bursts of energy; headache; Chills; Panic attack; Panic attack; Hyperventilation; seeing green; feeling faint / dizzy; This is a spontaneous report from a contactable consumer, the patient. A 54-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EN6206), via an unspecified route of administration in the right arm on 26Apr2021 at 08:45 (at the age of 54-years-old) as a single dose for COVID-19 immunization. Medical history included ductal carcinoma in situ (DCIS), asthma from 5 years old, calcification of the breast, vitamin D deficiency, "keep immune system up", ongoing panic and anxiety disorder. Concomitant medications included ascorbic acid/calcium carbonate/calcium pantothenate/calcium phosphate/chromium/cyanocobalamin/folic acid/magnesium carbonate/ magnesium hydroxide/manganese gluconate/nicotinic acid/potassium bicarbonate/potassium carbonate/potassium phosphate dibasic/pyridoxine hydrochloride/quercetin/riboflavin sodium phosphate/sodium bicarbonate/sodium phosphate/thiamine hydrochloride/thioctic acid/zinc ascorbate (EMERGEN-C) to keep immune system up and colecalciferol (D3) for vitamin D deficiency. The patient did not receive any other vaccinations within 4 weeks of the vaccine. On 26Apr2021, right after the vaccination, the patient felt a little dizzy but proceeded to her car anyway, got about half a mile away and felt extreme panic. On 26Apr2021 at 09:35, the patient had a major panic attack (which the patient gets, "but it had to be something really big"). She began hyperventilating on 26Apr2021, felt like she was going to faint. She pulled over and started breathing in her hands until she felt almost normal; the anxiety didn't go away, but that was normal for her. Then the faintness came back, and she pulled over again; mentioned she was in heavy traffic and hurried up to pull over. Eventually she contacted her son and he came and took over the wheel. This happened three times on her 45-minute drive; at 15 minutes, then 10 minutes and then at 9 or 8 minutes. She stated she had nothing to eat or drink before the vaccine and they didn't advise her to get anything to eat or drink and that may have had something to do with it. She could see everything looking greenish and it was a sunny day outside. She had a bottle of water and started to drink, and it subsided for a little bit. She pulled over and sat for 15 minutes; there were trucks and cars going really fast; she was doing self-talk saying you can do this and get home; then she drove about 10 or 15 more minutes; she had stayed on the side so she could pull over; cars honked at her for going so slow and she pulled over again. It happened again after 20 minutes. She was feeling really funny. Her son took her for coffee and something to eat. Throughout the day she was having hyperventilation and anxiety feelings until about 19:30 it went away. She had a good night's rest. On 27Apr2021 in the evening, the patient experienced chills so she put on socks; and she had a headache (she never had headaches), so she went to bed. Then she woke up at midnight and felt really energetic, so she watched a little TV then went back to sleep. Now it was day three and she had a lot of bursts of energy. This morning, 28Apr2021, she had a burst of energy and felt renewed. The events did not require a visit to the physician office or emergency room. The clinical outcome of feeling faint and seeing green was resolved on 26Apr2021; of dizzy, headache, and chills was resolved on 27Apr2021; of panic attack and hyperventilation was not resolved; of bursts of energy was unknown.  Information on batch number has been requested