she was in cytokine storm; Covid-19 virus; Covid-19 virus; not feeling well; feeling the cough; This is a spontaneous report from a contactable consumer. A 75-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in Arm on an unspecified date of Jan2021 as dose 1, single, dose 2 via an unspecified route of administration, administered in Arm on 10Feb2021 as DOSE 2, SINGLE for covid-19 immunization (at the age of 75 years). Medical history included rheumatoid arthritis and AFib from an unknown date and unknown if ongoing. Taking immunosuppressive medications Methotrexate and Sulfasalazine. The Rheumatologist discussed with reporter that it's possible she did not have the appropriate immune response due to taking the immunosuppressants Patient's nephew was diagnosed with Covid, but patient had not seen her nephew in the 2 weeks prior to onset of patient's symptoms or since then. Patient's husband was diagnosed with Covid-19 virus on 20Aug2021 as well. Concomitant medications included methotrexate (METHOTREXATE) taken for rheumatoid arthritis from an unspecified start date to 21Aug2021; sulfasalazine (SULFASALAZINE) taken for rheumatoid arthritis from an unspecified start date to 21Aug2021. Consumer's mother received both doses of Pfizer Covid-19 Vaccine and has since been diagnosed with Covid-19 virus. She is currently hospitalized for Covid-19 virus. She verified that her mother received both doses of Pfizer Covid-19 Vaccine and has since been diagnosed with Covid-19 virus. She is currently hospitalized for Covid-19 virus. Caller is hospitalized. Patient tried to see her primary care physician when she first was feeling the cough and not feeling well; but they refused to see the patient until she had a covid test. She struggled to find a covid test. Date of onset: Starting 14Aug2021 patient was supposed to meet reporter but called reporter and said she was not going to come because she was coughing, did not feel good, was just not comfortable. Patient has been cautious she is a Rheumatoid arthritis patient on immunosuppressing drugs: Methotrexate and Sulfasalazine. She has been careful but that does not mean they've been perfect. On 15Aug2021 patient felt better. On 16Aug2021 patient felt bad again so reporter told her to call the doctor who wouldn't see patient until she got covid test. On 17Aug2021 patient felt a little better reporter asked patient to have you checked about the covid test patient said no because she feels better. On 18Aug2021 patient felt like crap patient ended up going to facility in (place) for them to administer the Covid test. They told her it could be Friday, 20Aug2021 before got the results report back. Reporter called her on 19Aug2021 asked how you feel, patient felt terrible and on 20Aug2021 patient felt terrible. Reporter's Daddy took the patient to the Emergency Room on 20Aug2021. They tested her for Covid and told her she was positive on 20Aug2021. She was given 2 different pieces of information from 2 different people at the Emergency room. The first told her they were going to admit her; then the second told her you're fully vaccinated you will recover fine, that they were sending her home. They called reporter's Daddy in from the parking lot and tested him for Covid. They told him it would be a couple of hours before they got the results so he told them to just put it in his chart because he had to get the patient home because she felt terrible. Patient and reporter's daddy went home. On Monday, 23Aug2021 the patient went to the hospital by ambulance, that's when they admitted her and said she was in cytokine storm. Caller just keeps thinking if they had kept her on 20Aug2021 the patient wouldn't be in this state. Outcome is unknown, the patient has been a little bit up and down. The hospital has her on Remdesivir and something that starts with a 'B' like baksatininib or something, she does not know the name of the medication. They wanted to put her on something that started with a T that they use for Rheumatoid arthritis patients to fight the cytokine storm, Toxa something, she does not know the name; but it is a product the hospital can't get a supply of right now; so, they put her on the one that starts with a 'B' as second choice. Patient did have to stop the immunosuppressant drugs on 21Aug2021 because reporter called her Rheumatologist and said mama tested positive last night so reported needed to check if she should still be taking the Methotrexate and Sulfasalazine and he said not, do not let her take those today. He said it's ok, she's fully vaccinated, she should get better after 5 days but reporters told him she had already been sick for 5 days. Caller just knows the patient was in line in the morning at one of those mass events with long lines, so she knows patient was in line in the morning but does not know if got her doses in the morning or afternoon or when. The 2 doses completed her prescribed therapy. She became sick with Covid-19 virus before the 3rd dose/booster shot was recommended. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 20Aug2021. The outcome of the events was unknown.  The lot number for the vaccine, (BNT162B2), was not provided and will be requested during follow-up.