He had a heart attack on the way to the hospital and passed away at 5pm; On 16Nov he had  tightening in his chest; Diarrhea; Severe weakness; Stopped breathing; Next day after vacation name withheld developed fever; Headaches; Lost of appetite; Trouble breathing; Heart palpitations; Low blood pressure; This is a spontaneous report received from contactable reporter (Consumer or other non HCP).  A 69 year-old male patient received bnt162b2 (Pfizer-BioNTech COVID-19), administered in arm left, administration date 14Nov2021 15:00 (Lot number: Ph8030) at the age of 69 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Lung cancer" (unspecified if ongoing); "Some food and seasonal allergies" (unspecified if ongoing). Concomitant medication(s) included: LIPITOR; ZOLOFT; MULTAQ; Flexibility. The patient had not received any other vaccine within 4 weeks. Prior to vaccination patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested for COVID-19. The following information was reported: MYOCARDIAL INFARCTION (death, hospitalization) with onset 16Nov2021 17:00, outcome "fatal", described as "He had a heart attack on the way to the hospital and passed away at 5pm"; PYREXIA (hospitalization) with onset 15Nov2021 08:00, outcome "not recovered", described as "Next day after vacation name withheld developed fever"; HEADACHE (hospitalization) with onset 15Nov2021 08:00, outcome "not recovered", described as "Headaches"; DECREASED APPETITE (hospitalization) with onset 15Nov2021 08:00, outcome "not recovered", described as "Lost of appetite"; DYSPNOEA (hospitalization) with onset 15Nov2021 08:00, outcome "not recovered", described as "Trouble breathing"; PALPITATIONS (hospitalization) with onset 15Nov2021 08:00, outcome "not recovered", described as "Heart palpitations"; HYPOTENSION (hospitalization) with onset 15Nov2021 08:00, outcome "not recovered", described as "Low blood pressure"; CHEST DISCOMFORT (hospitalization) with onset 16Nov2021, outcome "not recovered", described as "On 16Nov he had  tightening in his chest"; DIARRHOEA (hospitalization) with onset 16Nov2021, outcome "not recovered", described as "Diarrhea"; ASTHENIA (hospitalization) with onset 16Nov2021, outcome "not recovered", described as "Severe weakness"; DYSPNOEA (hospitalization) with onset 16Nov2021, outcome "not recovered", described as "Stopped breathing". The events "he had a heart attack on the way to the hospital and passed away at 5pm", "next day after vacation name withheld developed fever", "headaches", "lost of appetite", "trouble breathing", "heart palpitations", "low blood pressure", "on 16nov he had  tightening in his chest", "diarrhea", "severe weakness" and "stopped breathing" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: (15Nov2021) low. Therapeutic measures were not taken as a result of myocardial infarction, pyrexia, headache, decreased appetite, dyspnoea, palpitations, hypotension, chest discomfort, diarrhoea, asthenia, dyspnoea. The patient date of death was 16Nov2021. The reported cause of death was myocardial infarction. It was not reported if an autopsy was performed. Clinical course: Next day after vacation developed fever, headaches, lost of appetite, trouble breathing,  heart palpitations, low blood pressure. On 16Nov he had  tightening in his chest, diarrhea, severe weakness. He stopped breathing around 3pm 16Nov2021. Ambulance was called in. He had a heart attack on the way to the hospital and passed away at 5pm.; Reported Cause(s) of Death: He had a heart attack on the way to the hospital and passed away at 5pm