positive bands for Lyme; brain fog; trouble concentrating; depression; forget where he was driving; increased anxiety; This is a spontaneous report from a contactable consumer or other non hcp (Patient).   A 36-years-old male patient received second dose of bnt162b2 (BNT162B2, PFIZER-BOTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 02May2021 11:00 (age at vaccination: 36-years-old) as single dose for COVID-19 immunization. (Vaccination Facility: nursing home building). Vaccine was not administered in Military Facility. medical history was reported as none. No concomitant medications were reported. patient also received first dose of bnt162b2 on 11Apr2021(at age a vaccination: 36-years-old) for covid-19 immunization and experienced shaking, confusion, upset stomach, freezing cold, his temperature was like 96 degrees and he can't remember his temperature which was 96.5 or 96.3 degrees at that time. Patient did not receive any other vaccine within 4 weeks. It was reported that patient wanted to know if I could join the trial for treating lyme. had my ass kicked this year with Covid/Strep but what takes the cake is he thought he was having a reaction to the Pfizer vaccine, now after a test shows positive bands for Lyme, he was rethinking everything. he would appreciate info on this. Upon date 21Jul2021 it was reported that after the vaccine had tests that showed positive bands for Lyme. Stated states the date of that test was about 4 weeks ago and he is technically not positive and technically not negative but the test just showed a couple of bands that were positive for Lyme. he had the 1st dose of the Pfizer COVID Vaccine exactly three weeks earlier than his 2nd dose which was on 02May2021. he started experiencing symptoms the night before his 2nd dose of the Pfizer COVID Vaccine and did not attribute anything to anything at that point but the symptoms he had he thought he had food poisoning and he had had home made pizza and his grandmother told him she tried to cut off the bad parts of the peppers so when he woke up he was shaking and had confusion and upset stomach and they were the kind of symptoms he had not had before. his feet and hands were freezing cold and his temperature was like 96 degrees and he can't remember his temperature which was 96.5 or 96.3 degrees at that time. he had not been shaking and went ahead and got the 2nd dose of the Pfizer COVID vaccine the next day because he thought it was food poisoning and no one else had gotten food poisoning after eating the pizza. he told the nurse he did not have symptoms and had not had symptoms to shots before like to any vaccines. the next three weeks after that were extremely difficult and ongoing and he is having what he thinks was brain fog and trouble concentrating, increased anxiety and increased depression and he would try to walk that off and drive and would forget where he was driving and not even know he was driving. he thinks he went to the emergency room three times and to the walk in one time and that was originally what brought him to his primary care physician which would be the 5th time he saw a HCP. Stated up to that point he was pretty healthy and is a body builder and carries a lot of mass on him which is both muscle and fat and he was always pretty healthy. Adverse event resulted in ER and physician office visit. The patient underwent lab tests and procedures which included investigation: test shows positive bands for Lyme/test just showed a couple of bands that were positive for Lyme, investigation: he is technically not positive stated the date of that test was about 4 weeks ago and he is technically not positive and technically not negative. The outcome for the events was reported as unknown at the time of this report.   Information on the batch/lot number has been requested.