the Fluoxetine 30mg daily dose made concentrating on her work stuff harder; she felt more winded today, and was trying to catch her breath when she went up the stairs; She said she was not able to work today. She clarified she does accounting work, and found she was not able to concentrate on numbers; she said she had a dull headache all day on 15Mar2021 that got worse by 7:30PM that night; the left side of her face felt cold; Tiredness; she had mild fatigue that started on Thursday (11Mar2021) and Friday (12Mar2021); Feverish; Cold; Clammy; Chills; Nausea; This is a spontaneous report from a contactable consumer.   A 50-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 1 via an unspecified route of administration, administered in Right arm on 10Mar2021 (Age at Vaccination 50 years old) (Batch/Lot Number: EN6203) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included migraine from 2009 to 2010 Reported her migraines were more stressed triggered. She said she took migraine medication (Butalbital) as needed in the past, and it had been more than 2 years ago since she took the migraine medication. No further details provided, hormone replacement therapy from an unknown date. Concomitant medication included fluoxetine (FLUOXETINE) taken for an unspecified indication, start and stop date were not reported. Treatment medication included the Bi-Est was a compounded cream, yesterday (15Mar2021) she took 1 Tylenol (clarified as Equate Brand generic Acetaminophen 500mg). She said she also drank 15 drops of CBN water soluble drops in water and then laid down. She said the CBN helped her sleep. The patient stated that she had her first Pfizer COVID-19 Vaccine dose on 10Mar2021 and had some side effects. She said today (16Mar2021) had been her worse day. She said she had a really bad headache last night (15Mar2021), saying the headache was almost a migraine. She said the headache was concentrated on the left side of her head, behind her left eye. She clarified she had no headache today. She said the left side of her face felt cold, but not the right side of her face. She clarified the cold feeling she felt on the left side of her face was similar to the cooling effect felt when using mint toothpaste. She said she still felt a little cold feeling on the left side of her face today (16Mar2021). She said she was super tired today. She clarified she was tired after she got her COVID-19 Vaccine, and thought she was getting better on Saturday (13Mar2021) and Sunday (14Mar2021), but the tiredness hit again yesterday (15Mar2021), and increased today (16Mar2021). She said she felt more winded today and was trying to catch her breath when she went up the stairs. She said that was not normal for her. She said she had mild fatigue that started on Thursday (11Mar2021) and Friday (12Mar2021), and she suspected the fatigue might be from the COVID-19 Vaccine. She said she was not able to work today. She clarified she does accounting work, and found she was not able to concentrate on numbers. Caller asked if her side effects were normal symptoms of the COVID-19 Vaccine. The caller was advised she would be transferred to Pfizer Medical Information for further assistance. Reported she basically had everything listed on the Pfizer COVID-19 Vaccine side effect list, but a fever. She said she was on HRT (hormone replacement therapy) for menopause. She said she doesn't have hot flashes with HRT and was wondering if maybe that was why she didn't have a fever. Reported she had felt feverish, cold, clammy, and had chills off and on since she got the COVID-19 Vaccine. She clarified her symptoms were intermittent. She said she had mild nausea a couple days ago, and then again, yesterday, but the nausea was more noticeable yesterday. She said she drank more fluids to treat her nausea yesterday. The patient underwent lab tests and procedures which included body temperature: 98.1 on 16Mar2021.  Therapeutic measures were taken as a result of she said she had a dull headache all day on 15mar2021 that got worse by 7:30pm that night (headache), the left side of her face felt cold (feeling cold), tiredness (fatigue), she had mild fatigue that started on thursday (11mar2021) and friday (12mar2021) (fatigue), she felt more winded today, and was trying to catch her breath when she went up the stairs (dyspnoea), she said she was not able to work today. she clarified she does accounting work, and found she was not able to concentrate on numbers (disturbance in attention), feverish (pyrexia), cold (nasopharyngitis), clammy (cold sweat), chills (chills) , nausea (nausea), the fluoxetine 30mg daily dose made concentrating on her work stuff harder (disturbance in attention).  Outcome of the event headache was recovered on 16Mar2021, nausea was recovered on Mar2021, feeling cold was recovering, Tiredness, fatigue, dyspnoea, disturbance in attention, pyrexia, disturbance in attention, cold sweat, chills was  not recovered, disturbance in attention was unknown. No follow-up attempts are possible. No further information is expected.