pressure in her ears; right ear was burning; almost passed out; dizzy; hot; couldn't hear everything sounded really far away; had impaired thinking, couldn't think straight; no concentration for two days straight; had buzzing in her ears and heightened sounds; pins and needles sensation in her feet that went up to her legs/on day 9 the pins and needles sensation seems to be in her hands and arms as well; This is a spontaneous report received from a contactable consumer (patient). A 35-year-old female patient received 1st dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT/Batch number and expiration date unknown) via an unspecified route of administration on 18Mar2021 at age of 35-year-old at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient stated she received the first dose of the Pfizer COVID vaccine on 18MAR 2021. She stated ten minutes after the vaccine on 18Mar2021 she became dizzy, hot, almost passed out, couldn't hear everything sounded really far away. Patient stated this lasted for 20 minutes. Patient stated she also had impaired thinking, couldn't think straight and no concentration for two days straight. She stated she also had buzzing in her ears and heightened sounds for three days. She stated she had pins and needles sensation in her feet that went up to her legs. She stated on day 9 the pins and needles sensation seems to be in her hands and arms as well. Patient stated yesterday (26Mar2021) her right ear was burning and today (27Mar2021) she has pressure in her ears in addition to the pins and needles sensation. Events were reported as non-serious. Patient would like to know if her symptoms have been reported or are normal. She would like to know how long will her symptoms last and if they are permanent. She would like to know if she should receive the second dose of the vaccine. She would like to know what treatment she should have for her symptoms. She would like to know if there were any reports of autoimmune diseases being diagnosed after receiving the vaccine. She would like for someone to notify her if any information or data becomes available regarding the side effects she has mentioned that were not mentioned in the FactSheet. No information in PI regarding impaired thinking, loss of hearing, heightened hearing, pins and needles in extremities, and burning and pressure in ears. There were no other notable patterns or numerical imbalances between treatment groups for specific categories of non-serious adverse events (including other neurologic or neuro-inflammatory, and thrombotic events) that would suggest a causal relationship to Pfizer-BioNTech COVID-19 Vaccine. Reactions were collected in the electronic diary (e-diary) from Day 1 to Day 7 after vaccination. No information in PI regarding autoimmune disorders being diagnosed after receiving Pfizer COVID vaccine.  Outcome of dizzy, hot, almost passed out, couldn't hear everything sounded really far away was recovered on 18Mar2021, of had impaired thinking, couldn't think straight, no concentration for two days straight, buzzing in her ears and heightened sounds for three days was recovered in Mar2021, of the other events was unknown.  Information on the lot/batch number has been requested.