ruptured kidney; showed bradycardia; continued pain; occassional dizziness; chest discomfort; occasional swelling; low stamina; can not run 10k anymore; had the second syncope; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 67-year-old male patient received BNT162b2 (BNT162B2), on 12Oct2021 at 10:30 as dose 3 (booster), single (Lot number: 30155BA) at the age of 67 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (Dose: 01, Time: 13:30, Anatomical site of injection: Left Arm, Route of administration: Intramuscular, Batch/Lot number: EN6205), administration date: 06Mar2021, for COVID-19 Immunization; BNT162b2 (Dose: 02, Time: 12:30, Anatomical site of injection: Left Arm, Route of administration: Intramuscular, Batch/Lot number: ER8733), administration date: 27Mar2021, for COVID-19 Immunization, reaction(s): "severe bradycardia", "continual syncope", "kidney surgery", "constant dizziness", "Broke nose". The following information was reported: KIDNEY RUPTURE (hospitalization, medically significant, life threatening) with onset 23Dec2021, outcome "unknown", described as "ruptured kidney"; SYNCOPE (medically significant) with onset 29Jan2022 at 09:00, outcome "unknown", described as "had the second syncope"; BRADYCARDIA (hospitalization, medically significant), outcome "unknown", described as "showed bradycardia"; PAIN (non-serious), outcome "not recovered", described as "continued pain"; DIZZINESS (non-serious), outcome "unknown", described as "occasional dizziness"; CHEST DISCOMFORT (non-serious), outcome "unknown"; SWELLING (non-serious), outcome "not recovered", described as "occasional swelling"; MALAISE (non-serious), outcome "unknown", described as "low stamina"; GENERAL PHYSICAL HEALTH DETERIORATION (non-serious), outcome "unknown", described as "can not run 10k anymore". The patient was hospitalized for bradycardia (hospitalization duration: 2 day(s)). The event "ruptured kidney" required emergency room visit. The patient underwent the following laboratory tests and procedures: Cardiac stress test: (15Mar2022) Unknown results; Computerised tomogram: (23Dec2021) ureteral stent; Electrocardiogram: (08Feb2022) RR EKG; Electrocardiogram ambulatory: (08Mar2022) Bradycardia monitor; Venous Duplex UG: (28Jul2022) No thrombos pain, notes: No thrombus pain and swelling and pacemaker site of left arm; Surgery: (11Mar2022) Emergency implant, notes: Sinus pause. Therapeutic measures were taken as a result of kidney rupture, bradycardia, syncope.  Clinical course: The patient had Pacemaker Surgery on 11Mar2022, Comments: Sinus pause. The patient had Outpatient surgery for the Ruptured Kidney, Stunt to Drain Kidney. After the ruptured kidney in Dec & continued dizziness patient became afraid to drive. When he had the second syncope in Jan2022 that had his wife thought he died crumpled against a wall with his eyes wide open he made appointment with PCP who referred him to a cardiologist. That doctor put him on a 30 day holter-monitor since his EKG showed bradycardia. The Second day of the monitoring showed severe bradycardia and frequent heart (illegible) and doctor sent him to emergency room for pacemaker. He continued to have low stamina & cannot run 10k anymore. At least he lived.