might have lupus; could not walk without getting winded and having thumping heart; could not walk without getting winded and having thumping heart; Hair loss; Terrible body swelling; stomach and digestion issues; stomach and digestion issues; bad acne on cheeks and jaw line; Periods have been very heavy and crampy; Periods have been very heavy and crampy; huge mood changes; terrible rage; depression; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 34 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 16Jul2021 (Lot number: FAG780) at the age of 34 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "History of autoimmune issues" (unspecified if ongoing); "asthma" (unspecified if ongoing); "Known allergies: Penicillin" (unspecified if ongoing). The patient took concomitant medications. The following information was reported: LUPUS-LIKE SYNDROME (medically significant) with onset 20Jul2021, outcome "recovering", described as "might have lupus"; GAIT DISTURBANCE (non-serious), PALPITATIONS (non-serious) all with onset 20Jul2021, outcome "recovering" and all described as "could not walk without getting winded and having thumping heart"; ALOPECIA (non-serious) with onset 20Jul2021, outcome "recovering", described as "Hair loss"; SWELLING (non-serious) with onset 20Jul2021, outcome "recovering", described as "Terrible body swelling"; ABDOMINAL DISCOMFORT (non-serious), DYSPEPSIA (non-serious) all with onset 20Jul2021, outcome "recovering" and all described as "stomach and digestion issues"; ACNE (non-serious) with onset 20Jul2021, outcome "recovering", described as "bad acne on cheeks and jaw line"; HEAVY MENSTRUAL BLEEDING (non-serious), DYSMENORRHOEA (non-serious) all with onset 20Jul2021, outcome "recovering" and all described as "Periods have been very heavy and crampy"; MOOD ALTERED (non-serious) with onset 20Jul2021, outcome "recovering", described as "huge mood changes"; ANGER (non-serious) with onset 20Jul2021, outcome "recovering", described as "terrible rage"; DEPRESSION (non-serious) with onset 20Jul2021, outcome "recovering", described as "depression". The events "might have lupus", "could not walk without getting winded and having thumping heart", "could not walk without getting winded and having thumping heart", "hair loss", "terrible body swelling", "stomach and digestion issues", "stomach and digestion issues", "bad acne on cheeks and jaw line", "periods have been very heavy and crampy", "periods have been very heavy and crampy", "huge mood changes", "terrible rage" and "depression" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: blood test: (unspecified date) fine, notes: Got it checked a couple of months later and it was fine; (20Jul2021) fine, notes: Got bloodwork done shortly after and they said everything was fine; sars-cov-2 test: (unspecified date) unknown result. Therapeutic measures were not taken as a result of lupus-like syndrome, gait disturbance, palpitations, alopecia, swelling, abdominal discomfort, dyspepsia, acne, heavy menstrual bleeding, dysmenorrhoea, mood altered, anger, depression. Additional information: AE resulted in: Doctor or other healthcare professional/clinic visit. No COVID prior vaccination. COVID tested post vaccination.  Clinical course: -After the vaccine could not walk without getting winded and having thumping heart even after walking only a few feet. This lasted for about 1.5 months. -Hair loss, coming out in clumps 1.5 months. -Terrible body swelling, stomach and digestion issues. Majority 2 months but started to get better after 1.5. -Never had acne before in my life. Have not changed diet, products, literally nothing in my life. After getting vaccinated bad acne on cheeks and jaw line.  -Periods have been very heavy and crampy. -Times during ovulation and pms are horrible. Terrible symptoms similar to above and huge mood changes, terrible rage and depression. -Got bloodwork done shortly after and they said everything was fine but I might have lupus. Never ever had anything like that on bloodwork before. Got it checked a couple of months later and it was fine.