This is a spontaneous report received from contactable reporter(s) (Other HCP) from medical information team. The reporter is the patient.A 64 year-old male patient received bnt162b2 (BNT162B2), administration date 07Jan2021 (Lot number: EJ168603121) at the age of 64 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Bnt162b2 (Lot number: EK57303121, Anatomical site: Arm, Dose number: 1), administration date: 18Dec2020, when the patient was 64 years old, for COVID-19 immunization, reaction(s): "Arm hurt".The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 07Jan2021, outcome "recovered" (09Jan2021), described as "Arm pain"; PYREXIA (non-serious) with onset 09Jan2021, outcome "unknown", described as "Slight fever"; FEELING ABNORMAL (non-serious) with onset Jan2021, outcome "unknown", described as "Feeling like crap"; ABNORMAL BEHAVIOUR (non-serious) with onset Jan2021, outcome "unknown", described as "Throwing PVCs"; SALIVARY GLAND DISORDER (non-serious) with onset Jan2021, outcome "unknown", described as "Something wrong with his salivary glands"; SWELLING (non-serious) with onset Jan2021, outcome "unknown", described as "Swelling on the glands in his neck and his armpit area"; PAIN (non-serious) with onset Jan2021, outcome "unknown", described as "Severe pain in both sides if his neck below his ears"; COUGH (non-serious) with onset Jan2021, outcome "unknown", described as "Annoying coughing"; INFLAMMATION (non-serious) with onset Jan2021, outcome "unknown", described as "His tonsils were inflamed as well as his salivary glands"; SWELLING (non-serious) with onset Jan2021, outcome "unknown", described as "All the area "just below his neck up his mandible" is affected and swollen"; DYSPNOEA (non-serious) with onset Jan2021, outcome "unknown", described as "He had difficulty breathing"; FATIGUE (non-serious) with onset Jan2021, outcome "unknown", described as "Tiredness"; ASTHENIA (non-serious) with onset Jan2021, outcome "unknown", described as "Felt weak"; HEADACHE (non-serious) with onset Jan2021, outcome "unknown", described as "Headache". The events "arm pain", "slight fever", "feeling like crap", "throwing pvcs", "something wrong with his salivary glands", "swelling on the glands in his neck and his armpit area", "severe pain in both sides if his neck below his ears", "annoying coughing", "his tonsils were inflamed as well as his salivary glands", "all the area "just below his neck up his mandible" is affected and swollen" and "he had difficulty breathing" were evaluated at the emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, salivary gland disorder, swelling, inflammation, swelling, dyspnoea.  Additional information: patient says that he had the adverse reaction after the second dose of COVID-19 vaccine, which of course his arm hurt, then on the second day he had a slight fever and was feeling like crap. He says he ended up throwing PVCs which he could see when he put on an EKG on himself, and then a few days later at work he could see PVCs and he ended up with an infection, or something wrong with his glands. He says his glands swelled, his tonsils were inflamed, and his saliva glands were blocked up. He says his glands in his neck and armpit area swelled up, and he had pain around his neck and severe pain on the sides of his neck below his ear down, under both ears, so bilateral. He says his arm hurt as soon as got he got the shot, minutes later, and he felt that like after he got the shot and it got worse and really hurt for three days. He says his arm hurt like he got a shot after he got the first dose the same, and it is not just a hurt feeling. He says he had a fever the second day after he got his second dose, it was just under 100, so a low grade fever, like he got the flu, he just felt bad, but did not have nausea or nothing. He says he felt weak, tired, and had a headache. He says he had had PVCs on the day after getting the second dose, and then when he got to work a couple days after he was still having them, he has an EKG machine here at home and a monitor with 12 leads at work.  No follow-up attempts are needed. No further information is expected.