experienced heart attack symptoms while at rest; tightness/pain in the neck, chest, left arm, jaw, and my heart made two big pounds/thuds against my chest.; tightness/pain in the neck, chest, left arm, jaw, and my heart made two big pounds/thuds against my chest.; shortness of breath; occasional chest pain; racing heart rate when doing things as simple as standing or rising from sitting; neurological disturbance including tingling in the face/scalp, muscle twitches/vibrations internally and in the extremities.; neurological disturbance including tingling in the face/scalp, muscle twitches/vibrations internally and in the extremities.; neurological disturbance including tingling in the face/scalp, muscle twitches/vibrations internally and in the extremities.; burning in the arms/legs; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 30-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 14Apr2021 as dose 1, single (Lot number: ER8733) at the age of 30 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Irritable Bowel Syndrome" (unspecified if ongoing); "Interstitial Cystitis" (unspecified if ongoing). Concomitant medication(s) included: BENADRYL; TYLENOL; PSYLLIUM HUSKS. Past drug history included: Fluconazole, reaction(s): "known allergies; Fluconazole"; Ciprofloxacin, reaction(s): "known allergies; Ciprofloxacin". The following information was reported: BURNING SENSATION (non-serious) with onset 14Apr2021, outcome "unknown", described as "burning in the arms/legs"; MYOCARDIAL INFARCTION (medically significant) with onset 14Apr2021, outcome "unknown", described as "experienced heart attack symptoms while at rest"; NERVOUS SYSTEM DISORDER (non-serious), PARAESTHESIA (non-serious), MUSCLE TWITCHING (non-serious) all with onset 14Apr2021, outcome "unknown" and all described as "neurological disturbance including tingling in the face/scalp, muscle twitches/vibrations internally and in the extremities."; CHEST PAIN (non-serious) with onset 14Apr2021, outcome "unknown", described as "occasional chest pain"; HEART RATE INCREASED (non-serious) with onset 14Apr2021, outcome "unknown", described as "racing heart rate when doing things as simple as standing or rising from sitting"; DYSPNOEA (non-serious) with onset 14Apr2021, outcome "unknown", described as "shortness of breath"; CHEST DISCOMFORT (non-serious), PAIN (non-serious) all with onset 14Apr2021, outcome "unknown" and all described as "tightness/pain in the neck, chest, left arm, jaw, and my heart made two big pounds/thuds against my chest.". The events "experienced heart attack symptoms while at rest", "tightness/pain in the neck, chest, left arm, jaw, and my heart made two big pounds/thuds against my chest.", "shortness of breath", "occasional chest pain", "racing heart rate when doing things as simple as standing or rising from sitting", "neurological disturbance including tingling in the face/scalp, muscle twitches/vibrations internally and in the extremities." and "burning in the arms/legs" required physician office visit. The patient underwent the following laboratory tests and procedures: Heart rate: (14Apr2021) racing. Therapeutic measures were not taken as a result of myocardial infarction, chest discomfort, pain, dyspnoea, chest pain, heart rate increased, nervous system disorder, paraesthesia, muscle twitching, burning sensation.  Clinical course: The patient did not have Covid prior vaccination and not tested COVID post vaccination. The symptoms persisted for approximately three months. During this time, The patient saw her primary care physician and was ultimately referred to a cardiologist who then advised her to not take any further doses of the COVID vaccine. These neurological disturbances have since that date occurred on a rolling basis. The patient saw a neurologist for this  No follow-up attempts are possible. No further information is expected.