two months after the 2nd dose he had a heart attack; really strong angina pain and it was really sharp; felt really sharp pain in his chest; he was walking and then all of a sudden, he could not walk anymore; Obstructive sleep apnea; mouth was dry; throat got too dry; sometimes if it was not too humid or the air flow through his mouth was dry it caused discomfort; Dizzy; numbness in his fingers; Felt like he might faint; This is a spontaneous report from a Pfizer sponsored program a regulatory authority received by a contactable consumer (patient). A 46-years-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in Arm Left on 19Mar2021 08:30 (Lot Number: EP7534) as dose 2, single (at age of 45-years-old) for covid-19 immunisation. Prior Vaccinations within 4 weeks was none. Medical history was none. Family medical history relevant to events was none. There were no concomitant medications. Historical Vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot: EN6205, Location: left shoulder) on 26Feb2021 (at age of 45-years-old) for COVID-19 immunization. The patient experienced two months after the 2nd dose he had a heart attack on May2021, really strong angina pain and it was really sharp on Apr2021, felt really sharp pain in his chest on Apr2021, he was walking and then all of a sudden, he could not walk anymore on Apr2021, obstructive sleep apnea in 2021, mouth was dry in 2021, throat got too dry in 2021, sometimes if it was not too humid or the air flow through his mouth was dry it caused discomfort in 2021, dizzy in 2021, felt like he might faint in 2021, numbness in his fingers in 2021. The patient went to the hospital was on 27Jun2021 and two months prior to going to the hospital he had really strong angina pain and it was really sharp, and he was walking and then all of a sudden, he could not walk anymore; stated he felt really sharp pain in his chest and at the time he did not associate that with a heart attack. He had to stop walking at that time and after 2 minutes he could continue walking again and then the pain came back, and he had to stop walking again. He was on a diet and exercise and the pain happened all of a sudden and at that time that he had the 2nd dose of the vaccine, his cholesterol and triglycerides and all of his blood work including his A1C was pretty normal. He did not go to the hospital because he was having the chest pain that he had but because he felt a little dizzy and felt like he might faint and had some numbness in his fingers. The doctors were shocked because he did not have a history of cardiovascular disease at that time and no one in his family has a history of that. He suffered from obstructive sleep apnea and his throat got too dry and when he breathes with the CPAP every night and sometimes if it was not too humid or the air flow through his mouth was dry it caused discomfort and he thought the reported event was that. His heart attack was a non-STEMI heart attack. All events resulted in emergency room visit and physician office visit. The patient was hospitalized for all events from 27Jun2021 to 04Jul2021. The patient underwent lab tests and procedures which included cholesterol: normal in 2021, blood work: normal including his A1C in 2021, triglycerides: normal in 2021.  Outcome of the events was unknown.