heart rate 200 bpm and elevated resting heart rate; arm was a little sore/feet have been extremely sore; he urinate a lot which was unusual; had urgency that if he does not get to the bathroom he would pee his pants; upset stomach like diarrhea; pain in the center of his back/joint pains right on his spine; shoulder blades feels tight at times; pain around the left side of his chest; dull pain right around the left side of his breast, chest; The right side started hurting a lot almost like he got punched in the kidneys; waking up in the middle of the night and not able to go back to sleep; headache that are almost migraines; feeling like he have a nail in his foot, toes still numb and throbbing/Big toe and little toes are numb; feeling like he have a nail in his foot, toes still numb and throbbing; insomnia; upset stomach like diarrhea; headache that are almost migraines; extreme tiredness, fatigue; This is a spontaneous report from a contactable consumer (patient). A 46-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number was not reported), via an unspecified route of administration on 07Sep2021 14:00 (at the age of 46-years-old) as dose 1, single for covid-19 immunization. The vaccine was administered at the hospital. The patient medical history was reported as none. Concomitant medication included ibuprofen, pseudoephedrine hydrochloride (MOTRIN SINUS HEADACHE) taken for an unspecified indication, start and stop date were not reported. The patient previously received ANTHRAX VACCINE in 2004, then at least 2-3 other times in 2005. The patient had the first dose of the Pfizer-BioNTech COVID-19 Vaccine on 07Sep2021. He reported several side effects after receiving the vaccine (Sep2021) including arm was a little sore, he urinate a lot which was unusual, had urgency that if he does not get to the bathroom he would pee his pants, upset stomach like diarrhea, pain in the center of his back, right side hurting a lot, feet have been extremely sore (very painful like it's broken), insomnia and waking up in the middle of the night and not able to go back to sleep, pain around the left side of his chest, headache that are almost migraines, feeling like he have a nail in his foot, toes still numb and throbbing, heart rate 200 bpm and elevated resting heart rate. He was asking if this was normal. He noted that he was hesitant to get the second dose and he feels like this was not normal. He is contributing it to the vaccine as he has never felt this extreme pain. He clarified all events started about 10Sep2021 and progressed, worsened after that point. Besides arm a little sore, pretty normal; but it got to the point where he would have to pee a lot, very unusual for him.  You only get to go at certain times, so it's not uncommon for him to drink a couple of liters of water and not go to bathroom until the next morning. He was like waiting to pee for like 2 days and when he went to urinate only very little urine came out, just a few ounces; that's not normal and that was with him feeling like he was ready to pee his pants. It's like that every morning now when he wakes up, and at least 3-4 times a day now. The amount of urine output varies, but it could be the smallest or largest drink of water it doesn't matter, normally he can hold it, now if he tries to hold it too long he is going to pee his pants. He started having upset stomach almost like diarrhea like symptoms; he figured that was just part of symptoms. Probably about 4 days into it he started getting pains like in center of his back that felt like joint pains right on his spine; feels like he had to crack his back but cracking his back wouldn't do it. The right side started hurting a lot almost like he got punched in the kidneys. His feet were extremely sore for some reason which he initially chalked it up to him walking in his boots because he walks about 4-5 miles every day in his boots; but that's normal for him and prior to this was no issue. Initially he just figured it was something he was doing. He has had little bit of insomnia or waking in middle of the night not going back to sleep. He has had a dull pain right around the left side of his breast, chest. Some of these reactions have lessened a lot. Him having to go urinate was still constant. He has been getting slight headaches that almost turn into a migraine. He takes Motrin to try to beat it down, the headaches and for his foot. Motrin doesn't really make it go away. His left foot has gone about 80% away; but his right foot if he was going to say pain scale from 1-10 is probably a 9. It feels like a nail in his foot. When he goes to sleep at night it's throbbing; feels like, if he broke a bone or dropped something on his toe, like a throbbing pain, very painful; and occurs even when he is totally off his feet, could be in middle of night and it wakes him up at night. He really never had that issue; while he's walking it's really bad because feels like a nail in his foot; but he has to go to work. He took Motrin yesterday and felt a little better yesterday. Today still a very sharp pain when he's walking. The left foot is still kind of sore; but now also when he is driving his toes are throbbing. Big toe and little toes are numb and they throb every so often. Almost like got hit in the foot with a sledgehammer which he reported happened to him years ago. The pain in his right side has gone away; it's really not there. The pain in his upper back, middle upper back between shoulder blades feels tight at times. He still has a dull pain, not as sharp as it was, on front left side of chest. Yesterday he had weird migraine and he does not get those. He also has extreme tiredness, fatigue; one day not far after the Pfizer Covid-19 Shot, he does not remember exact date, he barely got home by 16:30 and was out, asleep until the next day; he went to sleep for 12.5 hours. Every so often at least 1-2 times week he still gets very fatigued. He has also had his heart rate jumping to up to over 200 beats per minute for couple minutes then go back down; date or time of onset: believe within the first 2 weeks after he got the Pfizer Covid-19 Shot. Currently his resting heart rate was way up around 90 and that was usually between 60-70. He used to keep track of that and his girlfriend was a nurse who keeps close eye on it. He asked if these reactions are common, because he was starting to get concerned. At the end of the day it was not normal to feel like this, and it really does bother him, he was ready to quit his job if it comes down to it, rather than getting another dose of Pfizer Covid-19 Shot. Right now he lives alone. He does not want to have some weird blood clot or something some kind of issue. The events does not required emergency room and/or physician office visit. The outcome of heart rate jumping to up to over 200 beats per minute was recovered; while the other events was not recovered.  The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.