told him that the right side of his heart was bigger than the left side; his voice changed now; mucus is like green now, green yellow; He says he has a deep cough when he sleeps on his right side he feels like he wants to cough and he coughs and mucus is green yellow; his body is hurting especially his joints; his body is hurting especially his joints; Difficulty breathing; Fatigue; Runny nose; Sore throat; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 43 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 13Sep2021 (Lot number: 301358A) at the age of 43 years as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: DYSPNOEA (non-serious) with onset 14Sep2021, outcome "not recovered", described as "Difficulty breathing"; RHINORRHOEA (non-serious) with onset 13Sep2021, outcome "not recovered", described as "Runny nose"; OROPHARYNGEAL PAIN (non-serious) with onset 13Sep2021, outcome "not recovered", described as "Sore throat"; FATIGUE (non-serious) with onset 14Sep2021, outcome "not recovered", described as "Fatigue"; CARDIAC DISORDER (non-serious), outcome "not recovered", described as "told him that the right side of his heart was bigger than the left side"; DYSPHONIA (non-serious), outcome "not recovered", described as "his voice changed now"; SECRETION DISCHARGE (non-serious), outcome "not recovered", described as "mucus is like green now, green yellow"; COUGH (non-serious), outcome "not recovered", described as "He says he has a deep cough when he sleeps on his right side he feels like he wants to cough and he coughs and mucus is green yellow"; ARTHRALGIA (non-serious), PAIN (non-serious), outcome "not recovered" and all described as "his body is hurting especially his joints". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of dyspnoea, rhinorrhoea, oropharyngeal pain, fatigue, cardiac disorder, dysphonia, secretion discharge, cough, arthralgia, pain.  Additional information: Caller was a 43 year old male consumer who got his first dose of the Pfizer BioNTech Covid-19 vaccine 13Sep2021.  Since then, he has had difficulty breathing, the right side of his heart is bigger than the left, he has a runny nose, sore throat, fatigue, and body aches, especially in his joints.  Consumer calling about the Pfizer COVID-19 vaccine first shot to report side effects since he took the vaccine. He says he is actually having difficulty breathing, his doctor has done tests on his chest and he told him that the right side of his heart was bigger than the left side and he ordered an ultrasound and he is going to see the heart doctor on Thursday. Caller said he started having difficulty breathing the day after he got his first dose. He says he has been sick since he took the shot, he has a running nose, a sore throat, fatigue, body ache and difficulty breathing. He said he had a really bad sore throat, his voice changed now, and his mucus was like green now, green yellow. He said he has a deep cough when he sleeps on his right side, he feels like he wants to cough and he coughs and mucus is green yellow. He said the fatigue feels like he was lazy, his body was hurting especially his joints. AE treatment: Caller said he actually went to the doctor, and he referred him to go do ultrasound of his heart because the right side was bigger than the left. He said he had not taken any medication. He said he never had a problem with his heart, he does running and does exercise and activities, he had no problems. He told that this was the first time telling him that his right heart is bigger, and there was concern about it, which was the reason they referred him to a heart doctor for an ultrasound Thursday at 01:20PM. The patient underwent the following laboratory tests and procedures: laboratory test: the right side of his heart was bigger than left. Caller says his symptoms have stayed the same actually, with no improvement.  No follow-up attempts are possible. No further information is expected.