sick again; one day she had a fever; she was very ill; chills; body aches; just felt terrible; had discomfort that settled in her neck; now feels like she has a respiratory infection; feels like she has a severe sinus infection; coughing up yellow greenish phlegm with blood in it, coming out of nasal passages; stomach issues; weakness; a nose bleed with a blood clot from her right nostril; severe diarrhea; chest kind of hurt; feeling very tired; coughing/dry cough; heart palpitations; dizzy; mild headache; heart was beating a little fast; This is a spontaneous report from a contactable consumer (patient) via Medical information team. A 56-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration, administered in Arm Right on 27Aug2021 (at the age of 56-years-old) at dose 1, single for covid-19 immunization. Medical history included allergies and high blood pressure but no major health issues or diseases. The patient's concomitant medications were not reported. When she first had her first shot, she didn't really have symptoms, she felt fine. On 27Aug2021, she had a mild headache and heart was beating a little fast and had some dizziness, heart palpitations, she knew it was from that vaccine, it was something new in her system. She stated she does not know if she has recovered completely, she has recovered, but not completely, she doesn't know if the symptoms are going to reoccur, she can't give a specific time, she still has some of symptoms. She stated she has a titanium rod in her neck and has had discomfort that has settled in her neck. On 04Sep2021, she felt very tired, was dizzy, was coughing, her chest kind of hurt, is ongoing, has gotten worse. She has fever, very ill; chills, body aches, just felt terrible on an unspecified date. On 05Sep2021 she had dizziness, weakness, headache, she was at work, and all of a sudden she had a gushing nose bleed, she's never had a nose bleed, she hasn't had one in 10 years, she had a sudden nose bleed with a blood clot that discharged from right nostril, then it stopped, She had a severe headache, had dizziness, started having stomach issues with severe diarrhea, she felt very fatigued, severe diarrhea to the point she had to leave her job, that happened and carried on through 10Sep2021, she felt better then and went back to work. She was fine 11Sep2021, 12Sep2021, and 13Sep2021. On 14Sep2021, she started feeling like she had a respiratory infection and she's gotten worse. She had to take off her job for the last 4 days. She called her physician, and it feels like in her head she has a severe sinus infection, it was in her chest, she has a cough, she was coughing up like when she gets a sinus infection, that yellow greenish phlegm with blood in it, coughing it up, it came up out of her nasal passages. She stated now she has a dry cough, she takes Nyquil. She did finally get ahold of her physician who never called her back, she had to call the on-call doctor that people use for emergencies and that doctor sent her in an antibiotic, she double dosed it to get it in her system, and that was yesterday. She took a dose yesterday and she was sure it will take a couple of days. Caller does not provide any further information about the antibiotic she was taking. She stated she had another Covid test, she has had 5 rapid Covid tests from her facility, she has to have it before she returns to her job. All her tests have come back negative. She was scheduled for her second shot and she was concerned if she is still ill or having symptoms if she should have the shot. She understands about the coughing or what now, she thought it was allergies, maybe a virus that's going around. The outcome of the events (dizzy, coughing/dry cough, feeling very tired, chest kind of hurt, feels like she has a respiratory infection) was not recovered, stomach issues got recovered and rest of the events were unknown.  Information on the lot/batch number has been requested.