within a minute of receiving the vaccine, I had trouble breathing; fast heartbeat; felt hot/flushed; felt hot/flushed; throat and upper face started tingling; throat ,upper face started tinglingand slight tingling sensation in cheeks; chills; very tired; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 60-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 06Apr2022 at 15:30 as dose 1, single (Lot number: FJ4989) at the age of 60 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Lichen Planus" (unspecified if ongoing); "CHF" (unspecified if ongoing), notes: CHF (on transplant list). The patient took concomitant medications. Past drug history included: Penicillin, reaction(s): "known allergy". The following information was reported: CHILLS (non-serious) with onset 06Apr2022 at 15:30, outcome "recovered with sequelae"; HEART RATE INCREASED (non-serious) with onset 06Apr2022 at 15:30, outcome "recovered with sequelae", described as "fast heartbeat"; FEELING HOT (non-serious), FLUSHING (non-serious) all with onset 06Apr2022 at 15:30, outcome "recovered with sequelae" and all described as "felt hot/flushed"; PARAESTHESIA (non-serious) with onset 06Apr2022 at 15:30, outcome "recovered with sequelae", described as "throat ,upper face started tinglingand slight tingling sensation in cheeks"; PHARYNGEAL PARAESTHESIA (non-serious) with onset 06Apr2022 at 15:30, outcome "recovered with sequelae", described as "throat and upper face started tingling"; FATIGUE (non-serious) with onset 06Apr2022 at 15:30, outcome "recovered with sequelae", described as "very tired"; DYSPNOEA (non-serious) with onset 06Apr2022 at 15:30, outcome "recovered with sequelae", described as "within a minute of receiving the vaccine, I had trouble breathing". The events "within a minute of receiving the vaccine, i had trouble breathing", "fast heartbeat", "felt hot/flushed", "throat and upper face started tingling", "throat ,upper face started tinglingand slight tingling sensation in cheeks", "chills" and "very tired" required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of dyspnoea, heart rate increased, feeling hot, flushing, pharyngeal paraesthesia, paraesthesia, chills, fatigue.  Additional information: If covid prior vaccination was no. If covid tested post vaccination was no. Facility type vaccine was Pharmacy or Drug Store.If other vaccine in four weeks was No. Other medications in two weeks was Yes. within a minute of receiving the vaccine, I had trouble breathing, fast heartbeat, felt hot/flushed then it stopped and then came on again. Paramedics were called and after about an hour was feeling ok. After a couple of hours my throat and upper face started tingling and I started having chills. Tingling in upper face happened a few times. Chills came and went a few times. Then very tired the next few days but no other symptoms except slight tingling sensation in cheeks. patient recovered-Recovered with lasting effects  No follow-up attempts are possible. No further information is expected.