right arm experienced an old injury; eyes have been difficult, they are painful; dry eye; My eyelids are droopy; seeing double again; seeing double again; Dizzy; foggy head; pain in neck; could barely move; eyes burning; Tired, so tired needed to sleep; Light sensitive eyes, sensitive to computer; vertigo; vomiting; tired I could not stay awake./I was not sleeping so much; sleepiness; neck would get really stiff; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 73 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 18Feb2021 15:30 (Lot number: EN6201, Expiration Date: Jun2021) at the age of 73 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "lazy eye" (unspecified if ongoing); "macular degeneration" (unspecified if ongoing); "double vision" (unspecified if ongoing), notes: wore prism glasses which had fixed that issue in the past 4 years. There were no concomitant medications. Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EL9261-May2021, Location of injection: Arm Left, Vaccination time: 15:30), administration date: 28Jan2021, for COVID-19 Immunization, reaction(s): "Sore arm (left)". The following information was reported: VERTIGO (disability, medically significant) with onset 18Feb2021, outcome "recovered with sequelae" (2021), described as "vertigo"; DIPLOPIA (disability, medically significant), DISEASE RECURRENCE (disability, medically significant) all with onset 03Mar2021 06:00, outcome "recovered with sequelae" and all described as "seeing double again"; DIZZINESS (non-serious) with onset 03Mar2021 06:00, outcome "recovered" (2021), described as "Dizzy"; FEELING ABNORMAL (non-serious) with onset 03Mar2021 06:00, outcome "recovered" (Nov2021), described as "foggy head"; NECK PAIN (non-serious) with onset 03Mar2021 06:00, outcome "not recovered", described as "pain in neck"; MOVEMENT DISORDER (non-serious) with onset 03Mar2021 06:00, outcome "not recovered", described as "could barely move"; EYE IRRITATION (non-serious) with onset 03Mar2021 06:00, outcome "not recovered", described as "eyes burning"; FATIGUE (non-serious) with onset 03Mar2021 06:00, outcome "not recovered", described as "Tired, so tired needed to sleep"; PHOTOPHOBIA (non-serious) with onset 03Mar2021 06:00, outcome "recovered" (2021), described as "Light sensitive eyes, sensitive to computer"; EYE PAIN (non-serious) with onset Jan2022, outcome "not recovered", described as "eyes have been difficult, they are painful"; DRY EYE (non-serious) with onset Jan2022, outcome "not recovered", described as "dry eye"; EYELID PTOSIS (non-serious) with onset Jan2022, outcome "not recovered", described as "My eyelids are droopy"; VOMITING (non-serious) with onset 2021, outcome "unknown", described as "vomiting"; SLEEP DISORDER (non-serious) with onset 2021, outcome "unknown", described as "tired I could not stay awake./I was not sleeping so much"; SOMNOLENCE (non-serious) with onset 2021, outcome "unknown", described as "sleepiness"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 2021, outcome "unknown", described as "neck would get really stiff"; LIMB INJURY (non-serious), outcome "unknown", described as "right arm experienced an old injury ". The events "vertigo", "seeing double again", "seeing double again", "dizzy", "foggy head", "pain in neck", "could barely move", "eyes burning", "tired, so tired needed to sleep", "light sensitive eyes, sensitive to computer", "eyes have been difficult, they are painful", "dry eye" and "my eyelids are droopy" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: allergy test: (11May2021) no allergies; blood test: (unspecified date) normal; ear, nose and throat examination: (unspecified date) normal; investigation: (06Aug2021) unknown results, notes: ordered MRI; (17Sep2021) unknown results; magnetic resonance imaging: (17Sep2021) normal; (Oct2021) unknown results; neurological examination: (19Oct2021) increase prism, notes: Added to the prism in glasses to decrease dimension from lazy eye; sars-cov-2 test: (Oct2021) negative, notes: Nasal Swab. Therapeutic measures were not taken as a result of vertigo, diplopia, disease recurrence, dizziness, feeling abnormal, neck pain, movement disorder, eye irritation, fatigue, photophobia, eyelid ptosis. Therapeutic measures were taken as a result of eye pain, dry eye. Additional information: The most recent COVID-19 vaccine was administered in Nursing Home/Senior Living Facility. The patient was not pregnant when vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and not receive any other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, the patient has been tested for COVID-19.  