stroke; Lesion mass; he very suddenly had shortness of breath; Cough; Marked weakness/about half my strength; it affected his vision; cardiologist also doesn't think the pacemaker is the cause of the heart problem/scar on the base of my heart; This is a spontaneous report received from a contactable Physician reported for himself. This 91-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 02Feb2021 (Lot Number: EN5318) as DOSE 1, SINGLE for COVID-19 immunisation at the age of 91 years old. Medical history included having a pacemaker. Concomitant medications were not reported. The patient experienced stroke (hospitalization) on 05Feb2021 with outcome of unknown, lesion mass (hospitalization) on Feb2021 with outcome of unknown, had shortness of breath on 2021 with outcome of unknown, cough on 2021 with outcome of unknown, marked weakness/about half my strength on 2021 with outcome of unknown, affected his vision on 2021 with outcome of unknown, scar on the base of heart on 2021 with outcome of unknown.    The clinical course was reported as follows: Patient reported being a very healthy person, never had an illness and has had all kinds of health things come up since [receiving the vaccine]. Patient did report having a pacemaker which he didn't consider an illness. Patient reported three days after his first dose he had a stroke, was admitted to the hospital with Lesion Mass and this was confirmed by CT Scan, and it affected his vision; he was discharged the next day. He followed up as directed with an internist and cardiologist. Caller said two, three, four weeks after that he very suddenly had shortness of breath, cough and marked weakness, about half his strength. He had a consultation with an internist, who referred him to his cardiologist who extensively studied, did a lot of blood tests, a treadmill thing. The cardiologist ruled out heart failure as the cause of the shortness of breath and advised against patient getting the booster. The cardiologist also doesn't think the pacemaker is the cause of the heart problem. Patient said the cardiologist notes a scar on the base of his heart. The patient said he also had a x-ray from an urgent care visit that found basilar fluid at the base of his lungs and while he did have an appointment with a pulmonologist his appointment is in Feb2022. Patient reports being prescribed two courses of doxycycline which had no affect on the cough. Patient adds that he has never had any fever or headache and his virus test has always been negative. Patient was placed on a Anti-Coagulant, Eliquist after his stock. He was admitted to the hospital. He was just there overnight, one day and then they said while they don't wants to happen anymore strokes, so they put the patient on Eliquist, that was after the stroke, 2.5 Milligrams, BID twice a day. Lab Test: patient went to the urgent care and get the chest X-Ray, the lab test he had a nasal test for the virus and it was negative and also they did a Tidal, a blood tidal test.; Sender's Comments: based on the available information the causality between the suspect vaccine BNT162B2 and the reported serious adverse events stroke , cough ,asthenia , shortness of breath cannot be ruled out totally