sensitivity to light; migraine 24/7; lost my balance; cognitive abilities have been impacted; metal taste in her mouth; tired; Headache; muscle and joint pain; muscle and joint pain; Chills; Dizziness; This is a spontaneous report from a contactable consumer. A 64-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 06Mar2021 (Batch/Lot Number: EN6205) as SINGLE DOSE and dose 1 bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 13Feb2021 (Batch/Lot Number: EM9809) as SINGLE DOSE for covid-19 immunisation. Medical history included breast cancer and Cholesterol high. Concomitant medication included pravastatin (PRAVASTATIN) taken for Cholesterol high, letrozole (LETROZOLE) taken for Cancer and vitamins and supplements. The patient experienced tired, headache, muscle and joint pain, chills, dizziness, and metal taste in her mouth on 13Feb2021 and on an unspecified date the patient experienced sensitivity to light and migraine 24/7, lost my balance and cognitive abilities have been impacted. It was stated that, her doctor did order a bunch of blood work, does not have the results yet and stated she was a breast cancer survivor of 24 years with a recurrence about 4 years ago. The patient stated that, she has been working online from home, as a locator in her county, they offer at a clinic on 13Feb2021, to go and get first doses of the vaccine and stated she was included and went ahead and got the first dose that day that afternoon, has had no sickness at all, unfortunately about 3 hours after the vaccine, she started developing the symptoms that she thought was going to go away, states she was extremely tired and it was difficult for her to get up, headache, muscle and joint pain, chills, took almost a week for them to lessen. Stated she was still having to this day, a migraine 24/7, also still experiencing dizziness and tiredness. The patient stated that, she went to see her PCP in (place) yesterday, started taking Excedrin Migraine and Dual Action Advil, these did not take the pain way, doctor gave her a sample of Nurtec OTD, and the migraine did not go away, states he just prescribed her a muscle relaxer that did help her, helped her sleep better. Stated the migraine comes from back of skull up and around to the front.  Excedrin Migraine- GSK Consumer Healthcare, LOT Number: DF98 Expiration Date: Sep2023 2 tablets on Wednesday, and 1 yesterday and 2 this morning with breakfast, sealed, yes, 24count, 250mg acetaminophen, Dual Action Advil: Pfizer, LOT: DR0104, Expiration: Feb2023, yes, and bottle of 18 caplets, sealed, 250 aceta/125 ibupr, Nurtec Odt, Manufacturer- Biohaven, 75mg, LOT-3898195, ED- OCT 2022 and Cyclobenzaprine, 5mg, this medication did help. PCP recommended going to a neurologist. The patient stated it went away after the first day, metal taste in her mouth, did not persist. The patient was encouraged to reach out to her healthcare professional for any medical advice if she continues to be concerned. The patient had severe side effects with the first COVID 19 vaccine and she had the second vaccine last Friday. It was given on 5 Mar or 6 Mar and the side effects have come back. She only had 2 days in between where the pain was manageable and now, she was back to, after getting the second dose, she was back to the debilitating severe side effects. She could not work; the pain was not going away with anything. She did not know what to do. The patient stated that, it was basically the same side effects she had before with the first dose. The fatigue, excessive tiredness, joint pain, muscle pains, headache which was not responding to anything at all. She has had dizziness, sensitivity to light and noises because of the headache. She could not think she could not work. It was just pretty bad; it was debilitating, and she did not know what to do.  When probed for when you experienced the problem, consumer stated, it started getting the first dose which was 13Feb2021.She had her second dose on March6, 2021 and she still have the same side effects. When probed as if you are suffering from any other medical condition, consumer stated, No, but I have breast cancer. When probed for treatment of breast cancer, consumer stated, Just hormonal therapy. Treatment: Consumer stated, I take whatever I can, but it does not work for headaches. Nothing is working, even if I take Ibuprofen or Aleve or anything. It does not work. It is always there. Yes, but nothing works. When probed for the lab test, consumer stated, I had some blood work, and all came normal. Consumer confirmed that the side effects started after the first dose of Pfizer Covid19 vaccine.  The patient stated, I still have the same debilitating severe side effects and that is severe migraine headache, dizziness and fatigue and I also lost my balance and I have forgiveness in my brain like to think it takes time, Cognitive abilities have been impacted. The patient underwent lab tests and procedures which included blood count: unknown result on an unspecified date, blood count: normal on an unspecified date. For the outcome of events the patient stated, persisting and sometimes it was worse. Outcome of the events was not recovered.   No follow-up attempts are possible. No further information is expected.