he was totally paralyzed; he had the TIA's four days after the second dose of the Covid vaccine; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202101813264.  A 85 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 11Feb2021 (Lot number: EM9810) at the age of 85 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "high blood pressure" (unspecified if ongoing); "Spine Surgery", start date: 21Oct2020 (unspecified if ongoing), notes: Had spine surgery on 21Oct2020; "he can hardly walk" (unspecified if ongoing), notes: needs hip surgery but cannot get it because of this horrible plague/ states that he can hardly walk. The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose: 1, LOT: EL3249, EXP: Unknown, NDC: Unknown, Administration Site: Left arm), administration date: 21Jan2021, when the patient was 85 years old, for COVID-19 immunization. The following information was reported: TRANSIENT ISCHAEMIC ATTACK (medically significant) with onset 15Feb2021 18:00, outcome "recovered", described as "he had the TIA's four days after the second dose of the Covid vaccine". The event "he had the tia's four days after the second dose of the covid vaccine" was evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: electrocardiogram: (2021) everything is fine. Therapeutic measures were taken as a result of transient ischaemic attack. Clinical course: Patient had the Pfizer vaccine and had a stroke, clarified that it was a TIA. The patient clarified the details provided stating that he had the TIA's four days after the second dose of the Covid vaccine. His symptoms started around 6:00 in the evening four days after his second dose of the vaccine. All of a sudden, he was totally paralyzed. His whole right side was paralyzed, his arm, his leg, and his fingers just wouldn't work. His face felt dead on one side and was droopy. He could not talk at all. He could not make conversation. His wife was 10 feet from him and he could not communicate whatsoever. He has seen many strokes so he knew what was happening. Then all of a sudden, he would guess a minute and a half or so, maybe 2-3 minutes, he then came out of it and said to his wife that he thought that he was having a stroke. He was lucid for about 30-45 seconds and then it happened again, the same things as before but it lasted a lot shorter, maybe a half a minute. He did not go into the hospital and subsequently told his doctor about it. His doctor lined him up with all the appropriate tests. He had an EKG and everything and all the typical things when you have a TIA/stroke, and everything is fine. convinced he would of had the TIAs regardless of receiving the vaccine, however his doctor feels otherwise. Patient reported 4 days later after his second he experienced 2 TIAs 30 seconds apart. Patient wanted to get the booster vaccine however his physician was against him receiving it due to his past experience.