intolerably severe "brain zaps"(paresthesias); intolerably severe "brain zaps"(paresthesias); intolerably severe "brain zaps"(paresthesias); cold-like illness; This is a spontaneous report received from non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. Other Case identifier(s): MOD-2021-158733 (Moderna).  A 47-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 14Sep2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Obstructive sleep apnea" (unspecified if ongoing), notes: Obstructive sleep apnea; "Hyperlipidemia" (unspecified if ongoing); "Hypertension", start date: 2022 (unspecified if ongoing), notes: Newly diagnosed, gradual onset; "Pre-diabetes" (unspecified if ongoing); "OCD", start date: 1989 (unspecified if ongoing), notes: OCD; "Sleep" (unspecified if ongoing), notes: Sleep. Concomitant medication(s) included: ATORVASTATIN oral taken for hyperlipidaemia (ongoing); MELATONIN oral taken for sleep disorder (ongoing); PAROXETINE oral taken for obsessive-compulsive disorder (ongoing). Past drug history included: Quetiapine, stop date: 2021, notes: Strength/Frequency: 25-50 mg/day, Route: Oral. Vaccination history included: coviD-19/mrna-1273 (Manufacturer: Moderna, Time: 11:00 AM, Lot umber/Batch number: 009C21A, Rout: IM, Body site: Left arm, Dose number in series: 1 of 2), administration date: 20Apr2021, for COVID-19 immunization, reaction(s): "Brain zaps (Paraesthesia)"; coviD-19/mrna-1273 (Manufacturer: Moderna, Time: 06:10 PM, Lot umber/Batch number: 041C21A, Rout: IM, Body site: Right arm, Dose number in series: 2 of 2), administration date: 19May2021, for COVID-19 immunization, reaction(s): "Brain zaps (Paraesthesia)"; Bnt162b2 (Dose number in series: 3), administration date: Dec2021, for COVID-19 immunization, reaction(s): "Brain zaps (Paraesthesia)". The following information was reported: NASOPHARYNGITIS (non-serious) with onset 02Nov2022, outcome "recovered" (03Nov2022), described as "cold-like illness"; CONDITION AGGRAVATED (non-serious), ELECTRIC SHOCK SENSATION (non-serious), PARAESTHESIA (non-serious) all with onset 02Nov2022 at 17:30, outcome "recovered" (03Nov2022) and all described as "intolerably severe "brain zaps"(paresthesias)". Additional information: Allergies to medications, food and other products was unknown. Acute illness at the time of vaccination and up to one month before was reported as none. If the adverse event most likely caused by mRNA-1273 was reported as no. If there any other potential causes was reported as yes. New onset of a cold or flu-like illness (COVID-19 test result pending) but that was not a normal cold symptom. The patient experienced a similar event in the past and symptoms were nearly identical to, but more severe than that caused by withdrawal if a dose of paroxetine was skipped, and he do not believed he skipped a dose that day, but he (patient) actually took more than the prescribed dose (to try to make the symptoms go away). Did the event cause the patient to seek medical care was reported as yes. Shortly after the first dose (20Apr2020 around 11:05 or 11:10 AM). Noticed a tremor in the arm when holding a cell phone. He returned to the office immediately and the symptoms did not reoccur. On 20May2021, (the day after the second dose), He experience multiple brain zaps or shock like sensations (paresthesia) occurring a few times an hour beginning the afternoon of the day after the second dose picking in frequency around) 6:00 pm (about 24 hours after the dose) and subsiding over the next few hours. This was identical to the withdrawal symptoms caused when he missed a dose of Paroxetine however it seemed too occur more frequently than would be caused by Paroxetine withdrawal, and he felt intolerable in severity and to the best of his knowledge and recollection he had taken his medicine that day. He didn't recall the medical attention he sought but most likely he either called or emailed a doctor or had a  visit. Moreover, he experienced mild paresthesia (brain zaps) after taking the Pfizer booster in Dec2021; moderate symptoms after taking the bi-valent booster on 14Sep2022 and intolerably severe brain zaps paresthesia on Wednesday 02Nov2022, the day of onset of a cold-like illness. He had not associated such symptoms with the onset of cold or the flu prior to receiving a coronavirus vaccine. His primary care doctor at the time of vaccination was withheld which is also where the two primary doses of Moderna were administered. Which was also where the two primary doses of Moderna were administered doctor withheld did not believe the symptoms were caused by the vaccine and he no longer see him, he had also discussed the symptoms with doctor withheld who can be reached at withheld or withheld. His current primary care doctor is withheld.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.