too weak to get up; Chest pain; it was kind of hard to breathe, like he couldn't take in a deep breath; fast pounding heartbeat; Muscle pain; joint pain like crazy from his wrist to his elbows, shoulders, knees ankles, everything; have a fever more yesterday than today; Nausea, almost vomiting; Nausea, almost vomiting; arm pain; diarrhea, can't keep anything inside; Headache; Chills; replaced by hot flashes; broke out in a sweat for no reason; nervous; upset stomach; Fatigue/Tiredness; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 49-year-old male patient received bnt162b2 (BNT162B2), administered in deltoid left, administration date 04Sep2021 10:30 (Lot number: FC3184) at the age of 49 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Blood pressure high" (ongoing), notes: He has high blood pressure but takes blood pressure medication. The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose: 1, Batch/lot number :FC3184), administration date: 14Aug2021, when the patient was 49 years old, for COVID-19 immunization. The following information was reported: FATIGUE (non-serious) with onset Sep2021, outcome "unknown", described as "Fatigue/Tiredness"; CHEST PAIN (non-serious) with onset 05Sep2021, outcome "unknown", described as "Chest pain"; DYSPNOEA (non-serious) with onset 05Sep2021, outcome "unknown", described as "it was kind of hard to breathe, like he couldn't take in a deep breath"; PALPITATIONS (non-serious) with onset Sep2021, outcome "unknown", described as "fast pounding heartbeat"; MYALGIA (non-serious) with onset Sep2021, outcome "unknown", described as "Muscle pain"; ARTHRALGIA (non-serious) with onset Sep2021, outcome "unknown", described as "joint pain like crazy from his wrist to his elbows, shoulders, knees ankles, everything"; PYREXIA (non-serious) with onset Sep2021, outcome "unknown", described as "have a fever more yesterday than today"; NAUSEA (non-serious), VOMITING (non-serious) all with onset Sep2021, outcome "unknown" and all described as "Nausea, almost vomiting"; PAIN IN EXTREMITY (non-serious) with onset Sep2021, outcome "unknown", described as "arm pain"; DIARRHOEA (non-serious) with onset Sep2021, outcome "unknown", described as "diarrhea, can't keep anything inside"; HEADACHE (non-serious) with onset Sep2021, outcome "unknown", described as "Headache"; CHILLS (non-serious) with onset Sep2021, outcome "recovering", described as "Chills"; HOT FLUSH (non-serious) with onset Sep2021, outcome "unknown", described as "replaced by hot flashes"; HYPERHIDROSIS (non-serious) with onset Sep2021, outcome "unknown", described as "broke out in a sweat for no reason"; NERVOUSNESS (non-serious) with onset Sep2021, outcome "unknown", described as "nervous"; ABDOMINAL DISCOMFORT (non-serious) with onset Sep2021, outcome "unknown", described as "upset stomach"; ASTHENIA (non-serious), outcome "unknown", described as "too weak to get up".  Additional information: Patient confirms he is the patient. Patient received the 2nd dose of the Pfizer Biontech COVID19 (Comirnaty) vaccine on Saturday, 04Sep2021 and has experienced 90% of the symptoms and still experiencing it. He got his shot-on Saturday morning and by Saturday evening, he was completely run down. He started out with a lot of fatigue. He guesses by Sunday morning, he had chest pain, it was kind of hard to breathe, like he couldn't take in a deep breath. He did have a fast pounding heartbeat. He did take a reading of his blood pressure because he was getting kind of nervous. He had muscle pain, joint pain like crazy from his wrist to his elbows, shoulders, knees ankles, everything. It was unbelievable. He did have a fever more yesterday than today. He had nausea, almost vomiting. He had arm pain. He has had diarrhea all day today and he can't keep anything inside. He states he just gave up trying and said to hell with that. He had tiredness and a headache, he states the headache was crazy. He was going by all the paperwork that was given to him at Pharmacy (where he received the shot). The paperwork explains a lot of things and he experienced most of the symptoms listed. It was bad. He states he is still kind of going through it, but he is at the tail end he would say. He planned to return to work, but his employer is concerned if he should be returning to work. Patient wants to know if the symptoms after the 2nd dose are contagious since his employer told him that he could come back to the office tomorrow. When probed to determine the outcome of his symptoms, the patient states most of it has subsided. He is having some other different symptoms, just like the upset stomach. He still has a little bit of chills today which kind of went away yesterday and was replaced by hot flashes, he broke out in a sweat for no reason.   No follow-up attempts are possible. No further information is expected.