Extreme fatigue; fever; chills; sweating; shaking; dizziness; inability to concentrate; muscle/bone aches; headache; stomach upset; heart rate 142, BP 98/64; Low BP is not normal for me; Heart rate fluctuates widely, but has never gone that high.; muscle/bone aches; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 20Aug2021 08:00 (Lot number: EW0191) at the age of 65 years as dose number unknown, single for covid-19 immunisation. Relevant medical history included: "Heart failure" (unspecified if ongoing); "persistent Afib" (unspecified if ongoing); "diabetes" (unspecified if ongoing); "psoriasis" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL TARTRATE; ATORVASTATIN CALCIUM; TIADYL; METFORMIN; JANTOVEN. Past drug history included: Cosentyx, reaction(s): "Allergy"; Humira, reaction(s): "Allergy". Vaccination history included: Pfizer vaccine (Lot Number:EW0217, Location: left arm), administration date: 30Jul2021. The following information was reported: FATIGUE (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "Extreme fatigue"; PYREXIA (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "fever"; CHILLS (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "chills"; HYPERHIDROSIS (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "sweating"; TREMOR (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "shaking"; DIZZINESS (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "dizziness"; DISTURBANCE IN ATTENTION (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "inability to concentrate"; BONE PAIN (non-serious), MYALGIA (non-serious) all with onset 20Aug2021 23:30, outcome "recovering" and all described as "muscle/bone aches"; HEADACHE (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "headache"; ABDOMINAL DISCOMFORT (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "stomach upset"; HEART RATE INCREASED (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "heart rate 142, BP 98/64"; HYPOTENSION (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "Low BP is not normal for me"; HEART RATE ABNORMAL (non-serious) with onset 20Aug2021 23:30, outcome "recovering", described as "Heart rate fluctuates widely, but has never gone that high.". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of fatigue, pyrexia, chills, hyperhidrosis, tremor, dizziness, disturbance in attention, bone pain, headache, abdominal discomfort, heart rate increased, hypotension, heart rate abnormal, myalgia.  Additional information: It was reported that the patient spent 21Aug2021 and 22Aug2021 in bed day and night. The patient could barely drag herself out of bed and when she did she felt unstable on her feet. Low BP was not normal for her. Heart rate fluctuates widely, but reported that had never gone that high. It was reported that no covid prior vaccination. It was reported that no covid tested post vaccination.  No follow-up attempts are possible. No further information is expected.