syncopal episode; has not been at work for the last 2 weeks; migraines headaches; Ringing in ears; Additional Vaccines Administered on Same Date of the Pfizer Suspect: Flu shot; Additional Vaccines Administered on Same Date of the Pfizer Suspect: Flu shot; Everyday is a little worse; Migraine; Forgetfulness; weakness/ could not talk or move her arms and legs because she was so weak; confusion; slew neurological issues; could not talk or move her arms and legs; hardly read or comprehend anymore; word searching and mixing up words; feels off balance; could not talk or move her arms and legs; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient. Local reference number: E1RXC9MI.  A 28 -year-old female patient received bnt162b2 (BNT162B2, Solution for injection), administered in arm, administration date 24Sep2021 (Lot number: FF8839) at the age of 28 years as dose 2, single, in the evening for covid-19 immunisation; influenza vaccine (FLU), administered in arm, administration date 24Sep2021 (Batch/Lot number: unknown) as dose number unknown, single for immunisation. The patient's relevant medical history was not reported and there were no concomitant medications. Vaccination history included: Bnt162b2 (1st Dose, Is Covid-19 Vaccine a Pfizer product? Yes, Covid-19 Vaccine manufacturer: Pfizer, Dates for Covid-19 Vaccine: Start: 26Aug2021, Lot number; FC3182), administration date: 26Aug2021, when the patient was 28 years old, for COVID-19 immunization.  The following information was reported: SYNCOPE (hospitalization, medically significant) with onset 2021, outcome "unknown", described as "syncopal episode"; MIGRAINE (non-serious) with onset Sep2021, outcome "not recovered", described as "Migraine"; TINNITUS (non-serious) with onset 25Sep2021, outcome "unknown", described as "Ringing in ears"; READING DISORDER (non-serious) with onset 2021, outcome "unknown", described as "hardly read or comprehend anymore"; APHASIA (non-serious) with onset 2021, outcome "unknown", described as "word searching and mixing up words"; BALANCE DISORDER (non-serious) with onset 2021, outcome "unknown", described as "feels off balance"; MEMORY IMPAIRMENT (non-serious) with onset Sep2021, outcome "unknown", described as "Forgetfulness"; ASTHENIA (non-serious) with onset Sep2021, outcome "unknown", described as "weakness/ could not talk or move her arms and legs because she was so weak"; CONFUSIONAL STATE (non-serious) with onset 2021, outcome "unknown", described as "confusion"; NERVOUS SYSTEM DISORDER (non-serious) with onset 2021, outcome "unknown", described as "slew neurological issues"; DYSKINESIA (non-serious) with onset 2021, outcome "unknown", described as "could not talk or move her arms and legs"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious) with onset Nov2021, outcome "unknown", described as "has not been at work for the last 2 weeks"; CONDITION AGGRAVATED (non-serious) with onset Sep2021, outcome "unknown", described as "Every day is a little worse"; MIGRAINE (non-serious) with onset 25Sep2021, outcome "unknown", described as "migraines headaches"; OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) both with onset 24Sep2021, outcome "unknown" and all described as "Additional Vaccines Administered on Same Date of the Pfizer Suspect: Flu shot". The patient was hospitalized for syncope (start date: 16Nov2021, discharge date: 19Nov2021, hospitalization duration: 3 day(s)). The event "syncopal episode" was evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: computerised tomogram: (Nov2021) normal; lumbar puncture: (Nov2021) normal, notes: with a patch; magnetic resonance imaging: (Nov2021) normal.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected