he felt like he could throw up and could not/tried to vomit and could not; everything was spinning around, and he felt like he could throw up and could not; Dizzy; 1st two were Moderna/The booster shot was Pfizer COVID vaccine; 1st two were Moderna/The booster shot was Pfizer COVID vaccine; booster shot; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 04Dec2021 (Lot number: FF2593, Expiration Date: Dec2021) at the age of 65 years as dose 3 (booster), single for covid-19 immunisation; pneumococcal polysaccharide vaccine, 23-valent (PNEUMOCOCCAL POLYSACCHARIDE VACCINE, 23-VALENT), administered in arm right, administration date 28Dec2021 (Batch/Lot number: unknown) as dose number unknown, single. The patient had no relevant medical history. The patient's concomitant medications were not reported. Vaccination history included: Moderna (Dose:01, Lot: 039B21A, expiration is unknown, administered in left arm), administration date: 22Apr2021, when the patient was 64 years old, for COVID-19 Immunization; Moderna (Dose:02, Lot: 009C21A, expiration is unknown, administered in left arm), administration date: 24May2021, when the patient was 64 years old, for COVID-19 Immunization; Pneumococcal polysaccharide vaccine, 23-valent (vaccinated before, she told him he had it in 2015, no lot or expiration), administration date: 2015, for Immunization. The following information was reported: OFF LABEL USE (non-serious), INTERCHANGE OF VACCINE PRODUCTS (non-serious) all with onset 04Dec2021, outcome "unknown" and all described as "1st two were Moderna/The booster shot was Pfizer COVID vaccine"; IMMUNISATION (non-serious) with onset 04Dec2021, outcome "unknown", described as "booster shot"; NAUSEA (non-serious) with onset 29Dec2021 03:00, outcome "not recovered", described as "he felt like he could throw up and could not/tried to vomit and could not"; VERTIGO (non-serious) with onset 29Dec2021 03:00, outcome "not recovered", described as "everything was spinning around, and he felt like he could throw up and could not"; DIZZINESS (non-serious) with onset 29Dec2021 03:00, outcome "not recovered", described as "Dizzy". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The report was not related to a study or programme. The patient had no family medical history relevant to adverse event. The patient did not had any other AE(s) following prior vaccinations. He had all 3 of the COVID shots. 1st two were Moderna. The booster shot was Pfizer COVID vaccine, and they said it could be mixed. All injected in left arm.  He did not have any problems with these shots. The patient took Pneumonia PPSV23 vaccine on 28Dec2021 (Tuesday) at clinic.  He thought he had a side effect.  He was dizzy and tried to vomit and could not. He had been doing all right before this.  He was 65 years old and did not want to take it, but they said because of his age that he needed it. On Wednesday morning about 03:00, he woke up and was dizzy and wanted to vomit and could not, everything was spinning around, and he felt like he could throw up and could not.  It came back this morning at 04:00.  It was ok when he was up, but when he lays down, it came back.  His dizziness came back. The patient did not visited emergency room/ physician office for resulted events. He was in good health. No additional vaccines were administered on same date of the Pfizer suspect.  He did not had the flu shot. No relevant tests.  They did blood work every year and he does not had results yet.  They would do that every year. He would like to know if it was necessary for him to have another dose of this when he received first dose in 2015.