Surgery on his tonsillectomy; Chest pain; heart palpitations; When sleeping he feels like suffocated when sleeping and strong palpitations, heart beats; When sleeping he feels like suffocated when sleeping and strong palpitations, heart beats; Started feeling these symptoms since Sep2022 but they have worsened; Infection; Tachycardia; cardiovascular issues; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient.  A 28-year-old male patient received BNT162b2 (BNT162B2), on 23Mar2022 as dose 4 (booster), single (Lot number: FK9895) at the age of 27 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Kidney stones", start date: Jun2022 (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Lot FA7484. given in left arm in the shoulder about noon.), administration date: 28Jul2021, when the patient was 26-year-old, for COVID-19 immunisation; BNT162b2 (Dose 2, Lot FA7484 not showing expiry date. given in left arm in the shoulder about noon), administration date: 18Aug2021, when the patient was 26-year-old, for COVID-19 immunisation; BNT162b2 (Dose 3, Lot FD8448. given in given in left arm in the shoulder about noon), administration date: 21Sep2021, when the patient was 26-year-old, for COVID-19 immunisation; Flu shot (he usually has the flu shot. when he got the Covid shots he already had Flu shot Jan of that year beginning of 2021). The following information was reported: CHEST PAIN (non-serious) with onset Sep2022, outcome "not recovered"; INFECTION (non-serious) with onset Sep2022, outcome "not recovered"; CONDITION AGGRAVATED (non-serious) with onset Sep2022, outcome "not recovered", described as "Started feeling these symptoms since Sep2022 but they have worsened"; TONSILLECTOMY (medically significant) with onset Sep2022, outcome "not recovered", described as "Surgery on his tonsillectomy"; TACHYCARDIA (non-serious) with onset Sep2022, outcome "not recovered"; SUFFOCATION FEELING (non-serious), HEART RATE INCREASED (non-serious) all with onset Sep2022, outcome "not recovered" and all described as "When sleeping he feels like suffocated when sleeping and strong palpitations, heart beats"; CARDIOVASCULAR DISORDER (non-serious) with onset Sep2022, outcome "not recovered", described as "cardiovascular issues"; PALPITATIONS (non-serious) with onset Sep2022, outcome "not recovered", described as "heart palpitations". The event "cardiovascular issues" required physician office visit. The event "tachycardia" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Electrocardiogram: (Feb2023) altered, notes: Result: altered. Unit: Not Provided. Therapeutic measures were taken as a result of tonsillectomy, infection, tachycardia.  Clinical course: Patient had appointment on the 30th with a cardiologist to review a little more. Not sure what date this started but can tell by the end of Sep2022 because of other medical issues. He was undergoing chest pain and has heart palpitations, heart beats, and during last 2 weeks at night when sleeping he feels like suffocated when sleeping and strong palpitations, heart beats. Started feeling these symptoms since Sep2022 but they have worsened. The patient was taking by that time an antibiotic. Clarified started taking antibiotics for surgery on his tonsillectomy back Oct2022. Patient Started taking antibiotics for the infection. They have changed many times his antibiotics since then. Took prior to symptoms. Clarifies started taking before the symptoms started, he was not taking antibiotics. It was after because his surgery was in Oct2022. Started antibiotics were right after the symptoms started and the symptoms have worsened. patient usually had the flu shot. when he got the COVID shots he already had Flu shot Jan of that year beginning of 2021. It was stated that family history of patient's grandfather and his mother who had passed away already, had past cardiovascular issues as well as some cousins and aunts. It wasn't because of COVID. AE required visit to Emergency room because of tachycardia. Physician Office because it was so bad, but the doctor got a referral to see cardiologist where they can find out cardiovascular issue. He had undergoing chest pain and also has heart palpitations, heart beats, and during last 2 weeks at night when sleeping he feels like suffocated when sleeping and strong palpitations, heart beats. Started feeling these symptoms since Sep2022 but they have worsened. His heart problems are because of the Pfizer shots he got in the past and was told to call this number. Patient 5 dose on 09Dec2022 with 0lot GL0446D  given in left arm in the shoulder about noon . Kidney stones had since 17 years old. sees nephrologist.  was hospitalized one time for this. the last little he had was Jun2022 is retained in narrative.