troponins were high in her blood levels; chest pain; costochondritis; diabetes; struggling to breathe; an extended period of 35 (45) days.; endometrium got thick; inflammation of the rib; stomach pain or abdominal pain; stomach pain or abdominal pain; having very painful periods; bends down she gets light chest pain; She couldn't eat anything; she eats anything even while swallowing food she has the pain; experiencing heavy bleeding when she has her period; She can't sleep; Dilation and curettage; have some pain to left hand which radiated to her chest; numbness to her left finger; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 30 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 06May2021 (Lot number: EW0168) at the age of 29 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "fatty liver" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: Bnt162b2 (dose1 , Lot: EW0169, NDC/Expiry: Unknown, Dose: Unknown strength/volume/dose injection to left arm), administration date: 15Apr2021, when the patient was 29 years old, for covid 19 immunization. The following information was reported: DIABETES MELLITUS (hospitalization, medically significant) with onset Jun2021, outcome "not recovered", described as "diabetes"; CHEST PAIN (hospitalization), outcome "not recovered", described as "chest pain"; COSTOCHONDRITIS (hospitalization) with onset Jun2021, outcome "not recovered", described as "costochondritis"; TROPONIN INCREASED (hospitalization), outcome "unknown", described as "troponins were high in her blood levels"; DYSPNOEA (hospitalization) with onset 2021, outcome "unknown", described as "struggling to breathe"; HEAVY MENSTRUAL BLEEDING (non-serious), outcome "recovered", described as "an extended period of 35 (45) days."; ENDOMETRIAL THICKENING (non-serious), outcome "unknown", described as "endometrium got thick"; INFLAMMATION (non-serious), outcome "unknown", described as "inflammation of the rib"; PAIN IN EXTREMITY (non-serious) with onset Jun2021, outcome "unknown", described as "have some pain to left hand which radiated to her chest"; HYPOAESTHESIA (non-serious) with onset Jun2021, outcome "unknown", described as "numbness to her left finger"; ABDOMINAL PAIN (non-serious), ABDOMINAL PAIN UPPER (non-serious), outcome "unknown" and all described as "stomach pain or abdominal pain"; DYSMENORRHOEA (non-serious), outcome "unknown", described as "having very painful periods"; CHEST PAIN (non-serious), outcome "unknown", described as "bends down she gets light chest pain"; EATING DISORDER (non-serious), outcome "unknown", described as "She couldn't eat anything"; ODYNOPHAGIA (non-serious), outcome "unknown", described as "she eats anything even while swallowing food she has the pain"; HEAVY MENSTRUAL BLEEDING (non-serious), outcome "unknown", described as "experiencing heavy bleeding when she has her period"; INSOMNIA (non-serious), outcome "unknown", described as "She can't sleep"; UTERINE DILATION AND EVACUATION (non-serious) with onset Jun2021, outcome "unknown", described as "Dilation and curettage". The patient was hospitalized for dyspnoea (start date: 26Jun2021). The events "chest pain" and "struggling to breathe" were evaluated at the emergency room visit. The event "have some pain to left hand which radiated to her chest" was evaluated at the physician office visit. The event "numbness to her left finger" was evaluated at the physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: blood test: (unspecified date) troponin levels were high, notes: troponin levels were high; cardiac stress test: (24Jun2021) unknown result; electrocardiogram: (unspecified date) unknown result; (unspecified date) unknown result; investigation: (unspecified date) unknown result; (24Jun2021) unknown result; (24Jun2021) unknown result; (unspecified date) unknown result; (unspecified date) unknown result; x-ray: (unspecified date) unknown result. Therapeutic measures were taken as a result of heavy menstrual bleeding.  Clinical course: start and stop dates of fatty liver maybe 2018 or 2019, while she was either pregnant or trying to get pregnant with their second child. When they did the bloodwork no one told them the troponin levels were high which was found within the very first hour or something of patient being in the hospital. When she was first taken to the hospital they were kind of like maybe it is gas or something like that; but then the doctors were thinking maybe she was having a heart attack. As soon as the doctor saw the patient he admitted her and did the testing. No further details known relative to these tests or any other testing, treatment or medical interventions performed relative to these events. The patient was prescribed progesterone which did not help.  No follow-up attempts are possible. No further information is expected.