Massive heart attack; Diabetes; High blood pressure; High cholesterol; Achy; Fever; slight pain where the shot was given; after the second one he was very tired; he was sweating; This is a spontaneous report from a contactable consumer or other non hcp. A 49-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0172), dose 2 via an unspecified route of administration, administered in Arm Right on 28Apr2021 at 10:15 (at the age of 49-years-old male) as dose 2, single for covid-19 immunisation. The patient medical history was not reported. There were no concomitant medications. Vaccine was not administered at military facility. History of all previous immunization with the Pfizer vaccine was not considered as suspect. Patient had no other vaccine prior this vaccinations within 4 weeks. Patient had no medical history including any illness at time of vaccination. No family medical history relevant to AE. The patient had received dose 1 via an unspecified route of administration, administered in Arm Right on 03Apr2021 at 15:10, for covid-19 immunisation and experienced diabetes and extreme tiredness. 07May2021, the patient experienced massive heart attack, diabetes, high blood pressure, high cholesterol, on 28Apr2021 slight pain where the shot was given, achy and fever, on an unspecified date "after the second one he was very tired" and "he was sweating ". The patient was hospitalized for massive heart attack from 07May2021 to 09May2021. Reporter (patient's wife) stated her husband had no heart issues or blood pressure and he had to have emergency surgery and has two stents in heart now to open his heart and was diagnosed with high blood pressure, diabetes, and high cholesterol. Fever was overnight and did break in the morning all for the COVID vaccine. Reporter stated the doctor asked for her to call to make this report due to it being possible from the vaccination. The patient is now in the lower range because he went from taking no medication to taking 5 pills in the morning and 3 pills at night. Reporter stated the doctors are tying to adjust his blood pressure medication as it is a little low at this time and trying to see what might happen. Reporter stated they do not know what diabetes was caused from. The patient had a blood test that indicated he still was a diabetic but now they want to wait 3 months again and see what the numbers are since it was so high when he had the heart attack. The event caused emergency room visit. Reporter stated her husband went to the cardiologist the week after and he just went to the endocrinologist yesterday for diabetes. Reporter stated extremely tired started immediately after the second vaccination. The patient after the second one he was very tired and he went to lay down and she noticed he was sweating because he had a temperature. A couple of days after the second dose of the vaccine it stopped and her husband was getting better each day and was not taking naps as often. Patient was given a lot of water and refueled and he slept through the night. He experienced slight pain where the shot was given in his arm but that was nothing that alarmed them. It stopped a couple days after. The reporter wanted feedback. The reporter has seen on the news how there are issues and heart issues and is there any feedback or any other contact she needs to make. NDC Number and expiry date was unknown. The patient underwent lab tests and procedures which included blood test: on May2021. He still was a diabetic but now they want to wait 3 months again and see what the numbers are since it was so high when he had the heart attack. Treatment was given for the event hypertension. outcome of the event heart attack, pain, fever, vaccination site pain was recovered. Blood pressure high, High cholesterol ,Diabetes was not recovered. Outcome of the event fatigue and sweating was recovered on an unspecified date in 2021.   Information on Lot/Batch number was available. Additional information has been requested.