lots of fatigue; he developed blurred vision (sees a halo); tired; cannot sleep; hungry but he cant eat; hungry but he cant eat; pain in shoulder; coughs so hard; throws up; sometimes when he is breathing, he feels he is not getting the breath that he needs so he starts to hyperventilate; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 40 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 28Aug2021 (Lot number: FC3180) at the age of 40 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Anxiety" (unspecified if ongoing); "he smokes cigarettes" (unspecified if ongoing). There were no concomitant medications. Past drug history included: Paxil for anxiety, notes: anxiety before he had the vaccine and he was prescribed Paxil and it did not work. Vaccination history included: Bnt162b2 (Dose: 1, Lot: FA7485, Expiration: unknown, injection in right arm in shoulder), administration date: 05Aug2021, when the patient was 40 years old, for COVID-19 immunization, reaction(s): "pain in shoulder". The following information was reported: VISION BLURRED (non-serious) with onset Nov2021, outcome "not recovered", described as "he developed blurred vision (sees a halo)"; FATIGUE (non-serious) with onset Sep2021, outcome "not recovered", described as "tired"; INSOMNIA (non-serious) with onset Sep2021, outcome "not recovered", described as "cannot sleep"; FATIGUE (non-serious) with onset Nov2021, outcome "not recovered", described as "lots of fatigue"; HUNGER (non-serious), EATING DISORDER (non-serious) all with onset Sep2021, outcome "not recovered" and all described as "hungry but he cant eat"; ARTHRALGIA (non-serious) with onset Aug2021, outcome "recovered" (2021), described as "pain in shoulder"; COUGH (non-serious) with onset Aug2021, outcome "not recovered", described as "coughs so hard"; VOMITING (non-serious) with onset Aug2021, outcome "not recovered", described as "throws up"; DYSPNOEA (non-serious) with onset Aug2021, outcome "not recovered", described as "sometimes when he is breathing, he feels he is not getting the breath that he needs so he starts to hyperventilate". Therapeutic measures were taken as a result of insomnia, dyspnoea.  Additional information: He saw his girlfriends primary doctor for anxiety before he had the vaccine and he was prescribed Paxil and it did not work. He did not have the Paxil since he stopped taking over a year ago and no longer had it to provide lot since it did not do anything for him. He did not see this doctor for what happened after the vaccine He wanted to get as much information as possible before he sees an hcp. He stated his side effects are stronger than they have ever been since 2nd dose. He reported previous pain in shoulder after the 2nd dose but that was gone now. He took a sleep aid but was still unable to sleep for several hours after he takes it. Also reported that 4 out of 7 days he wakes up and he coughs so hard that he throws up. He Has not followed up with hcp; he worked for himself. No other product, patient history or investigation assessment was reported. Caller reported that he was having reactions to the covid vaccine, he was going blind. It feels like he is going blind, stated that's what it feels like. He always had really good vision and ever since he took the vaccine, it is like a halo that he sees or provides the example of when people blur out faces on TV, when he looks at stuff that is what it looks like, like a halo or blurred vision. Reported he was hungry but he could not eat. He was tired but could not sleep and he had fatigue that he had never seen in his life. When he got the first dose, he was so happy that he finally did it and got it even though he was against it. No big deal initially with first dose and he did not feel nothing. He was told his arm would hurt the next day. His shoulder had pain inside the shoulder and it hurt to lift his arm up, it hurt when he slept, this lasted till he got the last dose and then it hurt for another week and then went away. He is fully vaccinated. He did not know what was going on sometimes vision is good and sometimes vision is bad. Treatment: declines any. He has to hold the card close to his face to be able to look at it. He was two days late, stating he should have got the second dose on 26Aug2021 but he did not get the second dose till 28Aug2021. A sample of the product was not available to be returned, if requested.  No follow-up attempts are possible. No further information is expected.