pneumonia; valley fever; diabetes; shortness of breath/difficulty breathing; body aches; headache; got sick; hadn't been well enough; This is a spontaneous report from a contactable consumer. This consumer (patient) reported for himself that a 49-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 49-years, via an unspecified route of administration, administered in right arm on 23Apr2021 at 02:11 at single dose for COVID-19 immunisation. Medical history included he and his family did have the COVID-19 virus in Nov2020 (with the COVID-19 virus in Nov2020 his fever had reached 103 degrees Fahrenheit). Concomitant medications were not reported. He was calling about the vaccine. He was scheduled for his second dose on 14May2021 but between his first and second dose, he developed pneumonia. He reported he and his family did have the COVID-19 virus in Nov2020. He was the only one that got sick after receiving the vaccine. He didn't know if it was coincidental or happenstance. He had been taking medication and hadn't been well enough to get his second dose. His primary care doctor and the doctor he saw at the urgent care both told him not to get the second dose until he was well. Now several weeks had passed and he wanted to know if he was ok to get the second one or will he have to restart and get the first vaccine again. The type of pneumonia that he had was called Valley Fever. He had been told it was because of the dry climate. He did have a chest x-ray and that was who the doctor knew he had pneumonia. He also had a blood test to confirm that he had the Valley Fever. He also had a COVID-19 virus test and that was negative. He actually thought he had the COVID-19 virus for a second time. The symptoms were exactly like the COVID-19 virus. He had a low grade fever, body chills, body aches, a cough developed and a really intense headache. He went to the urgent care with those symptoms and tested him and found out he did have the Valley Fever, a type of pneumonia. The doctor ordered the blood test to confirm the Valley Fever. His fever didn't get as high this time like it did when he had the COVID-19 virus. This time with the Valley Fever his fever was about 100 degrees Fahrenheit. He definitely had body aches, chills, shortness of breath and difficulty breathing. Since Nov2020 when he had COVID-19 he can say his lung capacity wasn't what it used to be pre COVID-19 virus. He was just able to go out and walk his dog and felt like he was breathing normally. Then he received the first dose and a week and a half later he got sick with the Valley Fever. He would like to get the second COVID-19 vaccine but wanted to know if he had to start the process over. He didn't take any medications and considers himself healthy. He would like to add that when he went for his follow up for the Valley Fever he had a complete blood work and urinalysis and interestingly enough his numbers came back that now he was in the diabetic range. He didn't know if it was related to the COVID-19 vaccine or not but thought that he should add it. He wasn't prescribed any medications for the diabetes he was told to change his diet. His blood sugar came back normally and his doctor told him when people have diabetes their blood sugar gets out of whack. He was going to change his diet for the next couple months. He went to the urgent care on 14May2021 with his symptoms, that was the same day he was supposed to get the second COVID-19 vaccine. He was asking if he was outside the window and need to start over or just need to get another shot. He said that he wants to get the vaccine. The events shortness of breath, difficulty breathing result in physician office. Outcome of the events was unknown.   Information about lot/batch number has been requested.