he had a stroke and it was the third one; felt extremely nauseated; light headedness/Extremely lightheaded/Everything in the room slowly shifted to the left; Fogginess; Threw up twice/Vomitted; Couldn't work for a week; Everything in the room slowly shifted to the left; Had headache; Took the Flu shot the exact same date as his Covid-19 vaccine booster dose: 01Nov2021; Took the Flu shot the exact same date as his Covid-19 vaccine booster dose: 01Nov2021; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program. The reporter is the patient.  A 54 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 01Nov2021 (Lot number: FF2593) at the age of 54 years as dose 3 (booster), single for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), administered in arm right, administration date 01Nov2021 (Batch/Lot number: unknown) as dose number unknown, single for immunisation. Relevant medical history included: "Vertigo", start date: 2018 (unspecified if ongoing), notes: 3 years ago, was treated and it never happened again; "TSI" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (COVID-19 Vaccine: First dose: , Date: 16Apr2021, Manufacturer: Pfizer, NDC/EXP: Unknown , LOT: EW0164, Dose Amount: Unknown), administration date: 16Apr2021, when the patient was 54 years old, for Covid-19 Immunization, reaction(s): "sore arm"; Bnt162b2 (COVID-19 Vaccine: Second dose: , Date: 07May2021, Manufacturer: Pfizer, NDC/EXP: Unknown , LOT: EW0165), administration date: 07May2021, when the patient was 54 years old, for Covid-19 Immunization, reaction(s): "had a mild stroke"; Bnt162b2 (COVID-19 Vaccine: Second dose: , Date: 07May2021, Manufacturer: Pfizer, NDC/EXP: Unknown , LOT: EW0165), administration date: 07May2021, when the patient was 54 years old, for COVID-19 immunization, reaction(s): "Lightheadedness", "Dull feeling under the skin"; Meningitis vaccine (2 weeks ago, beginning of Oct2021, Never took the booster dose for the Meningitis vaccine.), administration date: Oct2021, when the patient was 54 years old, for Immunization. The following information was reported: OFF LABEL USE (medically significant), PRODUCT USE ISSUE (medically significant) all with onset 01Nov2021, outcome "unknown" and all described as "Took the Flu shot the exact same date as his Covid-19 vaccine booster dose: 01Nov2021"; CEREBROVASCULAR ACCIDENT (medically significant) with onset 14Jan2022, outcome "unknown", described as "he had a stroke and it was the third one"; NAUSEA (non-serious) with onset 14Jan2022, outcome "unknown", described as "felt extremely nauseated"; DIZZINESS (non-serious) with onset 14Jan2022, outcome "unknown", described as "light headedness/Extremely lightheaded/Everything in the room slowly shifted to the left"; FEELING ABNORMAL (non-serious) with onset 14Jan2022, outcome "unknown", described as "Fogginess"; VOMITING (non-serious) with onset 14Jan2022, outcome "unknown", described as "Threw up twice/Vomitted"; IMPAIRED WORK ABILITY (non-serious) with onset 14Jan2022, outcome "unknown", described as "Couldn't work for a week"; VERTIGO (non-serious) with onset 14Jan2022, outcome "unknown", described as "Everything in the room slowly shifted to the left"; HEADACHE (non-serious) with onset 14Jan2022, outcome "recovering", described as "Had headache". The events "he had a stroke and it was the third one", "felt extremely nauseated", "light headedness/extremely lightheaded/everything in the room slowly shifted to the left", "fogginess", "threw up twice/vomitted", "couldn't work for a week", "everything in the room slowly shifted to the left" and "had headache" were evaluated at the physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: blood test: (unspecified date) his blood work is fine; (22Jan2022) unknown result; chest x-ray: (22Jan2022) unknown result; computerised tomogram: (22Jan2022) unknown result; echocardiogram: (unspecified date) stroke; electrocardiogram: (22Jan2022) unknown result; magnetic resonance imaging: (Aug2021) stroke; (07Feb2022) unknown result; sars-cov-2 test: (unspecified date) negative, notes: He was negative for COVID-19 three times on a rapid test and negative one time on a PCR test; (unspecified date) negative, notes: He was negative for COVID-19 three times on a rapid test and negative one time on a PCR test. Therapeutic measures were taken as a result of cerebrovascular accident.  Clinical course: Caller stated that he had experienced side effects such room vibrating that lasted 20minutes and had extreme lightheaded ness but still functional was demitted in ER and Echo and MRI was done showing that he had a stroke, and it was the third one (he did not feel any symptoms with the other 2 strokes hence unaware). Few days after her felt light headedness that lasted him 6 weeks. on 14Jan2022 he felt extremely nauseated. later on, he found out he was allergic to Lipitor which was manifested as rash and bumps at the back and was treated with steroids. He had a history of vertigo on 2018 and was treated and it never happened again. There is a loop under his skin recording his hear function 24/7 and he has no history of heart problem. On 14Jan2022 was getting ready for work. Half an hour after getting up, everything in the room slowly shifted to the left. Was nauseated. Stepped into shower and threw up twice. Had to sit on the bench in his shower and collect himself. Extremely lightheaded. Went ahead and showered. Then laid on his bed. The fogginess was extreme. Cancelled his day and the following week. Thought he had COVID. He never had the following symptoms: fever, chills, body aches, or diarrhea. He could eat normally. He was negative for COVID-19 three times on a rapid test and negative one time on a PCR test. He thought he had another stroke. Went back to cardiologist and neurologist. Never had either doctor before his first stroke after 23Aug2021. He just had three different versions of an MRI on Monday 07Feb2022. He had an MRI of his head and neck without contrast. He had an MRI with contrast. Just got the results and there is no more damaged noticed from the MRI in Aug2021. The MRI in Aug2021 showed that was his third stroke. Meaning he had two other strokes prior which he didn't even know about. He didn't feel lit. So far he has only had three strokes. On 14Jan2022, clarifies he had an episode, which felt like symptoms of a stroke. He was so messed up in the head after 14Jan2022. Couldn't work for a week. Has been to his cardiologist, neurologist, and primary care doctor. His doctors cannot figure out why this is happening. Besides the test he had on 23Aug2021 showing he had a stroke, every other test was fine. His blood work is fine. There was no build up in his arteries. Is a very healthy person. He ate really good, very active. Is 200 lbs, but was all muscle. His doctors could not find any reasons for him having these strokes or these episodes. Confirmed caller reported his experience with the first two doses of the Covid-19 vaccine. He has not reported his experience after the booster dose. Was not going to get the booster dose, but had to go into the hospital for an echo of his heart where they were looking to see if there were blood clots in the upper chamber of his heart. Took the Flu shot the exact same date as his Covid-19 vaccine booster dose: 01Nov2021. He would say his head is 98-99% back to normal. He just feels like he knows something happened and that is the best way to describe it. Time the Vaccination Was Given: between 1:00-1:30PM. Went to ER 22Jan2022 because he had broken out from a rash from Lipitor. He didn't know if this was part of what was going on. ER performed an EKG, Cat scan, Chest X-ray and bloodwork. He was sent out to the waiting room for the next 7 hours and then left on his own. He was not admitted to the hospital. He had an MRI of his head and neck without contrast. He had an MRI with contrast.   Follow-up attempts are completed. No further information is expected.