Cold; Chest pain/Chest soreness under left breast to back and side, hurt like heck when she moved; Chills and feeling cold; Chills and feeling cold; Horrible nausea to the point where she feels weak and has no strength, the nausea took her appetite too; headache; Feeling unwell/sick; Horrible nausea to the point where she feels weak and has no strength, the nausea took her appetite too; Horrible nausea to the point where she feels weak and has no strength, the nausea took her appetite too; She needs something for her stomach, it is upset; couldn't even wake up sleeping more than usual- Hard for her to wake up because she was feeling sick; This is a spontaneous report from a contactable consumer (patient). A 68-years-old female patient received the first dose of BNT162B2 Pfizer-BioNTech COVID-19 mRNA Vaccine at Pharmacy, via an unspecified route of administration, in left arm on 20Mar2021 around 11:30-12:00, at 68 years of age, (Batch/Lot number EP6955) as single dose (0.3 dosage units unknown, injection) for COVID-19 immunization. Medical history included allergies - she had them all her life and she let her doctor know before receiving the vaccine: she was highly allergic to second hand smoke and severely allergic to cats since an unknown date, hypersensitivity from 2020 and ongoing, diabetes mellitus from 2005 and ongoing, hypertension from 2005 and ongoing and she had a family medical history of high blood pressure. Concomitant medications included metformin for blood glucose increased from 2005 and ongoing; glimepiride for diabetes mellitus from 2005 and ongoing; atenolol taken for hypertension from 2005, amlodipine for hypertension from 2020 (they switched her from another unknown medication - they no longer use that one anymore), all taken by oral route, and vitamins. On 21Mar2021 in the morning the patient woke up with the headache and nausea, she experienced chills (with no fever) and feeling cold, horrible nausea to the point where she feels weak and had no strength, the nausea took her appetite too, she had headache, was feeling unwell/sick, she needed something for her stomach as it was upset and she couldn't even wake up, she was sleeping more than usual, it was hard for her to wake up because she was feeling sick (caller explained when she gets sick and doesn't have the strength she needs, she does a lot of sleeping) and suffered from chest soreness under left breast to back and side, it "hurt like heck" when she moved. On the same day at around 16:00 the patient experienced chest pain that hit her so bad that she thought she was having a heart attack. Moreover, on an unspecified date, she experienced cold. The patient clarified she did not have a rash, redness, or itching - none of that. The patient didn't go to the Emergency Room or physician office. The patient reported that she called the doctor and he told her to wait it out for a week and if it gets worse or doesn't subside by the end of the week, then go to Emergency Room. The patient stated that she does not like to take pain pills, but that headache got her. She did not take anything, but she drank some ginger tea to help her stomach. The events "chest pain" and "chest soreness under left breast to back and side, hurt like heck when she moved" resolved on 22Mar2021 but the patient explained that when her chest pain subsided, it hurt her to move. The caller clarified she hasn't had that episode since Sunday [21Mar2021] and explained the only thing that lasted was the soreness and hurting to move, but the next day she didn't have that problem; no chest pain or soreness the next day (the next day, it was still a little sore, but as the day progressed she didn't feel it anymore, the soreness was very mild on 22Mar2021); the events "chills and feeling cold", "horrible nausea to the point where she feels weak and has no strength, the nausea took her appetite too", "headache" and "feeling unwell/sick" had not resolved yet at the time of the report (she feels like nausea was leveling out; it's not getting worse and it's basically balanced; she is hoping the nausea will subside as she doesn't like this), the event "she couldn't even wake up, she was sleeping more than usual, it was hard for her to wake up" was recovering and outcome of the events "needed something for her stomach as it was upset" and "cold" was unknown.  Follow-up activities were performed for additional information.