Heart inflammation; heart was over 160; heartbeat was very much strong, very strong (like vibrating); irregular heartbeats; really bad heart burn; didn't feel normal at all; nosebleeds; nosebleeds; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 24 year-old male patient received bnt162b2 (BNT162B2) (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Nosebleed" (unspecified if ongoing), notes: when as a kid, had that problem. The patient's concomitant medications were not reported. The following information was reported: CARDIAC INFECTION (medically significant), outcome "unknown", described as "Heart inflammation"; HEART RATE INCREASED (medically significant), outcome "unknown", described as "heart was over 160"; PALPITATIONS (non-serious), outcome "recovering", described as "heartbeat was very much strong, very strong (like vibrating)"; HEART RATE IRREGULAR (non-serious), outcome "unknown", described as "irregular heartbeats"; DYSPEPSIA (non-serious), outcome "unknown", described as "really bad heart burn"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "didn't feel normal at all"; EPISTAXIS (non-serious), DISEASE RECURRENCE (non-serious) all with onset 09Feb2022, outcome "unknown" and all described as "nosebleeds". The patient had numerous weird effects, secondary effects from this vaccine and these aren't psychological, these have nothing to do with anxiety, or being a hypochondriac. He measured, quantify all his health as much as possible, heart rate was usually slipping it's like 39bpm for him, it's not really low because he was very active on mountain bike and road bike and he had done this for over 10 years, so naturally he was at 39 bpm, really low, really good because he can recover, he can sleep well, his body can recover. First night after vaccination, he slept with a band on and he logged in around 49-50bpm day one of sleeping with Covid vaccine, this was around 10-11bpm higher than the average, so his body was working, it made sense, means the immune system was working, and for that reason maybe he buy a tiny fraction heart rate was a little bit high, but throughout the day, hear rate when he was working, sitting on his chair looking at his computer usually he was like 58bpm to 56bpm normally, now he was like 64, 65, 66, 67bpm these were perfectly good scores for an average, but his heart rate was pretty good, it's pretty well just because of the nature he did for sports, so these numbers for him were quite concerning cause he was not recovering. His body was working hard, when he was not engaging exercise or not pushing anything in any way. The patient was hydrated, he drinks more than 8 bottles of water a day, but he also drinks caffeine. Third day of the vaccine, he developed really bad heart burn, and he ate black bean soup, there's no grease, just water. This was something he ate all the time, carbohydrate, fibre, never had a problem. Suddenly a bad reaction to what he ate, heart burn, he felt he was like gonna get palpitations but never got them. His heartbeat was very much strong, very strong (like vibrating), that's what he experienced last night. This morning not so much, a little bit better but that was very scary for him. He didn't feel normal at all, he didn't feel like himself. Today, when he was in his computer working, suddenly he got nosebleeds, he hadn't gotten a nosebleed since he was a kid, when he was a kid, he had that problem. He took Magnesium every day, he took D12, and B-complex every day it helps him with the irregular heartbeats. He was not sure what's going on with him in terms of why he was feeling the way he was, and this was not anxiety. This was not normal for him, getting random nose bleeds. He took his health seriously, he took echogram (echocardiogram), stress test in the past, no issues. The patient thought there's a correlation with the vaccine. Any side effects he had have been somewhat cardiovascular related. The patient asked what recommendations or thoughts were for not engaging in heavy sport when the heart was over 160 for 3 hours. He said that the main concern was over heart inflammation. The patient underwent the following laboratory tests and procedures: cardiac stress test: no issues, notes: in the past; echocardiogram: no issues, notes: in the past; heart rate: 39, notes: bpm; usually; naturally; 49-50, notes: bpm; 58 to 56, notes: bpm; 64, notes: bpm; 65, notes: bpm; 66, notes: bpm; 67, notes: bpm; 160. Therapeutic measures were taken as a result of heart rate increased, palpitations, heart rate irregular. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.