extreme pain/all the way down the back into the arm where she got the shot and her hip was bothering her, down to her foot; whole left side where she got the shot, she had pain from her neck to where her foot was where she had surgery; wheezing; fast heartbeat and heart palpitations; fast heartbeat and heart palpitations; weakness and lethargic; weakness and lethargic; felt like a ton of bricks hit her; extreme drowsiness; she felt like a ton of bricks were on her chest and on her back; This is a spontaneous report from a contactable consumer (patient). A 45-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8729), dose 1 via an unspecified route of administration on 07Apr2021 14:45 (at the age of 45-years-old) as DOSE 1, SINGLE for covid-19 immunisation (indication: she did not want to get Covid and then take it home to her family) at college. Medical history included allergic to penicillin, BACTRIM, and LEVAQUIN from an unknown date and unknown if ongoing (she had penicillin as a child and just never had again because she had a rash from it; LEVAQUIN and BACTRIM she once had a surgery that went long and she kept getting a rash and they did not do that no more, that was why) and surgery on her foot in Feb2021. Concomitant medication(s) included atorvastatin calcium (generic LIPITOR; strength: 20mg, had been on since November or December) taken for cholesterol was high; gabapentin taken for nerve damage of left knee (had been on for a couple of years, she guessed over two years now); acetylsalicylic acid (BABY ASPIRIN) taken every day to thin out her blood for after surgery (ASPIRIN since she had a surgery in Feb2021 (before vaccination), on her foot and that was why she could not go to physical therapy because the left side of her body and she was yelling because it hurt her so bad, originally taking two baby aspirin after surgery, and now she was down to one baby aspirin since Mar2021, the pills were 81 mg (strength); paracetamol (TYLENOL) taken for headache (had taken all of her life, did not know dose, was taking two pills) and inhaler (had a couple years ago) and there were normal medication that she was taking every day. Historical vaccine was FLU vaccine in Nov2020 (other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) were none, the patient had not had any vaccines since last year, in November, for the flu; her flu vaccine was never like this either and her last vaccine was Nov2020 and adverse events (AE) following prior vaccinations were none. Family medical history relevant to AEs was none. History of all previous immunization with the Pfizer vaccine considered as suspect and all vaccines administered on same date with the Pfizer vaccine considered as suspect were none. The patient received her first dose on 07Apr2021 (Wednesday) and had side effects as soon as she got the dose. They had her wait 15 minutes because it was at a college with multiple people. On 07Apr2021 at 15:00, when she got off her chair, as soon as she got up from her chair, she felt like oh my God, a ton of bricks hit her/it hit her like a ton of bricks (start: 07Apr2021 15:00), and she told herself just make it to your car. She had to push herself to get to her car. She thought getting in the car took too much effort, she got into the car and drove to her dad's. Right after, she felt like a ton of bricks hit her. She drank a coffee at her dads to perk herself up, and throughout the day she felt in and out of it like bricks hit her and she felt like a ton of bricks were on her chest and on her back (start: 07Apr2021). She also had extreme drowsiness (start: 07Apr2021) and this feeling came and went that night Wednesday. This was the first day. After, there was wheezing a couple of days later, on 08Apr2021 (Thursday morning), the patient was sitting with her daughter and patient started wheezing and that was when she made an appointment, she told the doctor she got her first shot. On 08Apr2021, through the day, she had other things like she would be doing things and had to go sit down because she felt weakness like she had to stop what she was doing. On 08Apr2021 (Thursday) was when the weakness started. The patient doctor wanted to charge her for a telehealth visit but she did not have the money because she was out from surgery and was not getting paid. The patient added that the wheezing stopped a few hours/couple of hours later (went on for three hours). On 08Apr2021 (yesterday) she felt weakness and lethargic. The patient added that even with holding things, she had to have her daughter hold it. On 08Apr2021 (then Thursday morning), the breathing started. At 7:30 pm last night (on 08Apr2021), she was talking to her husband and had heart palpitations for no reason at all and she drank a cup of coffee. The patient also had a fast heartbeat later at night. Fast heartbeat and heart palpitations started around 7 or 7:30 pm on 08Apr2021 and it was still going on. The patient added that the side effects, she did not like. On 09Apr2021 (Today), when she woke up, she had pain that was going all the way down the back into the arm where she got the shot and her hip was bothering her, down to her foot (this was how she woke up on today). On 09Apr2021 (today), she woke up because she had physical therapy this morning, and the whole left side where she got the shot, she had pain from her neck to where her foot was where she had surgery (this was extreme pain on the left side). The pain in her arm where she got the shot and in her back on the left side was still going on, she couldn't turn her head to the left. It was about the same, it had not let up since 09Apr2021 07:00 (this morning) like she just laid in bed and could not go to doctor's appointment today, she had to cancel it because of this reaction to the first dose. The patient added that from her hips to her foot, it had eased up. Right now, it was just at the top of her neck into the arm where she got the injection. It was on the left side. The patient will not get second Covid19 vaccine and she does not want to get the second shot now. The patient added that this was the first side effect from the first shot, and she was not sure what could happen with the second one. The patient was not so much dizzy, she felt more or less like, she could not find the word she was looking for, she had weakness. Her doctor does not know, because they wanted her to call and make an appointment to see them with telehealth and she was just like no, why would they want to charge her for a free vaccine that she got. The patient added she did not feel like she did on Wednesday, and now, she felt more like what it felt like if she was going to get the flu and did not feel like doing anything. No emergency room or physician visit; her physician wanted her to have a telehealth appointment yesterday, but she just was not paying for telehealth. Relevant tests were none. Treatment (as reported) was that drank coffee and did not take additional treatment. The patient added that she did not even get out her inhaler that she had a couple years ago, because she did not know if there would be a reaction or not. The outcome of wheezing was recovered on 08Apr2021; for extreme drowsiness recovered on 07Apr2021; for fast heartbeat and heart palpitations was not recovered; for rest all events was unknown.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.