This is a spontaneous report from a contactable consumer (patients Husband). A 71-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in Arm Right on 08Jun2021 09:30 (at the age of 71 years old) as dose 1, single for COVID-19 immunisation. Medical history included stroke from May2021 to May2021 (She had the stroke 10 days before the vaccine). There were no concomitant medications. Patient did not received other vaccine within 4 weeks of COVID vaccine. The patient experienced sore throat on 08Jun2021, cough, she begins gagging so much she throws up, she stays in bed most of the day, her ribs hurt on 2021. Reported as, Immediately after receiving the vaccine she developed a sore throat and stayed for monitoring for 30 minutes instead of fifteen. Approximately 2-5 days after the vaccine she developed a cough and she begins gagging so much she throws up. She does not experience nausea prior to this. She was still experiencing this. The cough was intermittent and usually occurs in the morning after being in bed for the night. She wakes up and coughs, then walks over to the bathroom until she pukes. She was fine in May and now she stays in bed most of the day. She had an endoscopy and had her throat dilated but this has not helped. They thought it could have been from doubling her lisinopril dose after her stroke, but she has been off that medication for a month now. She did have numerous stuff changed in her life and her medications. They thought at first that was the problem. They juggled around her medications. She had numerous trips to medical facilities. They did an endoscopy down her throat to expand her esophagus. The doctor thought it would help, but it has been a week and nothing has changed. She was coughing all the time. She tried things to alleviate it with no success. She tried a couple of cough medicines. She tried cough suppressants, lozenges, some prescription for a pearl (thats what the doctor called it) that did not help at all. The cough drop soothes her throat some. She has tried inhalers like albuterol initially just to help open up the air ways. She has a nasal inhaler too. This past weekend she tried a different approach with that new inhaler, and seemed to give her some relief. She actually did not wake up coughing at 5 am which has been a regular thing for the last 8 weeks. She was in the hospital for 2 days after the stroke. The stroke was before the vaccine. She had no stroke symptoms for a week. Adverse event resulted in Emergency room, went to a walk in clinic a few weeks after that cough developed because she was so weak. Her Ribs hurt . They looked in her throat, and sent her to the Emergency room. They did a COVID test , an ultrasound/MRI of her throat, and checked her lungs. Everything was normal, and physician Office visit. The patient underwent lab tests and procedures which included covid-19: normal on 2021, endoscopy: an endoscopy down her throat to expand her esophagus on 2021, magnetic resonance imaging: everything was normal on 2021. Therapeutic measures were taken as a result of sore throat, cough, she begins gagging so much she throws up, she stays in bed most of the day. Outcome of the event sore throat, cough, she begins gagging so much she throws up were not resolved and unknown for she stays in bed most of the day and her ribs hurt. No follow-up attempts are needed; information about lot/batch number cannot be obtained.