nausea; Shivering and Extreme Chills; shaking violently, teeth rattling; fever of 102.4 and she couldn't bring it down; Caller states she threw up violently 9 times; lost control of her bladder while sleeping twice; Severe Soreness; Headache; Muscle Aches; This is a spontaneous report from a contactable consumer (patient). A 53-year-old female patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0167), via an unspecified route of administration, administered in Arm Left on 10May2021 at 15:45 (at the age of 53-years-old) as dose 2, single for COVID-19 immunization. The patient medical history included ongoing hypothyroidism (Early 30s diagnosed. Runs in her family, grandmother had it. Genetic type, not complicated, normal thyroid doesn't release enough. Normal Uncomplicated). The patient's concomitant medications were not reported. Previously patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8736), via an unspecified route of administration, administered on 19Apr2021 as dose 1, single for COVID-19 immunisation. It was reported that on 11May2021 at 03:00, the patient experienced nausea, shivering, extreme chills. On 11May2021, fever of 102.4 and she couldn't bring it down, caller states she threw up violently 9 times, lost control of her bladder while sleeping twice, severe soreness, headache, muscle aches. Addition information provided as, patient was calling about the Covid 19 Vaccine, patient's second shot. Verified Pfizer. they day before yesterday patient had second dose. Patient wanted to report patient experience with the shot so it can be put in the database. patient used to work, so patient knows it was helpful. Patient had some unusual side effects. patient was a yoga instructor, athletic and healthy, with no underlying conditions that should've caused this at all. patient was patient in the age group that according to research, really shouldn't have such violent side effects given patient was 53, so that was another thing, patient didn't expect to have that. Patient couldn't find severe vomiting anywhere. Patient looked it up on the internet, even the CDC site, was listed nausea but not vomiting and loss of bladder during sleep. PCP as, patient almost went to the hospital due to the fever was not coming down but patient did not. Patient states if it would've continued longer than the 15 hours, patient probably would've went, due to the extreme reactions. this morning patient feels much better and patient goes to see doctor for patient annual on 24May2021 and patient will report this to patient as well so patient will be aware of what she recently went through because patient blood work may not be right. 12 hours after the shot, patient had the normal stuff, shivering, extreme chills, all of that normal stuff and by the 20th hour after the vaccine patient woke up and she had a fever of 102.4 and patient couldn't bring it down and patient kept administering Tylenol to bring the fever down. After 3hrs 32 min, patient brought it down to 101, and it took all day to get patient fever down to 99, still today it was 99.7, which she considers a low grade fever. Patient threw up violently 9 times yesterday, starting at the 12th hour after the vaccine all of the way until 4:00p.m. yesterday afternoon. Patient couldn't drink water or keep anything down. Caller states she lost control of her bladder while sleeping twice. Caller states she has no health problems and she is healthy, well except hypothyroidism but other than that no health problems. Caller states losing control of patient bladder was very scary and the violent throwing up, patient couldn't find anything online about those side effects. Patient side effects started at 03:00a.m. and patient received the vaccine at 15:45p.m. States the chills lasted an hour and the nausea and vomited started at 3:00a.m. until 4:00p.m. Nausea and Severe Vomiting AE as, patient threw up so violently, patient broke the capillaries under the skin in eyes, face, and neck. Patient was throwing up was water and foamy substance, patient was taking that was acid from stomach. Fever AE as, patient son took patient temperature and it was 102.4. Patient used ice and took more Tylenol and patient tried to quickly reduce the temperature. even with Tylenol, patient fever was still 99.7. Severe Soreness and Muscle Aches AE: The patient felt like, patient was on fire. Lost Control of Bladder AE as, It was happened twice while patient was sleeping. patient doesn't know if it was fever related. both times it was happened while patient was sleeping and patient wasn't taking any fluids in because patient was throwing up. The patient doesn't know what patient was voiding but patient does know that patient can have fluid in patient body and patient body was trying to get rid of everything. Headache AE as, the worse headache patient has every had. Headache was gone right now since the Tylenol was working. Caller states nothing would take it away no matter how much patient took last night. Patient doesn't know if it was a headache or the muscles seizing up. The patient was getting some fresh air and spending time with patient's dogs, a lab and cocker spaniel. The patient was bouncing the ball and able to play with them, which was a drastic improvement from yesterday. The patient was able to eat a piece of toast this morning, patient was not sure if patient will able to finish it all but patient did eat half of it. The patient had vaccine through UNC Hospital, and states patient got it 2 weeks apart. Call handler asked for confirmation that patient vaccines were two weeks apart or 3 weeks. Caller states patient thought it was two weeks and states maybe that was why patient felt so sick. The patient was guarding the vaccine guard because patient never wants to go through it again. The patient has birthed two children with no pain medication and patient was tough as nails, patient would never complain if it wasn't this bad. The patient was going to go get patient card to check the dates. Caller confirms the vaccines were given 21 days apart. Reporter states, that was right, the two weeks for after the vaccine, when patient will have full immunity. Therapeutic measures were taken as a result of fever of 102.4 and she couldn't bring it down, headache. On unspecified date, the patient underwent lab tests and procedures which included body temperature was 102.4. On unspecified date, body temperature: 99.7, The outcome of the events for nausea and severe vomiting, shivering and xtreme Chills; shaking violently, teeth rattling and lost control of bladder was recovered/resolved; for event fever of 102.4 and she couldn't bring it down, severe soreness, headache and muscle aches was recovering/ resolving.  No follow-up attempts are needed. No further information is expected.