vertigo; Nausea; Headache; Tinnitus; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. Other Case identifier(s): US-PFIZER INC-2021499108.  A 60 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 17Apr2021 17:00 (Lot number: EW0170) at the age of 60 years as dose 1, single for COVID-19 immunization. Relevant medical history included: "Asthma" (ongoing), notes: Verbatim: Allergy-induced Asthma; "Intervertebral disc degeneration" (ongoing), notes: Verbatim: degenerative disc disease; "Scoliosis" (ongoing), notes: Verbatim: Scoliosis; "bad lungs" (ongoing), notes: Verbatim: bad lungs; "vitamin b 12 deficiency" (ongoing), notes: Verbatim: vitamin b 12 deficiency; "allergy" (unspecified if ongoing), notes: she is allergic to so many things. Concomitant medication(s) included: VITAMIN B12 AAA taken for hypovitaminosis (ongoing). The following information was reported: VERTIGO (non-serious) with onset 17Apr2021, outcome "recovered" (17Apr2021), described as "vertigo"; NAUSEA (non-serious) with onset 17Apr2021, outcome "not recovered", described as "Nausea"; HEADACHE (non-serious) with onset 17Apr2021, outcome "not recovered", described as "Headache"; TINNITUS (non-serious) with onset 17Apr2021, outcome "unknown", described as "Tinnitus". The events "vertigo", "nausea", "headache" and "tinnitus" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: x-ray: (Apr2021) unknown results, notes: x-ray tech said he couldn't comment on the pneumonia but asked if her back hurt and showed the caller and his mom a picture of her back, and suggested she go see a doctor about her back. Therapeutic measures were taken as a result of headache, tinnitus.  Additional Information: Reporter stated that she wasn't formally diagnosed with asthma. She was symptomatically diagnosed with asthma. She got really bad allergies and then she got wheezing/really heavy breathing and she had to do inhalers and nebulizers. She hasn't gone to a respiratory therapist and gotten clinically diagnosed. It's pretty obvious- it was like when someone said they have poison oak and they were blistered up, red, itching but you didn't see them touch the plant. She was diagnosed with degenerative disc disease approximately 16 years ago. Further she stated, 43 degrees, she was diagnosed at 18 but her scoliosis wasn't that severe then. Her back always hurt, but she thought it was normal. She thought everybody's did. The reporter stated she had bad lungs all her life. She has been subject to pneumonia since she was a tiny kid. She started getting vitamin b12 injection (half doses, twice a week) these injections about 6 weeks week ago for Vitamin B deficiency. The reporter stated she got her first vaccine 17 days ago and she is scheduled to get the 2nd dose on Saturday. She is 17 days into an adverse effect that would not go away. She finally went to see her healthcare physician yesterday and he saw that she was not very well. He told her to call and talk to a nurse at Pfizer to see if she should get the second vaccine on Saturday as scheduled or if she should wait a few weeks or if she should even get the second vaccine at all. The provider she could wait up to 6 weeks. She stated due to her having a lot of allergies they kept her at the facility for 30 minutes and had no problems then. She stated that an hour post injection, she was sitting still on a bench with her husband, and all of a sudden grabbed his arm and asked if an earthquake just happened because the whole room just spun upside down. She was hit all at once with sudden vertigo (an hour after her vaccination), an extreme headache, and intense tinnitus (ringing in her ears)- all 3 at once. She explained a couple times in her life, she has had a bad head cold and has had a light sensation of tinnitus but she's never had it like this. This tinnitus is impairing her hearing. She is a tough cookie, and she can stand just about anything but this has knocked her side ways. For 17 days, she has been suffering. The vertigo completely went away in about an hour and a half, and she was left with nausea. The nausea ended up working itself out in a few days. However, the headache and tinnitus was not resolved, no matter what she took. She said she had taken Tylenol per instructions, Benadryl, Zyrtec. She had tried everything to get rid of her headaches. She had tried ice packs. She thought that maybe the headache was due to inflammation, so she started to do no salt. She did not use a salt shaker anyways but tried to eat foods with no salt to limit the inflammation. She tried to reduce caffeine. She usually had a cup of coffee every morning but just so she wouldn't compound a headache with a caffeine withdrawal, she would just drink a quarter of a cup of her coffee and dump the rest because she knew that caffeine can cause inflammation. She could deal with the headache but she could not deal with the ringing in her ears. The weird thing is that she has had four intermittent days where she had no ringing. The last day she had no ringing was yesterday, but the day before and several days before that, she did. In the last 17 days, the ringing in her ears has only stopped four times. The headache has impacted her whole life. She is sitting in the truck with the AC blowing on her face because it's kind of warm. Her vaccine was given on 17Apr2021. She stated that she weighs too much and has lost 2.5 inches of height. Reporter clarified nausea was associated with the vertigo and probably associated with the vaccine only lasted 4 days, maybe. She stated she felt like there was whistle blowing in both of her ears. She could barely hear and been hit with sledgehammer. When probed for the outcome of the Tinnitus, the caller explained it has been 14 out of 17 days she has had ringing in her ears. She did not notice the tinnitus when she was asleep but it kept her from falling asleep and driving her crazy. She was scared it was never going to go away. She also scared to catch COVID but she did not want to lose her hearing completely or get worse. Reporter stated because she did not want to die and her relevant medical history was risk factor. The doctor ran some blood work on her yesterday because he wanted to make sure there isn't anything going on. Basically all she was trying to do is be able to take her second vaccine. She didn't have ringing in her ears prior to the vaccine. She was tired and just had fatigue, and discovered she was deficient in Vitamin B6, Vitamin B12, and Vitamin D, so the doctor set her up on vitamin B12 injections. Reporter stated there is a product complaint as after an hour she received her first dose of the COVID vaccine she was hit with all the events(sudden vertigo, an extreme headache, and intense tinnitus). The prior vaccinations within 4 weeks were reported to be none.   No follow-up attempts are possible. No further information is expected.