymph nodes; tired; sleeping as long as ten hours a deep hard sleep; fitful sleep with weird dreams; fitful sleep/she has not been sleeping well; her bowels are growling and gurgling; nausea/ waves of nausea; diarrhea; upset stomach; buzzing sensation in her hands and feet; Both of her arms feel heaviness and weakness; Both of her arms feel heaviness and weakness/Arms and neck feel weak; headache; sore arm; allergic reaction; atypical migraine syndrome; She has physical sensations in her forearms, feet and calves associated with the headache; neurologic symptoms; This is a spontaneous report from a contactable consumer (patient). A 61-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN6206), via an unspecified route of administration in the right arm on 11Mar2021 at 06:30 as dose 1, single for COVID-19 immunization (at the age of 61-years-old). Medical history included menopausal symptoms from an unknown date and unknown if ongoing. Concomitant medication(s) included estradiol and progesterone taken for menopausal symptoms from an unspecified start date and ongoing, using for years. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient reported that she received the first dose of the vaccine on 11Mar2021 that day had a headache that she has had every day since then. She stated things didn't start ramping up until about 24 hours after the vaccine and she had to run to the bathroom. She has had intermittent nausea, diarrhea, upset stomach, her bowels are growling and gurgling (all on 12Mar2021), and she has had swollen lymph nodes (in the neck) (14Mar2021). She has also had neurologic symptoms (2021) associated with her headaches- a buzzing sensation in her hands and feet (12Mar2021). She saw a doctor and they said she has atypical migraine syndrome (2021). She has physical sensations in her forearms, feet and calves associated with the headache (2021). She has had these symptoms in the past but not in over a year. This vaccine has kicked those symptoms into daily high gear. When the headache came on she didn't want to take anything. Both of her arms feel heaviness and weakness (12Mar2021). She stated it feels like an allergic reaction in her body (2021). Patient stated that she was most concerned about neurologic symptoms because she has had vaccinations and has had nausea and headaches before. She further reported that, she had sore arm (11Mar2021) that went away after three days. Added she was 61 and tends to have headaches but then five days in after the vaccination she has had a headache every single day. It doesn't last all day but she continues to have it daily. She Also added her stomach has been upset with waves of nausea. Mentioned she has other neurological symptoms that she has had with headaches before, but she has not had them for a long time but now she was experiencing, on her right side and left side her hands and feet have a buzzing feeling; and her arms and neck feel weak (12Mar2021). Further, added she has not been sleeping well (12Mar2021), reported being tired at the end of the day (13Mar2021), sleeping as long as ten hours a deep hard sleep (13Mar2021) but also having fitful sleep with weird dreams (12Mar2021). She was scheduled to receive the second dose of the vaccine on 01Apr2021. The clinical outcome for the events was not recovered except recovered for diarrhea on 12Mar2021 and sore arm on 14Mar2021 and unknown for neurologic symptoms, atypical migraine syndrome, she has physical sensations in her forearms, feet and calves associated with the headache and allergic reaction.  Follow-up attempts completed. No further information expected.