could not stay awake; fever; fatigue, tiredness; arm got sore; other muscle pain; gastro symptoms started, unusual feeling in intestines, excess pooping; chills; strange taste in mouth; excess saliva; numbness in lower half of face and lips; slight twinge in heart area; sinus disorder; itching under left side of tongue in thin line from base to tip, might be a nerve; gastro symptoms started, unusual feeling in intestines, excess pooping; dizziness; lower back pain; both sides, feels like tenderness in kidneys; This is a spontaneous report from a non-contactable consumer, the patient. A 48-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EQ0182) via an unspecified route of administration in the left arm on 21May2021 (at the age of 48-year-old) as a single dose for COVID-19 immunisation. Medical history included migraine, genetically cholesterol high, and the patient was allergic to sulfonamides (sulfa drugs), contrast media allergy (contrast for CT scans), eggs, the patient had multiple chemical sensitivity and smoke sensitivity. Concomitant medications included erenumab (AIMOVIG) 140 mg, monthly injection from an unknown date taken for unknown indication. The patient previously took aminobenzoic acid (PABA) for unknown indication on unknown date and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient previously took first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EW0171) via an unspecified route of administration in the left arm on 30Apr2021 (at the age of 48-year-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 21May2021, the patient experienced strange taste in mouth and excess saliva after 10 minutes of vaccination, numbness in lower half of face and lips and slight twinge in heart area after 25 minutes of vaccination, sinus disorder after 30 minutes of vaccination, itching under left side of tongue in thin line from base to tip, might be a nerve and arm got sore after 45 minutes of vaccination, gastro symptoms started unusual feeling and excess pooping after one hour of vaccination, fatigue, tiredness after 2 hours of vaccination, chills after 5 hours of vaccination, dizziness after 8 hours of vaccination, fatigue and tiredness after 9 hours of vaccination, lower back pain, both sides, feels like tenderness in kidneys after 12 hours of vaccination, severe fatigue, tiredness, arm soreness/pain, other muscle pain, got about 8 hours sleep, felt better after 15 hours of vaccination, arm soreness, fatigue, tiredness after 24 hours of vaccination. The patient experienced severe fatigue, tiredness, fever, could not stay awake after 25 to 29 hours of vaccination and patient got about 8 hours sleep and was still really tired. The patient stated that she had severe fatigue, tiredness, fever, could not stay awake even after 54 hours of vaccination. The gastro issues was there until day 5. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of the event sinus disorder which included sinus clearing and drainage on 21May2021 after 30 minutes of vaccination.  Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events strange taste in mouth, excess saliva, numbness in lower half of face and lips, slight twinge in heart area, sinus disorder, itching under left side of tongue in thin line from base to tip, might be a nerve, arm got sore, gastro symptoms started, unusual feeling in intestines, excess pooping, chills, dizziness, lower back pain, both sides, feels like tenderness in kidneys, other muscle pain, fever, could not stay awake was unknown at the time of this report. The clinical outcome of the event fatigue, tiredness was not recovered at the time of this report.  No follow-up attempts are possible. No further information is expected.