lost 3 lbs; anxiety; restlessness; covid rash; itchiness; twitching; burning lips and tongue; burning lips and tongue; metallic taste/could taste shot as it was going in; thirst; increased fatigue; not terribly painful arm; This is a spontaneous report from a contactable consumer (patient).  A 65-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, (lot number: EN6200)) via intramuscular at left arm on 18Feb2021 at 12:30 pm (age at vaccination 65-year-old) as dose 1, single for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was intolerant to alcohol, sugar and lactose. The patient's medical history included thyroid disease, autoimmune dysfunction, a-fib, giardia, bit by a poisonous spider (over the summer and it nearly killed) from an unknown date and unknown if ongoing. The patient concomitant medications included Synthroid, Cytomel for unspecified indication and Plavix for a-fib. One time with the flu vaccine, she was grinding her teeth for a month, it made her feel off. She did not had one since. History of all previous immunization with the Pfizer vaccine considered as suspect was none. Additional Administered Vaccines If applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect was noThe patient experienced verity of symptoms like could taste shot as it was going in/metallic taste when getting the vaccine, extreme unquenchable thirst, not terribly painful arm, fatigue on 18Feb2021, burning lips and tongue on 21Feb2021, twitching lips and tongue on 23Feb2021, itchiness, covid arm- rash appeared 6 days later after vaccine on 24Feb2021, lost 3 lbs due to drinking so much water, restlessness, anxiety on an unknown date. The symptoms extreme thirst which lasted for 4 days, like an unquenchable thirst. After the vaccine, the patient describes thirst within 2-3 hours. She's thirsty but nothing unusual. Arm started to hurt several hours after the injection. Three hours after the shot, the patient was very tired. The patient was very tired the next day and she sort of started to rally around the afternoon of the second day. The patient would say she was fatigued for 2 days after. The fatigue was not entirely improved but it's not an issue, suddenly get tired. The burning of her lips started, started to notice day 3 or 4, and then by day 5. On the fifth day, the patient lips and tongue were twitching and was so thirsty. The patient had a taste of a medication in the mouth before, but the patient never had a sensation of burning. The patient confirms started to notice the burning of lips and tongue on 21Feb2021. On day 5, the patient reports covid rash was worse today. The patient received cortisone cream for arm. The patient was not admitted in emergency room due to cut of foot the other day and had to get stitches not for the vaccine. The outcome of the events could taste shot as it was going in/metallic taste, itchiness, covid rash, fatigue, burning lips and tongue, twitching lips and tongue not recovered, extreme unquenchable thirst, not terribly painful arm was recovering, restlessness, lost 3 lbs and anxiety was unknown.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021241648 Same reporter/drug/, different patient/event