an auto immune disease; pain is unreal some days; congestive heart failure; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 45-year-old female patient received BNT162b2 (BNT162B2), in 2020 as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient’s relevant medical history and concomitant medications were not reported. The following information was reported: CARDIAC FAILURE CONGESTIVE (medically significant) with onset 2024, outcome “unknown”, described as “congestive heart failure”; AUTOIMMUNE DISORDER (medically significant), 6 months after the suspect product(s) administration, outcome “unknown”, described as “an auto immune disease”; PAIN (non-serious), outcome “unknown”, described as “pain is unreal some days”. The event “an auto immune disease” required physician office visit. Clinical details: Fast forward to 10 months ago the patient was diagnosed with congestive heart failure. Not 1 case of any kind of heart disease anywhere in either side of her family. The patient is a married woman, with 4 kids, and just had her 1st grandbaby. Before she had the shot in 2020, she was healthy, played softball as adult, very on the go with kids and work, never slowed down. 6 months after Pfizer’s covid vaccine, she is finding that she has an auto immune disease that most likely would have laid dormant rest of her life if she wouldn’t have had. 7 different dermatology confirmed. Pain is unreal some days. Her girls have to brush her hair after. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.