third booster shot; he blacked out and fell and broke his foot; states he has a double fracture in his left foot; he blacked out and fell and broke his foot; hit his head on the door frame; extreme fatigue; some chills; Caller states he is still dizzy and lightheaded; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 40 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 07Dec2021 12:45 (Lot number: FE3590) at the age of 40 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Depression" (ongoing); "Panic attacks" (ongoing). Concomitant medication(s) included: BUPROPION taken for depression, start date: Sep2021 (ongoing); BUSPIRONE taken for panic attack, start date: Sep2021 (ongoing). Vaccination history included: Covid-19 vaccine (Dose 2, LOT-ER8737.), administration date: 08Apr2021, when the patient was 39 years old, for Covid-19 immunization; Covid-19 vaccine (Dose 1, LOT-ER8727), administration date: 18Mar2021, when the patient was 39 years old, for Covid-19 immunization, reaction(s): "chills", "fatigue". The following information was reported: IMMUNISATION (medically significant) with onset 07Dec2021 12:45, outcome "unknown", described as "third booster shot"; LOSS OF CONSCIOUSNESS (medically significant), FALL (non-serious) all with onset 07Dec2021, outcome "recovering" and all described as "he blacked out and fell and broke his foot"; FRACTURE (medically significant) with onset 07Dec2021, outcome "recovering", described as "states he has a double fracture in his left foot"; HEAD INJURY (non-serious) with onset 07Dec2021, outcome "recovering", described as "hit his head on the door frame"; FATIGUE (non-serious) with onset 07Dec2021, outcome "recovering", described as "extreme fatigue"; DIZZINESS (non-serious) with onset Dec2021, outcome "not recovered", described as "Caller states he is still dizzy and lightheaded"; CHILLS (non-serious) with onset 07Dec2021, outcome "recovering", described as "some chills". The events "he blacked out and fell and broke his foot", "he blacked out and fell and broke his foot", "hit his head on the door frame", "extreme fatigue", "caller states he is still dizzy and lightheaded" and "some chills" were evaluated at the emergency room visit. The event "states he has a double fracture in his left foot" was evaluated at the physician office visit and emergency room visit. Clinical course as follows: Caller states he is calling to report experience after the third booster shot, Pfizer Covid vaccine. Caller states they have the health division that sponsors the vaccine, got the third dose on Tuesday, 07Dec2021 at 12:45 PM, the booster, states he was okay until bedtime, woke up in the middle of the night with fatigue and some chills. Caller states he went to the bathroom and when he was on his way back to bed he blacked out and fell and broke his foot, states he has a double fracture in his left foot, hit his head on the door frame, went to the emergency room yesterday, spend the day there yesterday, did not see concerns about his head, x ray showed the double fracture in his foot, has a temporary support for now and going to an orthopedic specialist. Caller states he is still dizzy and lightheaded and that is not the case with his previous shots, states after the first vaccine he had chills and fatigue with the first shot but it was not as severe as this time. Exact dates not provided. Caller states his symptoms are improving but they are still there. The patient underwent the following laboratory tests and procedures: x-ray: (08Dec2021) double fracture in his foot.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101761145 same patient, different vaccine dose/AE.