I have trouble with blood draws. I have hemolysis; High RBC and hematocrit; High RBC and hematocrit; Hypothyroidism; Joints ache; Vision is blurry; Hair loss has increased; Symptomatic of systemic lupus; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 64 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 14May2021 (Lot number: EW0179) at the age of 64 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "discoid lupus" (unspecified if ongoing), notes: before, I only had discoid lupus. Concomitant medication(s) included: CYMBALTA. Past drug history included: Erythromycin ointment, reaction(s): "Known allergies: Erythromycin ointment". Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EW169, Location of injection: Arm Right), administration date: 20Apr2021, when the patient was 64 years old, for COVID-19 immunization. The following information was reported: HAEMOLYSIS (disability) with onset 14May2021, outcome "not recovered", described as "I have trouble with blood draws. I have hemolysis"; RED BLOOD CELL COUNT INCREASED (disability), HAEMATOCRIT INCREASED (disability) all with onset 14May2021, outcome "not recovered" and all described as "High RBC and hematocrit"; HYPOTHYROIDISM (disability) with onset 14May2021, outcome "not recovered", described as "Hypothyroidism"; ARTHRALGIA (disability) with onset 14May2021, outcome "not recovered", described as "Joints ache"; VISION BLURRED (disability) with onset 14May2021, outcome "not recovered", described as "Vision is blurry"; ALOPECIA (disability) with onset 14May2021, outcome "not recovered", described as "Hair loss has increased"; SYSTEMIC LUPUS ERYTHEMATOSUS (disability) with onset 14May2021, outcome "not recovered", described as "Symptomatic of systemic lupus". The events "i have trouble with blood draws. i have hemolysis", "high rbc and hematocrit", "high rbc and hematocrit", "hypothyroidism", "joints ache", "vision is blurry", "hair loss has increased" and "symptomatic of systemic lupus" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: blood test: (14May2021) hypothyroidism; haematocrit: (14May2021) high; red blood cell count: (14May2021) high, notes: high RBC; sars-cov-2 test: (unspecified date) negative. Therapeutic measures were not taken as a result of haemolysis, red blood cell count increased, haematocrit increased, hypothyroidism, arthralgia, vision blurred, alopecia, systemic lupus erythematosus.  Clinical course: The patient reported that she was not on immunosuppressive drugs and was controlling my autoimmune disease naturally and did not have these additional problems until she got the vaccine. The patient stated that she had trouble with blood draws. Sometimes they cannot get enough blood and sometimes they had to throw it away. The patient reported that she only had discoid lupus before but she was symptomatic of systemic lupus. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination.  No follow-up attempts are possible. No further information is expected.