Chest pain; Shortness of breath; Dizziness; uncomfortable; heart rate over 150; Coughing; Lethargic; This is a spontaneous report from a contactable Patient (Patient). A 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number and Expiry date was not reported), via an unspecified route of administration on 26Mar2021 (at the age of 58-years-old) in Arm as dose 1, single for COVID-19 immunization. The Patient Medical history was none. There were no concomitant medications.  The Patient had not received other products. Patient reported about the Pfizer COVID-19 vaccine who said in Mar she had two vaccinations, and she has a side effect to vaccine that she has been dealing with since Mar. Patient said her husband has her vaccine card since she is not carrying her purse all of the time. She said she got her first dose on 26Mar and her second dose 20Apr. She said on the day of getting the vaccine she had dizziness and was uncomfortable age ca immediately after getting the first vaccine dose. She said that she had to sit in triage for a half hour while they were checking her blood pressure and everything. She said then her heart rate was over 150, which did improve later that evening and they said she could go home and to rest that afternoon, which is what she did. She said on 27Mar2021, the chest pain started the following day after the shot, and the shortness of breath. On Mar2021, unspecified date experienced coughing and she said she is also very lethargic. She said when she got the shots, she had one dose in each arm. She said she doesn't remember which dose was in which arm. Patient said her pulmonologist suggested she get it, so she got it on her doctor's recommendation. She said she had seen her primary care doctor and has had four treatments with Zithromax/Z-Pak, and four treatments with Prednisone. She said she was started on a morning dose of a nebulizer with albuterol, and given a dose of Budesonide, and is using an inhaler three times a day and nasal spray. She said she takes Benadryl every night. She said she is very uncomfortable and has shortness of breath, with chest pain. She said her CT film and x-rays both came back negative, and they have done breathing tests for which her pulmonologist said that when compared to the one from 4 years ago that was good and clear, to the fact the doctor told her if her lungs continue to deteriorate, she won't live four more years. Patient said that all of the following medications were started with her symptoms after the Pfizer COVID-19 vaccine. She said none of it has gotten better, including the coughing and being lethargic. AE/PC: Zithromax.. Patient said she has one that was filled 16Sep that was the same one, it is 250mg. She said that the first one they gave her was 08Jun. She said they are tablets, and when she takes them, she took two tablets the first day, and then one tablet each consecutive day the next 4 days, for a total of 6 tablets. She provided RX EXP 08Jun2022, which she said is a year from date issued. She clarified that the Zithromax came in an (Pharmacy name) bottle that doesn't have LOT/EXP provided on it. Patient said that her doctor told her that was what she needed, they gave no explanation. It was reported that, some AE/PC were there for Prednisone LOT: 12998301A EXP: Oct2022, Manufacturer: Patient said it was distributed by (Pharmacy name). She said she was given 21 tablets for 6 days, it was a tapering dose, and the tablets are 5mg tablets for unspecified indication. Benadryl, LOT: 1CK0950 EXP: Jan2023. Patient said she takes 12.5mg nightly by mouth. Albuterol Nebulizer/Albuterol sulfate, Patient said she does this once in the morning then she does three inhaler uses a day four hours after she does the nebulizer. LOT/EXP: Patient said there is a pharmacy label covering it. She said Mylan is the manufacturer for this product. Albuterol Inhaler, LOT/EXP: Patient said that the packaging was discarded for this medication, and she doesn't have this information to provide. She said that the dose is 2.35mg/3mL and she uses this inhaler 3 times a day 4 hours after the nebulizer. Patient said she does that in the evening before bed. She said it is 0.5mg per 2 mL which is inhaled through a nebulizer. She said that it was for the chest pain, all of this is, and it was started after her COVID shots. Patient said she has had three negative, COVID tests, she doesn't have COVID. The patient underwent lab tests and procedures which included blood pressure measurement: unknown results on, breath sounds: good and clear on, computerised tomogram that was negative on, heart rate that was over 150 on, sars-cov-2 test that was negative on she has had three negative, x-ray that was negative on. The patient received treatment for the events. The outcome of the events were not resolved.  The lot number for the vaccine [BNT162B2] was not provided and will be requested during follow-up