experiencing an 'upward lift', feeling faint/ he started going faint; he describes as an 'out of body experience; flushed; Could not speak/ speech disorder; It was weird; had a ping sound; Made super tired versus any other time; was a heavier dose/ did not have any issues except we were always tired; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 65-year-old male patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 10Nov2023 at 11:30 as dose 1, 0.3 ml single (Lot number: HG7557, Expiration Date: Dec2024) at the age of 65 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing). Concomitant medication(s) included: LISINOPRIL taken for hypertension (ongoing); HCTZ taken for diuretic therapy (ongoing). Vaccination history included: bnt162b2;bnt162b2 omi ba.4-5 (Dose 5 (booster), single), administration date: 15Oct2022, for COVID-19 Immunization; flu shot (Influenza preserv. freeenhanced, Route of administration: Intramuscular), administration date: 16Sep2023, for Influenza immunisation; Bnt162b2 (Dose 1, single), for COVID-19 Immunization; Bnt162b2 (Dose 2, single), for COVID-19 Immunization; Bnt162b2 (Dose 3 (booster), single), for COVID-19 Immunization; Bnt162b2 (Dose 4 (booster), single), for COVID-19 Immunization. The following information was reported: SPEECH DISORDER (non-serious) with onset 10Nov2023, outcome "recovered" (10Nov2023), described as "Could not speak/ speech disorder"; FEELING ABNORMAL (non-serious) with onset 10Nov2023, outcome "recovered" (Nov2023), described as "It was weird; had a ping sound"; FATIGUE (non-serious) with onset 10Nov2023, outcome "unknown", described as "Made super tired versus any other time; was a heavier dose/ did not have any issues except we were always tired "; SYNCOPE (medically significant) with onset 10Nov2023, outcome "recovered" (Nov2023), described as "experiencing an 'upward lift', feeling faint/ he started going faint"; FLUSHING (non-serious) with onset 10Nov2023, outcome "recovered" (Nov2023), described as "flushed"; AUTOSCOPY (non-serious) with onset 10Nov2023, outcome "recovered" (Nov2023), described as "he describes as an 'out of body experience". Therapeutic measures were taken as a result of syncope, autoscopy, flushing, speech disorder, feeling abnormal, fatigue. Clinical course: Patient was reporting adverse reaction. Stated he received pfizer COVID vaccine that day at 11:30 CT. Reported between 1 hour and 1 hr and 15 after vaccine receipt, he started going 'faint' and had what he describes as an 'out of body experience'. Reported experiencing an 'upward lift', feeling faint and he was flushed and he could not speak for at least for 15 seconds and after that he was totally fine. Stated he took some baby aspirins in case it was a stroke. Stated this was his 6th pfizer COVID vaccine and he never had that in his life. Reported his last COVID shot before that day was Oct2022. Patient did not have body ache. what he had an adverse reaction, no body ache. felt like had a ping sound and then like a upward lift and body experience and then flush. He was quiet for 10 to 15 seconds with somebody sat across with him and then he was fine. He have never had a stroke. he did not think it was TIA or anything like that. He did, just in case, took 4 baby Aspirins 81 milligrams so that is 324 milligrams, almost 5 grams and anyway of an Aspirin product, it was weird and that had not happened and this was his 6th Pfizer Vaccinations and it had been one year. Here since he have had when, He believed, his last one was 15Oct2022. He have never had reaction to any medications, ever like this before in his life or any shot, flu shots, anything. Patient had a flu shot in Sep. 4 weeks prior vaccination. He got it at his doctor office. It was on 16Sep2023, it said Influenza preserv.freeenhanced, Intramuscular. He stated, No, He had got, treatment that he did not have any issues except they were always tired because the first time after being 65, his wife and he look extremally tired. They did it Fridays because they were self employed, they only work Saturday. So, no treatment anything like that. It was an Intramuscular and he had it and made super tired versus any other time, because it was a heavier dose because the first time being over 65. Any other medical conditions or any other medications: patient stated, Nothing that caused any issue with this. He did take Lisinopril 40 milligrams and HCTZ. Took a blood pressure (High Blood Pressure) medicine. The Blood pressure medicine did not have anything to do with anything today. It was the shot. he got, he did takes 40 milligrams of Lisinopril and did takes 25 milligrams of HCTZ diuretic. Lab test: patient stated, "He had not been, he did not understanding which, the last two weeks, he had been fine, no changes, nothing. No blood work, not in two weeks.