kidney failure; severely anemic; fatigue,felt a little droopy; a little bit of discomfort; soreness of the muscles; After the second dose the caller looked at herself in the mirror and was pale; she was not herself; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation solution for injection, batch/lot number: EW0183, NDC and expiration date unknown), via an unspecified route of administration on 27May2021 as dose 2, single dose for covid-19 immunization (age at the vaccination 58-years-old). The patient medical history and concomitant medications were not reported. The patient previously received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, batch/lot number: EW0170) via an unspecified route of administration administered at left arm on 04May2021, as single dose for COVID-19 immunization and experienced the adverse events sore arm, urinated and had an odour that came out of her that was so pungent like sulphur and ammonia, chills, night sweats, taste was definitely altered, headache and doesn't feel like herself. It was reported that on 27May2021 patient received second dose of vaccine and after that on an unspecified date she looked at herself in the mirror and was pale and she kept saying she doesn't feel like herself. She waited and it's been 2 weeks since the second dose on Friday she couldn't take it, she needed to be seen. The patient didn't have the "can't swallow or trouble breathing", but her stomach- she wasn't herself. She went to the doctor and the doctor said, "she looks great medically" and then she asked the doctor if she looked pale. On Monday 14Jun2021, the doctor did an anaemic test and a metabolic panel and on Tuesday 15Jun2021 the doctor called her and said, "I am very concerned you are severely anaemic and your kidneys are in kidney failure, you need to go to the emergency room". The patient went to the emergency room and has been admitted ever since. She was admitted on 15Jun2021 at about 12:30. She stated that everyone said her that "You do not look like you are in kidney failure, but you are" and she came in with a haemoglobin of 7 and got 2 blood transfusions. She also mentioned that when had the second dose, on an unspecified date there was a little bit of discomfort but nothing like the first dose and also had the fatigue and the soreness of the muscles after the second dose. She would keep her enthusiasm but felt a little droopy, she was not herself. She stated that she was on the road to recovery. She has to come in and do the weekly EPO, Retacrit, shot and the steroid. At first the caller was on the fence about the vaccine because no one knows anything about the vaccine. The caller's doctor said the vaccine is safe, meaning not life threatening. If kidney failure is not life threatening, then the caller doesn't know what it was. On 14Jun2021, the patient underwent lab tests and procedures which included haemoglobin which was 7 and metabolic function test showed kidney failure. Therapeutic measures were taken as a result of event. The outcome of the events was recovering.