Clinical course: Over the year: two weeks after the vaccination, vertigo, two events. Dizzy for months after, foggy head for 8 months, pain in neck, could barely move, eyes burning, seeing double again (the patient wear prism glasses for lazy eye). Tired, so tired needed to sleep. Naps for two hours and 8 to 10 hours a night. Light sensitive eyes, sensitive to computer (like filling this out on line). Disappeared for three days, came back, disappeared again came back on and on for 8 months. In Oct2021 the patient went for Opto neurology and had a MRI. Nothing. Patient also saw an opthortist for a Fresnel sticker. Patient felt better for two months. Patient had a tooth implant and the symptoms of burning eyes, double vision and tired ness have returned. The surgery on teeth was 10Jan2022. Since then her eyes have been difficult. She can see, but they are painful. The patient knew she had dry eye and have seen the doctor several times. She used every drop sold out there and none help the pain. Her eyelids were droopy, very hard to open the eyes. The patient had only a sore arm after the initial vaccination in my left arm on 28Jan2021. When she had her second one on 18Feb2021 it was given in my left arm. For the next three days, right arm experienced an old injury which was quite painful. When she experience this injury years ago she saw an orthopedic surgeon. With exercise the pain went away. This time, the pain just disappeared on the third day. Then about two weeks later she had a vertigo experience. She had experienced vertigo over her lifetime so she had anti vert. About three days later she felt better, able to get out of bed. But the lingering dizziness remained when she tried to sleep on the left side. Two weeks later it happened again. Much more violent with vomiting. The effects lasted. Then the foggy brain began and the double vision. Eyes painfully burning. So tired she could not stay awake. Before the vaccine she was an active 73 year old. She had no health issues that kept her from doing her life. She took no prescription drugs. She worked outside daily and had a great diet. She belonged to a club, but it closed during Covid. She was five feet tall and weigh about 106. Due to the vertigo she saw an ENT. Nothing came of that. She also experienced neck pain that was quite debilitating. She sought PT. Her double vision was unusual as she wore prism glasses which had fixed that issue in the past 4 years. Her dry eye caused her issues but now my eyes were so painful she had to rest several times a day use drops a lot and an optase mask daily. The foggy headedness was terrible. She still have issues finding where 1 left things during that period of confusion. About May, she noticed some subtle changes. She was not sleeping so much, sometimes her eyes felt OK and she was really getting her life back. It would last 5 to 10 days and she would be back in the foggy headedness, sleepiness and burning eyes. Her neck would get really stiff leaving her once again tired. She went to an ophthalmologist and a retinologist as she do have macular degeneration. The ophthalmologist sent her to an optoneurologist based on my many complaints. She was diagnosed with a lazy eye in fifth grade. After many hours of tests at the neurologist, she agreed that the double vision was probably from the lazy eye but she wanted an MRI. She went for an open MRI. Although the results were good the main issues of the optic nerve were not seen clearly. They wanted her to have another but she did not do that. The neurologist sent her to an opthortist. Her eyes had gone from a 7 prism to a 9. A patch was put on her glasses. The patient got better. She felt great. She was OK, lots of energy and sleeping less, no drops for the eyes double vision only when she did not have her glasses on. Then she had a bridge in her mouth fail. She needed implants to repair the damage. After the implant surgery 10Jan2022, the pain in her eyes and the double vision returned. was not foggy headed, but she was sleeping more, taking long naps, using eye drops again and the optase mask. She was not doing the activities she was doing or staying up late. She have to rest during the day and go to bed early. Her neck has been ok. The patient stated that everything that was affected by the Covid 19 vaccination had been a problem in the past except for the foggy head and extreme tiredness. The shoulder, the neck, the vertigo, the eyes. Nothing but the foggy head and extreme tiredness was new to this body. It was like the vaccine was attacking all of her body weaknesses and causing a few others. Many of the issues that came back were resolved 15 to 30 years before 1 had the vaccine. She have wondered whether or not all of the novocaine (or whatever they give you to numb you before surgery in your mouth) had something in it again that was in the vaccine or something she now have a high sensitivity for. It is curious. It took a few days after the Implant was placed before her eyes got worse and the tired ness started. But it is back. Some days are better than others. She was not foggy headed and her neck was not stuck, but the eyes and the tiredness are back. She hope it will disappear. During the aftermath of the vaccine, another problem was looking at the computer screen. She bought blue light blockers. They didn't help. When she felt better in Nov and Dec, she didn't have any problems with the screen. Her eyes were not sensitive to light. Her vision was great. All of this is a mystery to me. The patient is hoping to be well soon. She know it is possible for this to go away. The patient was so glad she got the vaccine and have not gotten Covid.  No follow-up attempts are possible. No further information is expected.