Ear ringing; Wednesday still had a slight headache and felt a little off.; Shoulder sore like a bruise or deep sprain; Body felt warm but no fever (temp 97.1); Cold in bed with blanket; Bad headache (lasted 2 days - took tylenol which I rarely do); Weird dreams (on first night only); Tossed and turn all night; Knuckles on fingers and toes stiff and felt swollen big toes especially; Very thirsty - got up twice for a drink and to urinate which is rare; Slightly nauseous once during the night; This is a spontaneous report from a contactable consumer, the patient. A 52-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8735) via an unspecified route of administration in the right arm on 03May2021 at 11:30 (at the age of 52-years-old) as a single dose for COVID-19 immunisation. Medical history included seasonal allergies and known allergies to penicillin and sulfa drugs. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included cetirizine hydrochloride (ZYRTEC) from an unknown date for an unknown indication and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6206) via an unspecified route of administration in the right arm on 10Apr2021 at 17:30 (at the age of 52-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 04May2021 at 00:00, the day after the second shot, the patient experienced shoulder sore like a bruise or deep sprain, body felt warm but no fever (temp 97.1), cold in bed with blanket, bad headache (lasted 2 days - the patient took tylenol which he rarely did), weird dreams (on first night only), tossed and turn all night, knuckles on fingers and toes stiff and felt swollen big toes especially, very thirsty - the patient got up twice for a drink and to urinate which was rare, slightly nauseous once during the night. On 05May2021, the patient still had a slight headache and felt a little off. The patient was mostly back to normal by 06May2021 with some ear ringing. On 08May2021, the patient experienced right ear had a loud "E" and then dropped to a constant ringing "E" and the patient couldn't hear fully out of it. The patient was used to some tinnitus occasionally due to allergies or ear wax, but this was different. The patient reported that if it didn't clear up by Monday, the patient would call his doctor. On 04May2021, the patient underwent lab test which included body temperature test and the result was found to be 97.1 (units unspecified). The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of the event bad headache which included treatment with paracetamol (TYLENOL). Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events shoulder sore like a bruise or deep sprain, body felt warm but no fever (temp 97.1), cold in bed with blanket, weird dreams (on first night only), tossed and turn all night, knuckles on fingers and toes stiff and felt swollen big toes especially, very thirsty - got up twice for a drink and to urinate which is rare, slightly nauseous once during the night, ear ringing, some tinnitus occasionally and felt a little off was unknown at the time of this report; while that of the event bad headache was resolved on 06May2021.   No follow-up attempts are needed. No further information is expected.