Lost a lot of hair; did not have energy/ no energy and each time it was getting worse and worse; did not have energy/ no energy and each time it was getting worse and worse; Joint pain and each time it was getting worse and worse; didn't feel good; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 58-year-old female patient received BNT162b2 (BNT162B2), on 18Feb2022 as dose 3 (booster), single (Lot number: FK9729) at the age of 58 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Batch/lot number: EW0187), administration date: 21May2021, for COVID-19 immunization, reaction(s): "hair loss/ lost her hair/ loss all my hair, every single day/ probably be bald", "doesn't have energy/ she still has no energy/ each time it was getting worse and worse", "pain in all her joints/ each time it was getting worse and worse/ still has pain in all her joints", "didn't feel good/ Feeling unwell"; BNT162b2 (DOSE 2, SINGLE, Batch/lot number: EW0217), administration date: 11Jun2021, for COVID-19 immunization, reaction(s): "Heavy hair fall/ Hair falling out/ Lost 85% of hair/ Lost a lot of hair/ Doesn't have her hair/ Hair started falling and she was losing hair day to day", "Didn't feel good/ Feeling unwell", "Doesn't have energy/ she still has no energy/ each time it was getting worse and worse", "She had no energy and joint pain and each time it was getting worse and worse", "Pain in all her joints/ each time it was getting worse and worse/ still has pain in all her joints". The following information was reported: ALOPECIA (non-serious), outcome "not recovered", described as "Lost a lot of hair"; ASTHENIA (non-serious), CONDITION AGGRAVATED (non-serious), outcome "unknown" and all described as "did not have energy/ no energy and each time it was getting worse and worse"; ARTHRALGIA (non-serious), outcome "not recovered", described as "Joint pain and each time it was getting worse and worse"; MALAISE (non-serious), outcome "unknown", described as "didn't feel good". The events "lost a lot of hair", "did not have energy/ no energy and each time it was getting worse and worse", "joint pain and each time it was getting worse and worse" and "didn't feel good" required physician office visit.  Additional information: The patient called because after the vaccination with the Pfizer vaccine patient had many factors in her life change. Patient lost 85 percent of hair. In her body patient did not have energy. Patient had pain in all her joints. She lost a lot of hair. She went to dermatologist, to her primary doctor, and a specialist for hair. Patient was an artist and worked with people and caller did not have her hair. For patient it was so bad because she worked with her image. Her primary doctor and someone that worked with her for 20 years said this was for sure the vaccine. The doctor for the lost hair said it was the vaccine. Clarified that she had three Pfizer COVID vaccines. It all started almost 1 year after the vaccine. After months her hair started falling and she was losing hair day to day. Patient has been a citizen for more than 30 years. Patient called because she had a hair loss doctor and they have been marking after 3 months. She was waiting to talk to the doctor before calling back to update. The patient did not feel good. Patient thought it was from something else. She had no energy and joint pain and each time it was getting worse and worse. The patient still had no energy in her body and still had pain in all her joints. Sender's Comments: Linked Report(s): US-PFIZER INC-202201401483 Same patient and product, different dose and event;US-PFIZER INC-202201401449 Same patient and product, different dose and event;US-PFIZER INC-202300165630 Same reporter, different patient;