leg swelling; feet and ankles swelled up really big; big red rashes on her legs; pneumonia; blood clot in each leg; Cough and some phlegm and she doesn't feel bad; cough and some phlegm and she doesn't feel bad; fever for a few days; This is a spontaneous report from a contactable Consumer (patient reported for herself) communicated to Pfizer- sponsored program. A 60-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EW0187, expiration date: not reported), via an unspecified route of administration, administered in Arm Left on 23May2021 at 15:00 (at the age of 60-year-old) as dose 1, single for covid-19 immunisation. Medical history included covid-19 (positive for SARS-CoV-2) in Dec2020 and had blood clots back in December 2020. AE(s) following prior vaccinations were none. Patient Medical History (including any illness at time of vaccination) was none. Family Medical History Relevant to AE(s) was none. The patient concomitant medications were not reported. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) were none. Additional Vaccines Administered on Same Date of the Pfizer Suspect were none. list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) were none. On 24May2021, the patient experienced fever for a few days and experienced pneumonia on 13Jun2021. On an unspecified date in Jun2021, the patient experienced blood clot in each leg, Cough and some phlegm and she does not feel bad. The patient also experienced leg swelling, feet and ankles swelled up really big and big red rashes on her legs on unspecified date inJul2021. The clinical course of the events as follows: Pneumonia; cough; phlegm: patient stated she had pneumonia around 13Jun2021, she still has a cough and some phlegm, and she does not feel bad, it was just annoying. Patient stated the cough and phlegm started at the beginning of Jun2021 and was still ongoing but has improved. The patient stated that she had pneumonia in between, which maybe because of blood clots. Received two more blood clots: patient stated she went to the hematologist and she was on blood thinners for 3 months with her regular physician and she took the caller off blood thinners and then the patient started having symptoms in her leg and swelling, so she was sent back to hospital to get an ultrasound and where they found she had new ones in each leg. She stated that she had a blood clot in January, they said it was from thickening of blood from Covid and then after the vaccine, she received two more blood clots. Patient stated on an unspecified date, this past week she had an episode where her feet and ankles swelled up really big and she had big red rashes up her legs, and it was a mystery. Patient confirmed both began in Jul2021 and the rashes were almost gone, she could slightly see it but the swelling was gone because she had stayed off her feet pretty much. She confirmed that the rashes were ongoing and have improved and swelling had stopped. Patient stated she would say it stopped 18Jul2021 and had recovered completely from the swelling. The events required a visit to emergency room and Physician Office, but no hospitalization. Relevant Tests were none or unknown. she tested positive for Covid last December. She reported missing the second dose because she had pneumonia and was asking to see if she could still get her second dose, or it was too late for her to get the second one. Patient also reported having heard that the first dose of the Pfizer BioNTech COVID-19 vaccine is stronger than the Johnson and Johnson COVID-19 vaccine.The patient underwent lab tests and procedures which included sars-cov-2 test: positive on Dec2020, ultrasound scan: found new blood clots in each leg on an unknown date, ultrasound scan: found blood clot  on Jun2021. The outcome of the event fever was resolved on 27May2021, leg swelling, and feet and ankles swelled up really big were resolved on 18Jul2021, outcome of the events pneumonia, Cough and some phlegm and she does not feel bad and big red rashes on her legs was resolving at the time of this report. The outcome of the event blood clot in each leg was not resolved at the time of this report.   Follow-Up (22Jul2021): Follow-up attempts are completed. No further information is expected.