he can't work; chest pains; real sick; his immune system has never been the same; he was missing a lot of work; lost weight; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 47-year-old male patient received BNT162b2 (BNT162B2), on 18Sep2021 as dose 2, single (Lot number: FF835A) at the age of 47 years for covid-19 immunisation. The patient's relevant medical history included: "Covid" (unspecified if ongoing), notes: had Covid a total of 4 times now 3 of those times he had Covid. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Single, LOT: FC3182, NDC, EXP: Unknown), administration date: 15Aug2021, when the patient was 47-year-old, for COVID-19 immunization, reaction(s): "he can't work", "chest pains", "real sick", "his immune system has never been the same". The following information was reported: IMPAIRED WORK ABILITY (disability), outcome "unknown", described as "he can't work"; CHEST PAIN (disability), outcome "unknown", described as "chest pains"; ILLNESS (disability), outcome "unknown", described as "real sick"; IMMUNE SYSTEM DISORDER (disability), outcome "unknown", described as "his immune system has never been the same"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (disability), outcome "unknown", described as "he was missing a lot of work"; WEIGHT DECREASED (disability), outcome "unknown", described as "lost weight". The events "he can't work", "chest pains", "real sick", "his immune system has never been the same", "he was missing a lot of work" and "lost weight" required emergency room visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (unspecified date) Negative, notes: tested negative 4 days ago; (unspecified date) Positive for Covid 3 times; (Nov2021) positive for Covid; Weight: (unspecified date) lost. Therapeutic measures were taken as a result of impaired work ability, chest pain, illness, immune system disorder, loss of personal independence in daily activities, weight decreased.  Clinical course: Clinical course: Caller states he had Covid when this all first started 2 years ago. He got Covid real sick from it. He got the vaccine and it was not even a month later that he got Covid. Has had Covid a total of 4 times now 3 of those times he had Covid, was since he had the vaccine. The first vaccine made him sick and the second shot made him real sick.  His doctor then told him not take any more of the vaccines. Has been to the Emergency Room several times. The thing is those vaccines did something to him. Ever since he had them vaccines, his immune system has never been the same. Every time he finally starts getting over the effect, he starts having it again. Positive for Covid after getting Covid vaccines. Got the vaccine Sep2021 and got Covid in Nov2021.  Clarified that when he went to the emergency room several times but was not admitted to the hospital.  He went the first time he got Covid and then had to go back once or twice during that time. He lost weight and had been exercising to change his lifestyle and did everything he could do. Had taken immune vitamins and taking stuff that was not working. When he went to the emergency room, they basically gave him fluids and gave him antibiotics. The next time he went, they gave him fluids and told him to rest and told him to come back if it got worse.  Anatomical Location of Administration of Pfizer vaccine considered as suspect: Unknown which shoulder. Wanted to find out what he can do now because his life has been totally changed and is messing him up because he can't work. It is affecting his personal life and his health and his everyday life. And he was filing for disability and he is just not the same person anymore. He does not understand what direction he is supposed to go now and what to do. No prior vaccinations (within 4 weeks) and was a perfectly healthy person before all this stuff happened to him.