nausea; Left arm injection soreness; Felt like she was in a fog and did not feel herself; felt like something was in her arm; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 46 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 05Aug2021 09:05 (Lot number: EW0198) at the age of 46 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "High blood pressure" (unspecified if ongoing); "allergic to Methylisothiazolinone preservative in Dove body wash." (unspecified if ongoing); "may be going through pre-menopause" (unspecified if ongoing); "She is allergic to Neomycin ingredient in Neosporin" (unspecified if ongoing). Concomitant medication(s) included: SPIRONOLACTONE taken for hypertension. The following information was reported: FEELING ABNORMAL (non-serious) with onset 05Aug2021, outcome "recovered", described as "Felt like she was in a fog and did not feel herself"; SENSATION OF FOREIGN BODY (non-serious) with onset Aug2021, outcome "unknown", described as "felt like something was in her arm"; NAUSEA (non-serious) with onset 06Aug2021, outcome "not recovered", described as "nausea"; VACCINATION SITE PAIN (non-serious) with onset 05Aug2021, outcome "recovering", described as "Left arm injection soreness". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of nausea.  Additional Information: Family medical history relevant to AE(s) were none. Prior vaccinations (within 4 weeks) were none. AE(s) following prior vaccinations were none. AE(s) did not require a visit to emergency room or physician office. Additional vaccines administered on same date of the pfizer suspect were none. History of all previous immunization with the Pfizer vaccine considered as suspect were none. The patient was taking spironolactone for a few years. It was a water pill. They said to take your normal medication and it could not interact, so she took her blood pressure medication, spironolactone. She has had Nausea since getting the first dose (in the afternoon). It had been almost 3 weeks ago and a couple of days after she got it, the nausea was really bad. She got it on Thursday and had it up until Monday or Tuesday, then it got better and was not as bad, but she still had it. She had to drink ginger ale every day. She was just more concerned that she was still having it. She can understand having it a few days, but not 3 weeks. Everything should be back to normal by now. She said she was not pregnant. She did not get her period for 3 months a few months ago. Her gynaecologist thought she was pregnant. They tested her and she was not. She said she knows when she was. They said she may be going through pre-menopause. This could be the cause of the nausea. She only gets nauseous when pregnant though. She also had soreness at injection site on the same day she got it (In the morning after it happened). She later stated she could not even sleep on her left side because it felt like something was in her arm. She jokingly told someone that maybe they did put a chip in her arm. It was fine now. She also felt like she was in fog and did not feel herself. Her daughter got hers on the same day and had no problems. The fog only lasted 2 days. She was back to her normal self except the nausea.   No follow-up attempts are possible. No further information is expected.