had like syncope and was basically passing out; delirious during the night and was speaking mumbo jumbo; Fever; heart rate shot up; he was super dizzy; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 33-year-old male patient received BNT162b2 (BNT162B2), on 26Apr2021 at 11:00 as dose 2, single (Lot number: EW0175) at the age of 33 years intramuscular, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Long COVID", start date: Dec2020 (ongoing), notes: Long COVID; "diagnosed with a mini stroke", start date: Feb2021 (unspecified if ongoing), notes: diagnosed with a mini stroke in Feb2021 due to covid-19 and was hospitalized.; "control the heart rate   " (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL oral taken for heart rate, start date: Jan2021 (ongoing). Vaccination history included: BNT162b2 (First dose: , Date: 05Apr2021, Lot: EW0150, Expiry: Unknown, NDC: Unknown, Site: Right arm intramuscular injection, Received the vaccines around 11am for both his first and second doses.), administration date: 05Apr2021, when the patient was 33-year-old, for COVID-19 immunization, reaction(s): "fine after getting the first dose of the vaccine". The following information was reported: PYREXIA (medically significant) with onset 26Apr2021 at 23:00, outcome "unknown", described as "Fever"; DELIRIUM (medically significant) with onset 26Apr2021 at 23:00, outcome "unknown", described as "delirious during the night and was speaking mumbo jumbo"; SYNCOPE (medically significant) with onset 26Apr2021 at 23:00, outcome "unknown", described as "had like syncope and was basically passing out"; DIZZINESS (medically significant) with onset 26Apr2021 at 23:00, outcome "unknown", described as "he was super dizzy"; HEART RATE INCREASED (medically significant) with onset 26Apr2021 at 23:00, outcome "unknown", described as "heart rate shot up". The patient underwent the following laboratory tests and procedures: Electrocardiogram: (unspecified date) Normal; Heart rate: (unspecified date) high, notes: EKG's and all his tests are normal except for his high heart rate; (26Apr2021) 141, notes: His heart rate went to 141 bpm; tests: (unspecified date) Normal; The physical symptoms: (unspecified date) Abnormal.  Additional information:  Caller is a consumer that was calling about the Covid-19 Vaccines. He got the first dose on 05Apr2021 and got the second dose on 26Apr2021. He is calling to report his adverse events. The guy he is working with the most is his cardiologist. He got Covid before receiving the covid-19 vaccines. He has been working with his cardiologist for his issues since he had Covid. He wanted to provide his Cardiologist information as well. It was reported that he was fine after getting the first dose of the vaccine. About 12 hours after getting the second dose, he got a fever, got delirious during the night and was speaking mumbo jumbo, and then his heart rate shot up, he has video of it. His heart rate went to 141 bpm. During the time his heart rate was up, he was super dizzy and had like syncope and was basically passing out. They ended up calling 911 and the paramedics saw that his heart rate was up and asked him if he wanted to go to the hospital. He did not go to the hospital. He only went to the hospital 1 time for his side effects from the vaccine, but not that day. Caller did not indicate that he was admitted to the hospital. His symptoms subsided quickly with in another 12-24 hours and they dissipated to where he was ok. The patient reported that he received the vaccines around 11am for both his first and second doses. He had been in and out of the hospital up until getting his vaccines. He had high heart rate prior to getting his vaccines, but after he had Covid. They suspect he had a heart attack early on. He was diagnosed with a mini stroke in Feb2021 due to covid-19 and was hospitalized. Relevant tests: EKG's and all his tests are normal except for his high heart rate. The physical symptoms are abnormal. The patient was told not to get a booster dose by his cardiologist. The patient had no prior vaccinations (within 4 weeks), no Family Medical History Relevant to Adverse Events. It was added that he still has some symptoms. Thinks the symptoms he is still having is from Covid itself. The symptoms he had after the vaccine were very short-lived and went away after about 12-24 hours.