light sensitive; fever; lethargic; Fever blister; she vomited once; Tiredness; Chills; headache; Sinus pain; sensitive to light like with a migraine; Nausea; injection site pain; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 62-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0153), via an unspecified route of administration, administered in Arm Left on 19Apr2021 (at the age of 62-years-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included gastro oesophageal reflux disease, blood cholesterol increased, hypertension, hypothyroidism, gout from an unknown date and unknown if ongoing, gall bladder out in Nov2019, She was taking Prilosec after her gallbladder was out and transitioned to Esomeprazole, covid-19 in 12Jan2021, she has also had shingles, tetanus, and plans to get her second pneumonia vaccine. Concomitant medications included levothyroxine sodium (LEVOTHYROXINE SODIUM) taken for hypothyroidism from 1995 and ongoing, esomeprazole (ESOMEPRAZOLE) taken for gastro oesophageal reflux disease from Jun2019 and ongoing; pravastatin sodium (PRAVASTATIN SODIUM) taken for blood cholesterol increased from Jan2004 and ongoing; acetylsalicylic acid (BABY ASPIRIN) taken for cardiac disorder from 2004 to an unspecified stop date; valsartan (VALSARTAN) taken for hypertension from Mar2020 to an unspecified stop date; allopurinol (ALLOPURINOL) taken for gout from Dec2019 to an unspecified stop date. The patient reported that she had the Pfizer Covid vaccine Monday 19Apr2021 and she had all of the side effects normally listed such as tiredness, headache but more like a migraine because she became light sensitive, injection site pain, and later in call mentioned  sinus pain, fever, nausea, chills, and sensitivity to light. She noted that she did not have swollen lymph nodes or diarrhea that is listed. Patient described the tiredness was so extreme it was to the point of being lethargic and that it was for 30 hours off and on because she slept until the next day. She describes all of these symptoms as way worse than when she had COVID. Today is the first day that she has got out for an hour to run quick errands. She was less functional with the vaccine than she was with COVID. She reports that she tested positive for COVID 12Jan2021. The patient stated that she was told that you needed to wait 90 days from when you test positive for COVID until you get your first shot and that she actually waited 97 days. She was wondering if she had antibodies and was the shot made it harder on her body. It was reported that the patient started out real bad as shaky chills. Her chills might started in the middle of the night Monday night, 19APR2021, as she woke up during the night thinking she was cold, but her awareness of it was Tuesday morning about 6am. She reported that she had the vaccine around 2pm and it was about 16 hours later when she experienced chills. She reported the chills lasted a few hours and then went away later when she had fever. She reports her normal temp was 97.6 and that it went up to 98.8 or 98.9 at one time. The patient also had injection site pain did not bother her because she had been getting flu shots for 20 years. She described her injection site pain as it started the same night she got her vaccine, Monday, 19Apr2021 and felt like her previous vaccines with usual muscle soreness. She notes that she gets the flu shot every year and she has also had shingles, tetanus, and plans to get her second pneumonia vaccine and she know what to expect with that. Tuesday and Wednesday the light bothered her. She reported that she got headaches all the time and she was not sure if it was because the weather changed and also mentioned menopause or hypothyroid as possibilities for some symptoms. She reports her headaches on Tuesday and Wednesday were stronger than usual ones and that she has migraines too. She explained that the headache was a couple of times Tuesday but all night Wednesday and that she had sinus pain as well. She reported that hot wet cloths helped with the sinus pain. She reported the tiredness started 20Apr2021 and was ongoing. She clarified that it was severe on Tuesday and reported it was noon on Wednesday when she felt more like herself. Right now the tiredness was not extreme. The patient described that the tiredness was so extreme it was to the point of being lethargic and that it was for 30 hours off and on because she slept until the next day. All of these symptoms were as way worse than when she had COVID. She was trying to get her stamina up. She can do a few things, but then has to rest. The patient had tiredness and she took Tylenol, but tried not to because she heard it was best not to. She reported that she took Tylenol Gel Caps Rapid Release 500mg gel capsules, NDC: 50580-488-10, Expiry: Sep2022. She took 2 at the time. She only probably took them two or three times on Tuesday and Wednesday. She might have taken it once on Thursday and it took the edge off the headache because she was still had waves of the headache. The patient was sensitive to light like with a migraine: did not want to keep her eyes open. The light was too bright. When the sun was coming in the room it bothered her eyes. She threw up her evening medications Tuesday night. She did not try taking it anymore that day. She takes Levothyroxine in the morning. Her nausea started Tuesday, she vomited once Tuesday night. Tuesday all she could eat was one of those little cups of jello that you get at the store and gingerale that made it worse. She sipped on water. On Tuesday evening when she was taking most of her medicines and she was taking more Tylenol she drank too much water and immediately it came back on her. She reports the nausea was strong on Tuesday and gradually improved and by Thursday was completely gone. Yesterday she noticed fever blisters. Her immune system took a knocking down. She used Abreva to treat them. She clarified that today they were worse. She thought she caught it in time because she could only see a little red spot, but as the day continued there are five little blisters. She described them as 5 little blisters that sting. She had hoped that the Abreva would stop them immediately but it didn't. She clarified that the injection site pain was still there but not noticeable unless you touch it. The patient did not have chills or a fever now. The Tylenol resolved the fever. Headache had resolved on 21Apr2021. The patient was concerned about the second COVID Vaccine because her symptoms were so bad after the first shot and that she heard that if you have already had COVID that you have antibodies and you may not need to take the second shot. She heard of people giving plasma 6 months after having COVID and having antibodies. She was not sure if Pfizer or the CDC know that. The patient underwent lab tests and procedures which included covid-19 was positive on 12Jan2021, normal temp is 97.6 and that it went up to 98.8 or 98.9 at one time on 20Apr2021. The outcome of headache, sensitive to light like with a migraine recovered on 21Apr2021, chills on 20Apr2021, nausea on 22Apr2021, fever and lethargic on unspecified date, unknown for light sensitivity, vomited, Sinus pain, not recovered for fever blister and recovering for injection site pain and tiredness.  No follow-up attempts are needed. No further information is expected.