Within 5 minutes my arms and legs started tingling and went numb; Within 5 minutes my arms and legs started tingling and went numb; heart was racing; difficult to breathe/ shortness of breath; became very dizzy; severe headache; vision in my right eye became blurry with black floaters; vision in my right eye became blurry with black floaters; symptoms continued to get worse; having blood pressure spike (180/102); tachycardia; severe brain fog; extreme weakness to where I could not walk up the stairs; cognitive dysfunction; exercise intolerance; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 37 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date Jul2021 (Lot number: EW0180) at the age of 37 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Depression" (unspecified if ongoing); "covid-19" (unspecified if ongoing). Concomitant medication(s) included: LEXAPRO. Past drug history included: Ceftin, reaction(s): "Known Allergies: Ceftin". The following information was reported: PARAESTHESIA (disability), HYPOAESTHESIA (disability) all with onset 19Jul2021 12:30, outcome "not recovered" and all described as "Within 5 minutes my arms and legs started tingling and went numb"; PALPITATIONS (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "heart was racing"; DYSPNOEA (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "difficult to breathe/ shortness of breath"; DIZZINESS (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "became very dizzy"; HEADACHE (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "severe headache"; VISION BLURRED (disability), VITREOUS FLOATERS (disability) all with onset 19Jul2021 12:30, outcome "not recovered" and all described as "vision in my right eye became blurry with black floaters"; CONDITION AGGRAVATED (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "symptoms continued to get worse"; BLOOD PRESSURE INCREASED (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "having blood pressure spike (180/102)"; TACHYCARDIA (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "tachycardia"; FEELING ABNORMAL (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "severe brain fog"; ASTHENIA (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "extreme weakness to where I could not walk up the stairs"; COGNITIVE DISORDER (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "cognitive dysfunction"; EXERCISE TOLERANCE DECREASED (disability) with onset 19Jul2021 12:30, outcome "not recovered", described as "exercise intolerance". The events "within 5 minutes my arms and legs started tingling and went numb", "within 5 minutes my arms and legs started tingling and went numb", "heart was racing", "difficult to breathe/ shortness of breath", "became very dizzy", "severe headache", "vision in my right eye became blurry with black floaters", "vision in my right eye became blurry with black floaters", "symptoms continued to get worse", "having blood pressure spike (180/102)", "tachycardia", "severe brain fog", "extreme weakness to where i could not walk up the stairs", "cognitive dysfunction" and "exercise intolerance" were evaluated at the physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: (unspecified date) 180/120; sars-cov-2 test: (21Oct2021) negative, notes: Nasal Swab. Therapeutic measures were taken as a result of paraesthesia, hypoaesthesia, palpitations, dyspnoea, dizziness, headache, vision blurred, vitreous floaters, condition aggravated, blood pressure increased, tachycardia, feeling abnormal, asthenia, cognitive disorder, exercise tolerance decreased. Clinical course: It was reported that the patients arms and legs started tingling and went numb. Her heart was racing, it became difficult to breathe and she became very dizzy. This happened again an hour later, then she started getting a severe headache and the vision in her right eye became blurry with black floaters. She began having blood pressure spike (180/102), tachycardia, shortness of breath, severe brain fog, extreme weakness to where she couldn't walk up the stairs, cognitive dysfunction and exercise intolerance. It has been 7 months and she was still not back to normal health. At this point she would say she was about 75 percentage better however she felt as though permanent damage had been done. She had several ER visits, doctor visits and testing done. The patient took no other vaccine in four weeks. Other medication taken in two weeks was Lexapro. Treatment was given using Metoprolol, amitriptilyne and numerous tests. The patient was tested for covid post vaccination.