He felt like throwing up; After the first shot, he got sick; He reported that after getting both doses he experienced CHILLS; arm was a little sore; This is a spontaneous report from a contactable consumer (patient). A 40-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number was not reported, patient was 40-year-old at the time of vaccination), via an unspecified route of administration on 25May2021 at 09:30 as single dose for COVID-19 immunisation. It was reported that patient works at withheld Center and they get stuff from all over the country, out of the country, and they distribute to all withheld. He touches a lot of stuff and is diabetic. He was not wanting to get it but his sister and girlfriend and son told him he should to be safe. He just kind of listened to them. Medical history included diabetes; he has had since he was 22 he thinks, Smoker; he has been smoking since he was 17 he guesses, Occasionally drink on the weekend, ketoacidosis, He had high blood pressure. Family history included his dad had cancer and passed away when he was 58. Concomitant medication(s) included insulin human injection, isophane (NOVOLIN N, patient had been on since he was 23); insulin human (NOVOLIN R, patient had been on since he was 23); insulin (INSULIN) all taken for diabetes mellitus. Reported that he is diabetic and uses insulin and the same medication he has taken for years. He has been fine. His doctor a year ago gave him some heart medication because he had high blood pressure. The time before he saw him he said it was too low and stop taking it. He walks a lot and exercises or swims and uses insulins. One is long and one is short acting, he thinks he is a type 1 diabetic but he is not sure, he takes insulin. No additional Vaccines Administered on Same Date of the Pfizer Suspect. No prior Vaccinations within 4 weeks. On an unspecified date in May2021, the patient experienced he felt like throwing up, after the first shot, he got sick, he reported that after getting both doses he experienced chills, arm was a little sore. Reported that Arm was a little sore because he just thinks the pharmacist who gave the shot gave it rough. Also, his job is to walk a lot and lift stuff so that could be contributing to that part. Reporter seriousness for After the first shot, he got sick and it made him throw up, arm was a little sore was unspecified. On an unspecified date in 2020, the patient underwent lab tests and procedures which included blood test and CAT ketoacidosis, Reported that patient had ketoacidosis last year and they did do everything, CAT scans and all the blood work and everything. This was this past year but states it was prior to receiving the vaccine. No treatment received because his doctor did not know what to do and just referred him to a neurologist. The outcome of events (He felt like throwing up, After the first shot, he got sick, He reported that after getting both doses he experienced CHILLS) was recovered on an unspecified date in 2021 and the outcome of event (arm was a little sore) was recovered on an unspecified date in May2021.  Information about lot/batch number is requested.