it woke her up at night; she started having chest pain; her heart was racing.; fast HR; Caller states she cannot sleep on her stomach d/t her "bad back.; she can't move fast; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, injection), dose 2 via an unspecified route of administration, administered in Arm Right on 05May2021 14:00 at age of 61-year-old (Lot Number: ER8736; Expiration Date: 20Jul2021) at single dose for COVID-19 immunization in school. The vaccine was not administered at military facility. Medical history included ongoing asthma from 20 or 30 years, ongoing sickle cell anaemia from 13 years old but her son doesn't have it, and that means someone was exposed to malaria, she is the only child who has it, she is allergic to pork, high blood pressure (BP), cholesterol.  She is in good health and she exercises; mentioned she walks with a walker. Family medical history relevant to events was none. Concomitant medications included salbutamol (ALBUTEROL, rescue inhaler) taken for asthma from an unspecified start date and ongoing; formoterol fumarate, tiotropium bromide (DUOVA, reported as Drivo) taken for asthma one puff daily from an unspecified start date and ongoing; chlorthalidone taken for high BP, start and stop date were not reported; cholesterol medication (a statin). There was not any additional vaccines administered on same date of the Pfizer Suspect. Prior vaccinations (within 4 weeks) were none. AEs following prior vaccinations were none. The patient previously took dose 1 of bnt162b2 injection (Lot Number: ER8729 or ER8720, Expiry Date: Jul2021) on 14Apr2021 at 11 00AM at age of 61-year-old in the right arm for COVID-19 immunisation, the patient had sulfa allergy caused itching. On 11Jul2021, about the 60 day range after the 2nd Pfizer vaccine she started having chest pain and her heart was racing. This had been going on for 3 days and it woke her up at night. The chest pain and fast hear rate went away initially, but returned daily and every night it woke her up. She cannot sleep on her stomach due to her "bad back" in Jul2021. Someone gave her medicine for her bad back and when she read it, it said it could cause a heart attack. So, she was not taking this medication, she is returning it on 14Jul2021. The sharp left side chest pain and heart beating fast was reported as worsened. The patient added there was nothing wrong with her chest or her heart until she took the vaccine. Her heart was beating fast, and she thought it was getting worse. She is planning to call her doctor about it on 14Jul2021 but she thought she would call us first in case she dies or something. She was asking for recommendations regarding the chest pain and heart racing. The patient also stated she is unsure of the arm she got the shots. She noticed on 11Jul2021, she thought she ate something, and then on the left side of her chest it started hurting between the neck and the breast; a sharp pain; and then she felt her heart beating fast. She confirmed it went away but it was beginning to get worse. Then it happened night of 12Jul2021 while she was sleeping; her chest was hurting and her heart was beating fast and it woke her up at 0215 AM on 13Jul2021. She can't sleep on her stomach which she usually does sleeps. With the pain she has to get up and she can't move fast. When ask if the chest pain and heart racing from last night had gone away she stated she won't know for sure until she tried to go to bed again tonight. She heard that if you have sickle cell you are immune to coronavirus and they told us that the worst variant is the African variant but no body will show you the numbers. The events did not required a visit to emergency room or physician office. But, the patient is planning to call the doctor on 14Jul2021. The relevant tests were none. The outcome of the events chest pain, heart was racing, fats hear rate was not resolved, the outcome of other events was unknown.   No follow-up attempts are needed. No further information is expected.