This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. A 56 year-old male patient received bnt162b2 (BNT162B2), administered in arm, administration date 05May2021 (Lot number: EW0182) at the age of 56 years as dose 2, single for Covid-19 immunisation. Relevant medical history included: "high blood pressure", start date: 2006 (ongoing); "thyroid issues", start date: 2006 (ongoing), notes: thyroid issues. Stated that the medication is working and he still has thyroid issues; "Diabetes Type II", start date: 2006 (ongoing). The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose: 1, Batch/lot number: ER8731 , Dosage test: Unknown dosage shot right arm), administration date: 14Apr2021, when the patient was 56 years old, for COVID-19 Immunization, reaction(s): "nausea", "fatigued", "Sick". The following information was reported: ILLNESS (non-serious) with onset 05May2021, outcome "not recovered", described as "Sick"; NAUSEA (non-serious) with onset 05May2021, outcome "re-covered", described as "Nausea"; FATIGUE (non-serious) with onset 05May2021, outcome "not recovered", ASTHENIA (non-serious), CONDITION AGGRAVATED (non-serious), outcome "not re-covered" and all described as "Tired- no energy that has been getting worse"; MALAISE (non-serious), outcome "unknown", described as "Did not feel good". The events "sick", "nausea", "tired- no energy that has been getting worse", "tired- no energy that has been getting worse", "tired- no energy that has been getting worse" and "did not feel good" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of nausea, fatigue. Treatment: Stated that for the nausea that he took Pepto Bismol. Stated that he started taking B12 for the fatigue. Stated that nothing has been prescribed. Concomitant medication for high blood pressure and thyroid issues which started before the vaccines. No further details provided. Patient stated that he took the first and second shot. Stated that the first one made him sick within a little over an hour after taking it and that he was sick or 4-5 days. Stated that he took the second shot 2.5-3 weeks later and got sick immediately after it. Stated that he had walked outside to his car and had nausea, did not feel good and was very fatigued. Stated that the nausea lasted a day or two but the no energy has been getting worst since. Stated that he took the second shot May2021. Stated that it is to the point that he has no energy to do anything. Stated that the timeframe of all this happening goes right up to the shot. Stated that the doctors do not know how to treat it. Wanted advice as to how to treat it or what to do. Stated that his bloodwork comes back normal and everything. Clarified that this is for the Pfizer vaccine. Stated that Pfizer made the vaccine and he is sure other people called. Stated that he wanted to know if they have any advice on what to do. Stated that he is getting worst and worst. Patient stated that he had nausea after the first and second dose on the same day of the vaccine. Stated that the first dose that he had nausea that lasted a day or two. Is unknown of outcome. Stated that he had nausea with second dose within minutes of the vaccine. Follow-up attempts are completed. No further information is expected.