It irritates me a lot like I feel very hot, I have to like go like in front of a fan; it gets me like kind of in a bad mood; It sounds like symptoms of migraine; When I feel the hot flashes I can get sometimes like mood swings; Tiredness; Muscle pain; Shoulder pain; Depression; Back pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 36 year-old female patient received bnt162b2 (BNT162B2), administered in deltoid left, administration date 17May2021 (Lot number: W0176) at the age of 36 years as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (1st dose , Lot: ER8732), administration date: 22Apr2021. The following information was reported: HOT FLUSH (non-serious) with onset Aug2021, outcome "unknown", described as "It irritates me a lot like I feel very hot, I have to like go like in front of a fan; it gets me like kind of in a bad mood"; MIGRAINE (non-serious) with onset Aug2021, outcome "unknown", described as "It sounds like symptoms of migraine"; MOOD SWINGS (non-serious) with onset Aug2021, outcome "unknown", described as "When I feel the hot flashes I can get sometimes like mood swings"; FATIGUE (non-serious) with onset Aug2021, outcome "unknown", described as "Tiredness"; MYALGIA (non-serious) with onset Aug2021, outcome "unknown", described as "Muscle pain"; ARTHRALGIA (non-serious) with onset Aug2021, outcome "unknown", described as "Shoulder pain"; DEPRESSION (non-serious) with onset Aug2021, outcome "unknown", described as "Depression"; BACK PAIN (non-serious) with onset Aug2021, outcome "unknown", described as "Back pain". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of myalgia, depression, back pain.  Additional information: Consumer stated, "Well, it's a lot of them but main one is hot flashes. I have never had a hot flash like this like is a very (incomplete sentence), it irritates me a lot like I feel very hot, I have to like go like in front of a fan and then it gets me like kind of in a bad mood. Consumer stated, "No, I am not taking any medications. I mean, I went to the doctor and report all these but with the hot flashes there are other symptoms as well. I have never ever knew what migraine symptom was and I also have that. I have migraine. Well, that's what the doctor said and it sounds like symptoms of migraine. So, that's another one that I had never experienced migraine, until August. I started and it lasted for almost I would say almost about two months every day. Treatment in response to adverse event: Consumer stated, "No, he can't give me any treatment because it's nothing with hormones (Clarification unknown). Now, my other doctor the Neurologist, she prescribed me medicine that I have not taken that I am just going to take. I only have one medication in hand, the other one, I have to go pick up. So, I don't have that name yet but the other medication is for migraine that I have to go to the pharmacy and let me give you the one. So it's Nortriptyline HCL 10 mg and my neurologist said this is to treat depression which is only 10%, is not a lot, but it treats also some back pain, muscle pain because I have muscle pain too. I have shoulder pain like we feel very 'tense' and pain. My shoulder like kind of the back of my neck and my little bit of the middle of my back (incomplete sentence). So, it says it treats the muscle pain and some of the Migraine. When she says some of the Migraine that's where she prescribed another medication for Migraine because it's not going to treat like all the Migraine." Consumer stated, "So, did you have wrote down like migraine symptom and then what else and then sometimes when I have all the symptoms all at once, I feel tired like tiredness and also and when I feel the hot flashes I can get sometimes like mood swings you know but that's pretty much it. Is anybody going to consult with me in that like somebody else is going to like call me or something like that?"  Follow-up (20Oct2021): Follow-up attempts completed. No further information expected.