it causes so much anxiety in me that my blood pressure is going sky high and I can not seem able to control it; it causes so much anxiety in me that my blood pressure is going sky high and I can not seem able to control it; I also had like a neuritis type thing not all over my body but in different areas in my body that from my head to my toe like it felt  like i had a paper cut but there was nothing there.; antibody test on Thursday received antibodies were positive and the IgM was positive and the IgA was positive; Extreme weakness; Fatigue; Headache; Chills; COVID arm, it's red, flaming hot, it was itchy, it does not really hurt, it was just itch; COVID arm, it's red, flaming hot, it was itchy, it does not really hurt, it was just itch; COVID arm, it's red, flaming hot, it was itchy, it does not really hurt, it was just itch; developed a extreme ringing, specially in my right ear,  very high pitched and very loud; This is a spontaneous report from a contactable nurse (patient). A 64-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number was ER8733 and expiration date was 31Jul2021), dose 2 via intramuscular route, administered in arm left on 29Mar2021 as 2nd dose, single for COVID-19 immunisation. The patient medical history included reactive high blood pressure (she did not have it on daily basis, so she got it could if she got like, if sided, her blood pressure would go up) from an unknown date and unknown if ongoing, hormone replacement therapy from an unknown date and unknown if ongoing. Concomitant medication included estradiol 0.5 mg as hormone replacement therapy, start and stop date were not reported. The patient historical vaccine included BNT162B2 (lot number was EN6128 and expiration date was 30Jun2021) dose 1 for COVID-19 immunisation and had normal side effects of a little bit of headache and a little bit of tiredness. The patient experienced extreme weakness, fatigue, headache, chills, COVID arm, it's red, flaming hot, it was itchy, it does not really hurt, it was just itch, developed an extreme ringing, specially in my right ear, very high pitched and very loud on Mar2021, it causes so much anxiety in me that my blood pressure is going sky high and I can not seem able to control it and I also had like a neuritis type thing not all over my body but in different areas in my body that from my head to my toe like it felt like i had a paper cut but there was nothing there on an unspecified date, antibody test on Thursday received antibodies were positive and the IgM was positive and the IgA was positive on 05May2021. The clinical course of the narrative reported as: The retired nurse stated that she would like to report the symptoms that she was experiencing with the vaccine and also she would like to get answer to some questions that she had, because she had been to 4 doctors and no one could tell her anything. Her 1st question was, she had the vaccine, her first vaccine 8th March, first following the test, now she had 12 COVID test some rapid, some other, they all had been negative. She got the vaccine had normal side effects of a little bit of headache and a little bit of tiredness. 3 weeks later, on March 29th, she got the 2nd vaccine and 9 hours after that vaccine experienced extreme weakness, fatigue and headache, chills, no fever through the whole thing. Her husband had to help her up for the second floor, and she was healthy, workout everyday, for the 2nd floor her house to got in to her bed. The next day she was okay. Then the next day 48 hours almost to the time that she got the vaccine she developed that what they were calling on the internet, COVID arm, it was red, flaming hot, it was itchy, it did not really hurt, it was just itch. About, she would say 30 min after that she developed an extreme ringing, specially, in her right ear, very high pitched and very loud and she had not been able to get any relief from that and it was 6 weeks now, she had been to two ENT doctor, she had been to her regular doctor, the problem she was having now that it caused so much anxiety in her that her blood pressure was going sky high and she could not seem able to control it. She went out for an antibody test on 05May2021 Thursday, her antibodies were positive and the IgM and IgA were positive. Her doctor told that the IgM meant that she had either had COVID within the last 10 days or she was infected with COVID now. She had gone for the COVID test since the beginning of all the stuff started like starting of March 2020 till now May of 21 and none of them was positive. This morning (confirmed as 8th April) she went in the rapid test (exact name not confirmed) because tomorrow was mothers day and next day her parents who had been vaccinated and 90 years old with this company and they told me that she was not positive for that rapid test. So, she would like to know what was going on with her body. The patient received treatment with a nasal spray, and then she was taking nose medication . She had been taking Claritin and her doctor gave her a new one it was a nasal histamine, it was Azelastine nasal spray. The nurse reported that had been work out every day. She had lot of headache and pains. She did not have headache, she never had anything. She had taken more Tylenol in last four weeks, then she had taken in her last 40 years in her life and never had anything, nothing and the vaccine had changed her life, it was probably the worst thing she had done with herself. The seriousness of the events was unspecified, and causality was reported as related. She reported that yes, she did, and she had been to doctors they thought so also, she did not had that before the vaccine. The outcome of the events was unknown.   No follow-up attempts are needed. No further information is expected.