He ended up with URI; Rash; thrush; strawberry tongue; Flu like symptoms; . Diarrhea; chills; fever; weird taste; weird smell; thrush; lesions in my mouth; Persistent cough; Dizziness; Nausea; Runny nose; extreme fatigue; upper abdominal pain; liver enzymes are high; same issues but also heart involvement; This is a spontaneous report from a contactable consumer. A female consumer (patient's mother) reported for an 18-year-old male patient (her son) that who received bnt162b2 (BNT162B2, solution for injection, Lot Number: EW0186 expiry date was unknown) dose 1 via an unspecified route of administration arm left on 01Jun2021 16:30 (age at the time of vaccination was not reported) as a DOSE 1, SINGLE for covid-19 immunisation. The medical history included multicystic dysplastic kidney (he was born with multicystic dysplastic kidney disease./ His left kidney was removed) from 31Dec2002 to Oct2003, splenomegaly (His spleen kept growing. Two were removed) from 2016 to Aug2017, asthma from 2003 and ongoing (Receives Xolair injections bi-weekly), juvenile idiopathic arthritis from 2020 and ongoing (Juvenile Rheumatoid Arthristis), glaucoma from 2004 and ongoing, autoimmune disease (he has possible unknown autoimmune disease/has possible unknown autoimmune disease), He had to Spleen removed and his left kidney (Kidney biopsy), spleen operation/ Spleen removed from an unknown date and unknown if ongoing, POTS (Postural orthostatic tachycardia syndrome) from an unknown date and unknown if ongoing. The concomitant medication included azithromycin (Z-PAK) via oral, taken for upper respiratory disorder from 21Apr2021 to 26Apr2021; nystatin via oral taken for Mouth Lesions from 14Jul2021 to 21Jul2021. The patient had past drug events as, known allergies to PCN (Penicillin allergy), Topamax, Imitrex, Vancomycin, and Benzoyl peroxide. The patient was advised not to receive the second dose. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Post the vaccination, the patient had been tested for COVID-19 with Nasal Swab method on 25Jun2021 which was found to be negative, had the rapid and the regular nasal and the doctor ordered to be retested yesterday as well. The patient had flu like symptoms, diarrhoea, chills, fever, weird taste, weird smell, thrush, lesions in mouth, persistent cough, dizziness, nausea, runny nose and extreme fatigue all on 02Jun2021 at 10:00AM. The adverse events resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The patient dealing with this for 6 weeks now. The liver enzymes were high as well on 02Jun2021 at 10:00AM. The patient had lot of upper abdominal pain on 02Jun2021 at 10:00AM. The patient's blood work was abnormal as well in his liver enzymes are high as well and his white blood cell count was like 18,000. The reporter's son was 18-year-old and has been having the same issues but also heart involvement on 02Jun2021 at 10:00AM. The reporter stated she would not be filling out another long form and said feel free to call. The patient was tested on the same day as the reporter was for covid and was found to be negative. He received his vaccine the same day at the same location. And he has a very involved health history as well. He had to spleen removed and his left kidney and he has possible unknown autoimmune disease, and he has juvenile rheumatoid arthritis. And he was born with multicystic dysplastic kidney disease. The patient again had fatigue and flu like symptoms on 11Jun2021 and received treatment as testing and medications and was recovering. He ended up with URI, strawberry tongue, rash and thrush on an unspecified date. He had Covid test done. Sent to see an ENT, Labs were abnormal. WBC over 18,000 sent for an Echocardiogram which shows changes from last year. He was still dealing with fatigue. We were trying to find a GI and liver doctor near us. Whatever this was his body/immune system was under attack. The patient underwent lab tests and procedures which included blood test: abnormal on his son's blood work was abnormal, echocardiogram: unknown results on an unspecified date, hepatic enzyme: high on His liver enzymes are high, magnetic resonance imaging hepatobiliary: several were abnormal on 26Jul2021 Abnormal labs on file with or. matte, sars-cov-2 test: negative, on 25Jun2021 he had the rapid and the regular nasal, white blood cell count: 18,000 on his white blood cell count was like 18,000. The outcome of the events URI, strawberry tongue, rash and thrush was unknown. The outcome of the event flu like symptoms was recovering, while for other events it was unknown.  No follow-up attempts are needed. No further information is expected.