pulse rate has been a little elevated; getting out of breath; crack in the knuckle area on the second finger; rash on his left side where got shot on his hand, specifically top of hand and on his first, second, third, fourth, and fifth finger/on his first finger, thumb/high and got bright pink; there was pressure in his skull; like he was going sideways; felt like he was drugged; Palpitations; Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine; This is a spontaneous report from a contactable consumer (patient). A 52-years-old male patient received bnt162b2 (PFIZER COVID 19 VACCINE, Solution for injection, Lot Number: EW0173; Expiration Date: 31Aug2021), via an unspecified route of administration, administered in arm left on 11May2021 (at the age of 52-years-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Investigation Assessment was no. Caller stated he was calling about the Pfizer COVID 19 vaccine. Caller stated he had some adverse reactions to it. Caller stated the adverse reactions he experienced were palpitations, getting out of breath like when he was walking up and down the stairs especially when carrying laundry or a garbage can and he never had this problem doing that unless he had an upper respiratory infection and prior to the vaccine he was perfectly fine. Caller stated also there was a rash on his left side where he got the shot on his hand, specifically the top of hand and on his first, second, third, fourth, and fifth finger. Caller stated on his first finger, the thumb, there was a rash that started bubbling up below the middle knuckle. Caller stated he has a crack in the knuckle area on the second finger. Caller stated the rash came up high and got bright pink and then started to crack where it then popped and the same thing happened on his pinky finger. Caller stated he has a pulse ox where it does his respiratory rate and it usually holds 24 to 27 somewhere in that range but after the first vaccine it was somewhere around 16. Caller stated he also just felt like he was drugged like the vaccine was way too strong. Caller stated he felt like his blood pressure was always 135 over 78 to 80 but after the vaccine it went down to 124/78 and so his blood pressure has been better since the vaccine which was strange not supposed to be a blood thing. Caller stated like the blood pressure has even been 119/26 and 126/74. Caller stated but his pulse rate has been 86, 87, 90 so the pulse rate has been a little elevated. Caller stated he still has two major ones that he has not yet told this DSU agent which was the cranial pressure in his head within the first 4 hours going on 2 to 3 days felt like there was pressure in his skull. Caller stated the first hour or so after the vaccine he felt like he was drug and he even had caffeine and got his car cleaned, but he felt like his body was behind him like woozy to stomach like in slow motion with exertion and it felt like he was drugged. Caller stated he just wished the vaccine dosage had a high of like if it was 0.3 maybe should be 0.2. Caller stated there should be a different regimen based on height and weight. Caller stated palpitations started the same day 10 to 12 hours after getting the first shot. Caller stated it was getting somewhat better but after the second shot it got worse. Caller stated he had woken up and it had appeared after the first dose. Caller stated he got the shot on 11May2021 and it started in the middle of night around 12:20 am or 1: 00 am and 3: 00 am it woke up him. Caller stated this stopped a week to ten days after the first dose and then it came back after the second. crack in the knuckle area on the second finger: Caller stated he was scheduled for the dose around 12:20 and they had to get more vaccines and so he had to get it around 3:00pm. Caller stated this started to feel bad in the first two hours. rash got bright pink: Caller stated within that second day of getting the first dose it was pink. Caller stated within the first 24 hours he told his mom how he felt like he was drugged. Caller stated this stopped about a week or 10 days after. Felt like he was drugged: Caller stated this started within 4 hours. Caller stated he started to feel better in 5 days and then 10 days after he was completely better. Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine: Caller stated this started either 12May2021 or 13May2021. Pulse rate has been a little elevated: Caller stated on the following day his pulse rate was 114 and 120 was the highest. Caller stated after the first dose it was between 116 to 120 and after the second dose it was slightly elevated like 90 or something. Felt like there was pressure in his skull: Caller stated 10 to 12 day after the first vaccine and this got better. felt like he was going sideways: Caller stated this stopped within two days after the first dose. The patient underwent lab tests and procedures which included blood pressure measurement: 124/78, 119/26, 126/74, respiratory rate: 16, heart rate: 86, 87, 90, 114, 120 and 116 to 120 in 2021. The outcome of event Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine, felt like he was drugged and pulse rate has been a little elevated was resolving, like he was going sideways was resolved on Jun2021 and other events was not resolved.  Follow-up attempts are completed. No further information is expected.