Headache turned to migraine; Eyes hurt; Change in vision seeing spots interfering with seeing words; Fatigued; Left side painful lactation; Sore arm; Stuffy right side of nose; Sneezing; Runny nose; Dizziness; Pain in the left arm, shoulder blade and collar bone; Pain in the left arm, shoulder blade and collar bone; Pain in the left arm, shoulder blade and collar bone; Occasional pin like feeling when breathing; Itching on the left arm; Pain in my left ovaries; Little bit of a sore throat; Felt like my throat was swollen a bit with some cotton mouth; exclusively breastfeeding mother; exclusively breastfeeding mother; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 31-year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 19Nov2021 13:00 (Batch/Lot number: unknown) at the age of 31 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "known allergies: Sulfa" (unspecified if ongoing), notes: known allergies: Sulfa; "if covid prior vaccination: Yes" (unspecified if ongoing), notes: if covid prior vaccination: Yes. Concomitant medication(s) included: VITAMIN D; ZINC.The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 19Nov2021, outcome "unknown" and all described as "exclusively breastfeeding mother"; DIZZINESS (non-serious) with onset 19Nov2021 13:30, outcome "not recovered", described as "Dizziness"; PAIN IN EXTREMITY (non-serious), MUSCULOSKELETAL PAIN (non-serious), BONE PAIN (non-serious) all with onset 19Nov2021 13:30, outcome "not recovered" and all described as "Pain in the left arm, shoulder blade and collar bone"; DYSPNOEA (non-serious) with onset 19Nov2021 13:30, outcome "not recovered", described as "Occasional pin like feeling when breathing"; PRURITUS (non-serious) with onset 19Nov2021 13:30, outcome "not recovered", described as "Itching on the left arm"; ADNEXA UTERI PAIN (non-serious) with onset 19Nov2021 13:30, outcome "not recovered", described as "Pain in my left ovaries"; OROPHARYNGEAL PAIN (non-serious) with onset 19Nov2021 13:30, outcome "not recovered", described as "Little bit of a sore throat"; PHARYNGEAL SWELLING (non-serious) with onset 19Nov2021 13:30, outcome "not recovered", described as "Felt like my throat was swollen a bit with some cotton mouth"; PAIN IN EXTREMITY (non-serious) with onset 20Nov2021, outcome "not recovered", described as "Sore arm"; NASAL CONGESTION (non-serious) with onset 20Nov2021, outcome "not recovered", described as "Stuffy right side of nose"; SNEEZING (non-serious) with onset 20Nov2021, outcome "not recovered", described as "Sneezing"; RHINORRHOEA (non-serious) with onset 20Nov2021, outcome "not recovered", described as "Runny nose"; FATIGUE (non-serious) with onset 21Nov2021, outcome "not recovered", described as "Fatigued"; MIGRAINE (non-serious) with onset 22Nov2021, outcome "not recovered", described as "Headache turned to migraine"; EYE DISORDER (non-serious) with onset 22Nov2021, outcome "not recovered", described as "Eyes hurt"; LACTATION DISORDER (non-serious) with onset 21Nov2021, outcome "not recovered", described as "Left side painful lactation"; VISUAL IMPAIRMENT (non-serious) with onset 22Nov2021, outcome "not recovered", described as "Change in vision seeing spots interfering with seeing words". The events "dizziness", "pain in the left arm, shoulder blade and collar bone", "pain in the left arm, shoulder blade and collar bone", "pain in the left arm, shoulder blade and collar bone", "occasional pin like feeling when breathing", "itching on the left arm", "pain in my left ovaries", "little bit of a sore throat", "felt like my throat was swollen a bit with some cotton mouth", "sore arm", "stuffy right side of nose", "sneezing", "runny nose", "fatigued", "headache turned to migraine", "eyes hurt", "left side painful lactation" and "change in vision seeing spots interfering with seeing words" were evaluated at the emergency room visit. Therapeutic measures were taken as a result of dizziness, pain in extremity, musculoskeletal pain, bone pain, dyspnoea, pruritus, adnexa uteri pain, oropharyngeal pain, pharyngeal swelling, pain in extremity, nasal congestion, sneezing, rhinorrhoea, fatigue, migraine, eye disorder, lactation disorder, visual impairment.  Additional information: Patient was not pregnant at the time of vaccination. Did the patient receive any other vaccines within 4 weeks prior to the COVID vaccine was reported as No. Prior to vaccination, was the patient diagnosed with COVID-19 reported as Yes, Since the vaccination, has the patient been tested for COVID-19: No, AE treatment: Benadryl.  The lot number for bnt162b2 was not provided and will be requested during follow up.