I felt like I had a sunburn to my face; ears felt plugged and muffled; ears felt plugged and muffled; my left jaw had shooting pains down to my neck; mouth felt super dry; tongue felt swollen; nauseated; stabbing pain to my abdomen; my left jaw had shooting pains down to my neck; I felt a cool, numb draining feeling down the back of my throat; I felt a cool, numb draining feeling down the back of my throat; metallic taste in my mouth; major headache; low grade fever; sore throat; arm started hurting that night/arm soreness; super dry lips; plugged ringing ears; tongue numbness; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 40 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 02Sep2021 14:30 (Lot number: EW0191) at the age of 40 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Back pain" (unspecified if ongoing). Concomitant medication(s) included: VITAMINS C; VITAMIN B6; VITAMIN B12 [CYANOCOBALAMIN]; VITAMINS D3; FOLATE; MAGNESIUM. Past drug history included: Codeine, reaction(s): "Allergies: Codeine", notes: Known Allergies: Codeine. The following information was reported: PHARYNGEAL HYPOAESTHESIA (non-serious), FEELING COLD (non-serious) all with onset 02Sep2021 14:30, outcome "not recovered" and all described as "I felt a cool, numb draining feeling down the back of my throat"; DYSGEUSIA (non-serious) with onset 02Sep2021 14:30, outcome "not recovered", described as "metallic taste in my mouth"; PAIN IN EXTREMITY (non-serious) with onset 02Sep2021, outcome "recovering", described as "arm started hurting that night/arm soreness"; HEADACHE (non-serious) with onset 02Sep2021 14:30, outcome "not recovered", described as "major headache"; PYREXIA (non-serious) with onset 02Sep2021 14:30, outcome "recovered" (03Sep2021), described as "low grade fever"; OROPHARYNGEAL PAIN (non-serious) with onset 02Sep2021 14:30, outcome "not recovered", described as "sore throat"; SUNBURN (non-serious) with onset 03Sep2021, outcome "not recovered", described as "I felt like I had a sunburn to my face"; EAR DISCOMFORT (non-serious), HYPOACUSIS (non-serious) all with onset 03Sep2021, outcome "not recovered" and all described as "ears felt plugged and muffled"; PAIN IN JAW (non-serious), NECK PAIN (non-serious) all with onset 03Sep2021, outcome "not recovered" and all described as "my left jaw had shooting pains down to my neck"; DRY MOUTH (non-serious) with onset 03Sep2021, outcome "not recovered", described as "mouth felt super dry"; SWOLLEN TONGUE (non-serious) with onset 03Sep2021, outcome "not recovered", described as "tongue felt swollen"; NAUSEA (non-serious) with onset 03Sep2021, outcome "not recovered", described as "nauseated"; ABDOMINAL PAIN (non-serious) with onset 03Sep2021, outcome "not recovered", described as "stabbing pain to my abdomen"; LIP DRY (non-serious) with onset Sep2021, outcome "not recovered", described as "super dry lips"; TINNITUS (non-serious) with onset Sep2021, outcome "not recovered", described as "plugged ringing ears"; HYPOAESTHESIA ORAL (non-serious) with onset Sep2021, outcome "not recovered", described as "tongue numbness". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of ear discomfort, hypoacusis.  Additional information: First 5mins after the dose was given I felt a cool, numb draining feeling down the back of my throat. It provided a metallic taste in my mouth. My arm started hurting that night and I had a major headache with low grade fever and sore throat. But the next evening arm soreness was almost gone. I felt like I had a sunburn to my face but no fever. I noticed my ears felt plugged and muffled and my left jaw had shooting pains down to my neck. My mouth felt super dry and tongue felt swollen. I was nauseated this whole day. That night I woke up with a stabbing pain to my abdomen that kept me awake for most of the night. I am now almost three weeks out from my first dose and still have a super dry mouth, lips, plugged ringing ears, jaw and neck pain, sore throat and throat and tongue numbness. Feels like a day at the dentist with a lidocaine injection. Face still feels sunburned but no fever. Metallic taste still present. OMT treatment to try to help plugged, muffled ears. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19  No follow-up attempts are possible. No further information is expected.