but she did not go; couldn't wake up; heart problems; breathing problems; vomiting; headaches; weight it either 110 or 120 pounds since she has been on steroids last month; Had suffered stomach issues and ended up getting diarrhea and is doing good with the stomach; got covid from grandson drinking out of her cup; doctor ordered a Covid test and it came back positive; didn't go to the emergency room because she kept falling asleep; Was still really sick from the vaccine; only had body pain; Ended up with Covid a week later; Ended up with Covid a week later; This is a spontaneous report from a contactable consumer (patient) via Pfizer Sponsored Program from medical information team. A 42-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0178) intramuscular at left arm on 24Aug2021 at 11:00 am (at the age of 42-years-old) as dose 1, single for covid-19 immunization. The patient's medical history included enlarged heart, inflammation disorder, ulcerative colitis, irritable bowel syndrome (IBD), and heart trouble, autoimmune disorder from an unknown date and unknown if ongoing as she had been hit by a car, had surgery 10 years ago on an unknown date. No other vaccines given the same day or 4 weeks prior. No problems with vaccines in past. Does not like taking medicines very much, stays away from taking anything. Has taken antibiotics once and had no reaction. Can take Ibuprofen and Nothiscle without any serious reactions. The patient's concomitant medications were not reported. The patient was ended up with Covid a week later, weight it either 110 or 120 pounds since she has been on steroids last month, had suffered stomach issues and ended up getting diarrhea and is doing good with the stomach, got covid from grandson drinking out of her cup; doctor ordered a Covid test and it came back positive, didn't go to the emergency room because she kept falling asleep, was still really sick from the vaccine, had body pain on Aug2021, but she did not go; couldn't wake up, heart problems, breathing problems, vomiting, headache on 24Aug2021. The patient taking Covid 19 vaccine because of job would fire her if she did not get it. She received the first Covid vaccine and had heart problems and breathing problems the first day. Had vomiting as well. Her doctor told her to go to the Emergency room, but she did not go. The patient is having minor issues with her heart and it's been about a month since she received the vaccine and is wondering how long they might last. Got a headache a month since receiving the vaccine and wonders if that was reported. States it's been 3 weeks, almost a month and she is still having issues. Is going to see a heart doctor to check out her heart to see if it. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. The adverse event resulted to attend the Physician Office. The patient did not receive any other vaccines within four weeks prior to the vaccination. The adverse event following prior vaccinations was none. Family Medical History Relevant to adverse event was none. The patient had a positive test for SARS-CoV2. The patient have SARS-CoV2 antibodies at diagnosis was unknown whether IgM /IgG or both. The patient was not hospitalized. The patient was not admitted to an Intensive Care Unit. The patient required supplemental oxygen (including high flow or ECMO) or receive mechanical ventilation was unknown. The patient had provided information on any new or worsened symptoms/signs during the COVID-19 illness experienced (including date of onset/worsening) had cardiovascular still has heart problems and pain. The patient did not received any additional therapies for COVID-19. The event did not required the initiation of new medication or other treatment or procedure. The patient relevant medical test included covid test was positive on Sep2021. The outcome of the event Covid-19 was recovering, but she did not go; couldn't wake up, weight it either 110 or 120 pounds since she has been on steroids last month, got covid from grandson drinking out of her cup; doctor ordered a Covid test and it came back positive, didn't go to the emergency room because she kept falling asleep, was still really sick from the vaccine and had body pain was unknown, vomiting was recovered on an unknown date and the outcome of the other events was not recovered.  Follow-up attempts are completed. No further information is expected.