experienced palpitations; fatigue; Shortness of breath; light headedness; migraine; depression; front of eye yellow spots; Sweating so Much; has an arrhythmia she did not state what type; This is a spontaneous report from a contactable consumer (patient).A 64-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EW0177), dose 1 via an unspecified route of administration, administered in left arm on 31May2021 in the morning (at the age of 64-years-old) as 1st single dose for COVID-19 immunization. Medical history included when patient was 13 years old, patient had a problem with tachycardia and palpitations and so patient takes medications for this and patient have ongoing high blood pressure, hypertension started when patient was young but stopped in 2002 and started again 3 years later, patient needs glasses to see the address for the Pharmacy and a problem with tachycardia. Patient stated that, sometimes patient heart goes faster. Patient had breast cancer from 2017 to 2017 Remission. Patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. Additional vaccines administered on Same Date of the Pfizer Suspect was none. Patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Patient did not have adverse event prior vaccinations. Patient had no any illness at time of vaccination. Patient did not had relevant family history. Patient did not performed any relevant test. Concomitant medications included metoprolol tartrate (METOPROL XL) taken for palpitations and hydrochlorothiazide, ongoing telmisartan (TELMISARTAN/HCT) taken for hypertension has been taking 17 years. Metoprolol ER taking 4-5 years ago, before patient took a different one. Patient tried 3 other medications for blood pressure and heart and nothing worked. Patient did not know what those medications were. NDC, Lot, Exp Unknown. Patient takes medication everyday for heart. After vaccination, in Less than 10 minutes after the shot, patient had palpitations and shortness of breath. Patient laid down for a little bit. Patient saw a cardiologist and he said patient has arrhythmia. Patient was not sure if one she had before or not.Caller sates now it was time to have the second vaccine, but she was really scared to take it because she had the palpitations and heard about the boys between 19 and 16 age and along with this patient experienced fatigue, shortness of breath, light headedness, migraine, depression, front of eye yellow spots. Patient still having migraine, light headedness, shortness of breath and arrhythmia. Patient ask, how much protection with just the first one, if one vaccine how much was patient protected. Patient had concerned about getting the second dose. Patient had a side effect after the first dose of the vaccine. Patient had problem with heart a long time ago, but patient wants to know if patient had one vaccine how much is she protected.Caller states she saw the doctor and she still has an arrhythmia. Caller states she does not know if she has had the arrhythmia before. Caller states that was the first time that they told her she had an arrhythmia. Caller states she takes medication everyday for her heart.Caller states she doesn't know why, she wanted the vaccine. Patient asked should patient get the second dose. Calller spoke to her doctor and patient stated that, COVID-19 is so dangerous to be exposed. The patient was advised you should not get Vaccine if you had a severe allergic reaction after a previous dose of the vaccine or if you had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by company. We refer you to speak to your healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. Your healthcare provider knows your health situation and has access to information that can better help inform this decision. Upon follow-up new information include, patient taking COVID-19 vaccine because, worried about COVID-19 and everybody has been vaccinated and husband and no problem. Patient reported, palpitations come and go they weren't all day and felt better. No treatment was received. Patient stated that, tomorrow patient will have a calcium echo scan. Doctor said he will see patient if she needs a different medication. Facility where COVID-19 vaccine was administered was at the pharmacy. Patient did not visited to emergency room but visited to physician office for, cardiologist wasn't patient normal doctor because changed insurance. The outcome of the arrhythmia, dyspnoea, migraine and hyperhidrosis were not recovered, dizziness was recovering and rest of the events were recovered.