she would fall asleep and she still falls asleep anywhere; damage caused to the patent's heart is irreparable; has 2 heart murmurs to be repaired; fatigue; tachycardia; headaches; sleepiness; sluggishness; dizziness; irritability; she suffered the fear of having a heart attack; has suffered mental anguish; she cannot perform tasks or do any strenuous activities; patient is hypoglycemic; patient has suffered physically and emotionally; the patient cannot sleep; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from legal division. The reporter is the patient.  A female patient received BNT162b2 (BNT162B2), on 13Apr2021 as dose 1, single (Batch/Lot number: unknown), on 04May2021 as dose 2, single (Batch/Lot number: unknown), on 21Jan2022 as dose 3 (booster), single (Batch/Lot number: unknown) and on 31May2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: NARCOLEPSY (medically significant), outcome "unknown", described as "she would fall asleep and she still falls asleep anywhere"; CARDIAC DISORDER (non-serious), outcome "unknown", described as "damage caused to the patent's heart is irreparable"; CARDIAC MURMUR (non-serious), outcome "unknown", described as "has 2 heart murmurs to be repaired"; FATIGUE (non-serious), outcome "unknown"; TACHYCARDIA (non-serious), outcome "unknown"; HEADACHE (non-serious), outcome "unknown", described as "headaches"; SOMNOLENCE (non-serious), outcome "unknown", described as "sleepiness"; SLUGGISHNESS (non-serious), outcome "unknown"; DIZZINESS (non-serious), outcome "unknown"; IRRITABILITY (non-serious), outcome "unknown"; FEAR OF DISEASE (non-serious), outcome "unknown", described as "she suffered the fear of having a heart attack"; ANXIETY (non-serious), outcome "unknown", described as "has suffered mental anguish"; DECREASED ACTIVITY (non-serious), outcome "unknown", described as "she cannot perform tasks or do any strenuous activities"; HYPOGLYCAEMIA (non-serious), outcome "unknown", described as "patient is hypoglycemic"; EMOTIONAL DISTRESS (non-serious), outcome "unknown", described as "patient has suffered physically and emotionally"; INSOMNIA (non-serious), outcome "unknown", described as "the patient cannot sleep". Course of events: Patient was vaccinated 4 times and which has had an adverse effect on the heart of the patient. Vaccines have had a detrimental side effect on the physical health of the patient since she was vaccinated with the Pfizer vaccine against Covid 19. The side effects included, without limitation: fatigue, tachycardia, headaches, she would fall asleep and she still falls asleep anywhere, without being able to avoid it, something that did not happen to her before. Sleepiness, tachycardia, sluggishness, dizziness, irritability due to being constantly scolded for falling asleep in public places, misinterpreted in places for falling asleep, as it happened when someone was about to call the ambulance that served her, so that they would take her away, causing her more humiliation and embarrassment, which was not the case before the vaccines were applied. Patient has been attended by doctors. Patient has suffered from tachycardia since she was vaccinated with the Pfizer Covid 19 vaccine, therefore, she suffered the fear of having a heart attack that incapacitates her or that causes her death, because she has a daughter and grandson with autism to take care of. The Patient suffered a loss of income, due to not being able to work with those symptoms. Patient has suffered mental anguish due to public humiliation for falling asleep, being treated as a nuisance. Patient has incurred in medical expenses and medicines and laboratories plates and (Hospital name), to which she went on various occasions. The damage caused to the patent's heart is irreparable. the patient is hypoglycemic and has 2 heart murmurs to be repaired. The mental anguish includes a lack of adequate rest, as the patient cannot sleep due to the worry about the occurrence of a heart condition since she was vaccinated against Covid 19, headaches, tachycardia, the fear of suffering a heart attack, she cannot perform tasks or do any strenuous activities that she could do before getting vaccinated. The patient has suffered physically and emotionally as a result of the application of the Covid 19 vaccine. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.