Lymph node swelling. It started on his left side then it spread all over; Nausea; Fever; Lymphedema in some areas; believes the vaccine went into his lymph node/lymph system instead of the muscle tissue in his arm; ER doctor believed the caller had a hernia due to the swelling in the lower abdomen; ER doctor believed the caller had a hernia due to the swelling in the lower abdomen; This is a spontaneous report from a contactable consumer, the patient. A 45-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0182; Expiration Date: Aug2021, NDC number: unknown) via an unspecified route of administration, administered in left arm on 19May2021 at 13:00 as 2ND DOSE, SINGLE DOSE for COVID-19 immunization. Medical history included sinus infection in 2011 (for which he visited a doctor 10 years ago to get an antibiotic). Other than that, he was healthy. Patient had no family history. The patient's concomitant medications were not reported. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8735; Expiration Date: 31Jul2021) via an unspecified route of administration, administered in Arm Left on 28Apr2021 13:00 as 1ST DOSE, SINGLE DOSE for COVID-19 immunization. Patient had no problems after first dose. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. 6 hours after vaccine, the left side blew up. About 12 hours after the second shot in the middle of the night, patient had the initial reaction and pretty normal side effects (little nausea and fever). Patient had a lymph node inflammation/swelling, which was severe on his left side including his arm pit, down his side, even down into his groin. The reaction died down after about 2 days but spread to rest of the body. On 28May2021, Friday of last week (about 10 days later), everything just blew up. Every one of his lymph nodes went crazy. So many were down in his groin area, the lymph nodes blew up so badly. It was putting enough pressure in that region, it was cutting off circulation to his manhood. Patient had to go to the hospital around 1:00AM. Patient was diagnosed finally at 04:56 and clarified it to be an emergency room visit. Patient was seen in the ER for about 3-4 hours. He was never actually admitted into the hospital. ER doctor believed that patient had a hernia due to the swelling in the lower abdomen. Patient did not know all the tests that were done in the ER. When patient mentioned the swelling that cut off the circulation to manhood, the ER doctor had them ultrasound his manhood, but the doctor never actually listened to the patient. The doctor basically did not want to hear that there were any problems with the vaccine. Patient felt that administration led to lymph node reaction. Instead of sitting in arm for a couple of days or going into a fatty or muscle tissue, vaccine went into the lymph system and now his lymph system was going crazy. He believed this one time when the person jabbed the COVID vaccine in and squeezed the plunger, it put the product right into a lymph node and all of it right into the lymph system. Patient never had a lymph node problem. Patient still had severe lymph node problems. Patient was getting lymphedema in some areas. The only reaction that was abnormal was the extreme lymph node swelling. Outcome of the events was unknown. Investigation Assessment: Yes