the patient was a little bit off/different but she didn't think much of it since she had not had a psychosis episode in a long time; This is a spontaneous report from a contactable consumer.  A 34-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Right on 12Aug2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation and received pneumococcal 13-val conj vac (dipht crm197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), via an unspecified route of administration on 13Aug2021 (Batch/Lot number was not reported) as dose number unknown, single for immunisation. Medical history included Bladder problems, Allergies: Shellfish, Allergies: Penicillin, Allergies: Latex, Allergies: pollen, Allergies: environmental, Allergies: Iodine, Psychosis episodes, chest pains. The concomitant medications were not reported. On Aug2021 the patient experienced the patient was a little bit off/different but she didnt think much of it since she had not had a psychosis episode in a long time. The reporter stated that Her daughter has history of psychosis episodes due to a chemical imbalance, she also has lots of allergies. Caller reported that she received her first Pfizer BioNtech covid 19 vaccine in the hospital on either the 12 or 13 of Aug2021. She reports that the patient was a little bit off/different but she didnt think much of it since she had not had a psychosis episode in a long time. She also received a pneumonia vaccine at the same time as the Pfizer BioNtech covid 19 vaccine also caller reports that after receiving her second dose of the Pfizer BioNtech covid 19 vaccine on 04Sep2021 (instead of 03Sep2021 like she was supposed to) she has had a full blown psychosis episode. Caller reports that she cannot get the patient to take any of her meds and she is going to take her to the Emergency Department. Could the vaccine have caused this psychosis episode. The reporter asked was it ok that the patient received her first dose of the Pfizer BioNtech covid 19 vaccine at the same time as a pneumonia vaccine. The Patient has history of psychosis episodes, chemical imbalance and a lot of allergies. She had got the first dose in the hospital because of her allergies, she was given the pneumonia vaccine at the same time. The reporter clarified that the first dose date for the Covid Vaccine being administered is on 12Aug2021 and the pneumonia vaccine was on 13Aug2021. She noticed that her daughter seemed a little off a little bit after the first dose like 3-4 days after. Her daughter even said it herself that she felt off. She was admitted into the hospital because she was having problems with the bladder on 12Aug2021 and while she was there she actually asked them if she could get the covid vaccine. The patient received the second dose on 04Sep2021. The psychosis started the night of 04Sep2021 and it was full blown psychosis by the next morning 05Sep2021. The reporters daughter went into hospital because she was having Bladder problems in which she couldnt urinate and still dont know why she cant urinate. She had a procedure done and its been since then that she couldnt go, in the procedure they put fluid up in urethra at that time she couldnt hold urine, they were trying to see if she would qualify for a sling. This was her daughters 3rd hospitalization and the last time she had gone. During the previous hospital visit her daughter also brought up she was having chest pains. The reporter stated that since receiving the covid vaccine her daughter has not been admitted to the hospital but she is getting ready to take her back. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up. The action taken in response to the event for bnt162b2 was not applicable , for pneumococcal 13-val conj vac (dipht crm197 protein) was not applicable. The outcome of the event was unknown.