my spinal canal was under a lot of pressure; The next day after my vaccination the normal places where I was experiencing pain basically doubled/But day after that I started experiencing pain in new areas not associated with the surgery; coughing caused me to cry out in pain; It definitely got worse during the second and third day after the shot; It hurt my spine to just breathe; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 70-year-old male patient received BNT162b2 (BNT162B2), on 20Apr2022 at 17:00 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 70 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing), notes: I have well controlled Diabetes. W Ozempic; "Allergies: Grasses and weeds" (unspecified if ongoing); "Low T" (unspecified if ongoing), notes: Low T / Androgel; "Got a new hip 6 mos ago" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing), notes: Well controlled Cholesterol. Crestor; "Bad back, fused" (unspecified if ongoing); "back surgery", start date: 2022 (unspecified if ongoing), notes: I had back surgery 39 days ago, when they fused L4 and L5. Concomitant medication(s) included: OZEMPIC taken for diabetes mellitus; ANDROGEL taken for blood testosterone decreased; CRESTOR taken for blood cholesterol. Vaccination history included: Covid-19 vaccine (Dose 1, unknown manufacturer), for Covid-19 Immunization; Covid-19 vaccine (Dose 2, unknown manufacturer), for Covid-19 Immunization; Covid-19 vaccine (Dose 3, unknown manufacturer), for Covid-19 Immunization.  The following information was reported: CONDITION AGGRAVATED (non-serious) with onset Apr2022, outcome "not recovered", described as "It definitely got worse during the second and third day after the shot"; SPINAL DISORDER (non-serious) with onset Apr2022, outcome "not recovered", described as "It hurt my spine to just breathe"; PAIN (non-serious) with onset 21Apr2022 at 13:00, outcome "unknown", described as "The next day after my vaccination the normal places where I was experiencing pain basically doubled/But day after that I started experiencing pain in new areas not associated with the surgery"; COUGH (non-serious) with onset 21Apr2022 at 13:00, outcome "not recovered", described as "coughing caused me to cry out in pain"; SPINAL CORD COMPRESSION (medically significant) with onset 21Apr2022 at 13:00, outcome "not recovered", described as "my spinal canal was under a lot of pressure". The events "my spinal canal was under a lot of pressure", "the next day after my vaccination the normal places where i was experiencing pain basically doubled/but day after that i started experiencing pain in new areas not associated with the surgery", "coughing caused me to cry out in pain", "it definitely got worse during the second and third day after the shot" and "it hurt my spine to just breathe" required physician office visit. Therapeutic measures were taken as a result of spinal cord compression, pain, cough, condition aggravated, spinal disorder (Surgeon increased the pain meds. Oxy, Gaba, muscle).  Clinical course : Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the shot I was able to roll over in bed and sleep on my side but after the shot it was just way too painful to attempt to roll over. . Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19.   The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.