trigeminal neuralgia; feeling like he was about to pass out; dizziness; feeling the extreme coldness; being disoriented; some kind of inflammation; tooth pain; depressed and his mood has totally changed; headaches; infection was literally coming out of the nose; anxiety; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 37-year-old male patient received BNT162b2 (BNT162B2), on 02Nov2021 as dose 3 (booster), single (Lot number: FF2593) at the age of 37 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "suspected food allergies" (unspecified if ongoing); "long Covid", start date: Feb2020 (unspecified if ongoing), notes: prior to getting any of the Covid vaccines.; "had the root canal", start date: May2021 (unspecified if ongoing); "fever for 3 days" (unspecified if ongoing); "Triglycerides were high" (unspecified if ongoing), notes: for one year and had gone down. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Batch/lot number: EM9810, right arm), administration date: 02Feb2021, when the patient was 36-year-old, for COVID-19 Immunization, reaction(s): "feeling like he was about to pass out", "After 2 Pfizer shots, had to get 2 different root canals on the same tooth", "Dizziness", "feeling the extreme coldness", "being disoriented", "sensitivity to light"; BNT162b2 (DOSE 2, SINGLE, Batch/lot number: EN6203), administration date: 23Feb2021, when the patient was 36-year-old, for COVID-19 Immunization, reaction(s): "feeling like he was about to pass out", "head pain and tooth pain, like a sinus infection", "sensitivity to light", "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache", "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache", "Dizziness", "feeling the extreme coldness"; BNT162b2 (DOSE 2, SINGLE, Batch/lot number: EN6203), administration date: 23Feb2021, when the patient was 36-year-old, reaction(s): "being disoriented". The following information was reported: ANXIETY (non-serious) with onset Nov2021, outcome "unknown"; DISORIENTATION (non-serious) with onset Nov2021, outcome "unknown", described as "being disoriented"; DEPRESSED MOOD (non-serious) with onset Nov2021, outcome "unknown", described as "depressed and his mood has totally changed"; DIZZINESS (non-serious) with onset Nov2021, outcome "unknown"; PRESYNCOPE (medically significant) with onset Nov2021, outcome "unknown", described as "feeling like he was about to pass out"; FEELING COLD (non-serious) with onset Nov2021, outcome "unknown", described as "feeling the extreme coldness"; HEADACHE (non-serious) with onset Nov2021, outcome "unknown", described as "headaches"; RHINITIS (non-serious) with onset Nov2021, outcome "unknown", described as "infection was literally coming out of the nose"; INFLAMMATION (non-serious) with onset Nov2021, outcome "unknown", described as "some kind of inflammation"; TOOTHACHE (non-serious) with onset Nov2021, outcome "unknown", described as "tooth pain"; TRIGEMINAL NEURALGIA (medically significant) with onset Nov2021, outcome "unknown". The events "trigeminal neuralgia", "feeling like he was about to pass out", "dizziness", "feeling the extreme coldness", "being disoriented", "some kind of inflammation", "tooth pain", "depressed and his mood has totally changed", "headaches", "infection was literally coming out of the nose" and "anxiety" required physician office visit. The patient underwent the following laboratory tests and procedures: Acoustic stimulation tests: (17Aug2021) was fine, notes: hearing was fine and his vitals were fine; Blood test: (unspecified date) pretty good health, notes: Test results: No. Does blood work every single year and has been in pretty good health; Weight: (unspecified date) over 200, notes: When he got the shot, he was like over 200; (unspecified date) 175, notes: Current weight is about 175; Computerised tomogram: (unspecified date) nothing was really showing up, notes: and they do still think it was maybe something super deep in there. Therapeutic measures were taken as a result of trigeminal neuralgia, presyncope, dizziness, feeling cold, disorientation, inflammation, toothache, depressed mood, headache, rhinitis, anxiety. Clinical course details: It was reported that, the current weight of patient was about 175. When he got the shot, he was like over 200. Is not attributing the weight loss to the shot but he went through a very aggressive campaign to lower his weight. The patient was fully vaccinated and wanted to reach out to Pfizer to see if they can help him. Before he got the shot, he believes and there was no way to retest but, believes he was one of the early people to get Covid-19 in Feb2020. He worked at a high school and when that happened, it was by the summer of 2020, he started having really crazy symptoms like dizziness and essentially, it was POTS. Had tinnitus, like ringing in his ear. Was telling people, it was like a concussion grenade going off. Was so confused, he would stand up and would almost pass out. Everything would go black and he would almost pass out. Was getting extremely cold, very, very, cold, like blood circulation issues. Was the feeling he would get right before he was about to pass out. Never fully passed out or blocked out. Was cognizant to sit down and brace himself slowly, down to the ground. Occurred to him he was having some neurological symptoms. Chalked it up to long Covid. This was all prior to getting any of the Covid vaccines. Event Details: After he got the shots, within usually about 2 weeks, he started having similar symptoms that he experienced before, like dizziness. This started with the very first vaccine, 02Feb2021. He was instantly impacted and felt like he about to pass out. It was like a huge rush to the head and immediately felt like extreme coldness all over the body. Was like, really disoriented and actually nervous about not being able to drive. After 2 Pfizer shots, had to get 2 different root canals on the same tooth. Clarified that with every shot, he experiences the dizziness, feeling like he was about to pass out, feeling the extreme coldness and being disoriented. That same sensation happens with every single shot. It was only that severe with the very first and second shot. He always stayed put after every single shot, at least 15 to 30 minutes. Thinks they had pretty good system, tracking who was impacted every time and would say that he needed to stay about 30 minutes. Was not going to go anywhere and would get nervous during that time. His blood rushed and had that feeling like it went straight from his arm into his head, like almost immediately. Would have that dizziness and the other symptoms. Now, everything is extremely loud in his head, sounds very loud. His son would be right next to him and he would ask him to whisper because, even talking sounds are loud to him. Sensitivity to light is also painful to him. When he had Covid, that was a good 6 months, he was feeling dizzy, like things were very loud and those kind of symptoms. The reason he was describing this all was because, this exact thing reignites that response. Would say this happens within 2 or 3 weeks after getting the vaccine, he would feel these symptoms. Clarified that the sensitivity to light also occurred within 2 or 3 weeks after getting the shots. Would say it used to take longer for these symptoms to show up. Would have to go back and look at his medical records. Has contacted every single doctor he has been to about his medical history over the last year, to connect the dots. On 02Feb2021, got the shot, by 23Feb2021, got the second shot, thinks it was 3 weeks later and was fully vaccinated. Within 2 months of that time, he was on antibiotics for a toothache. The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity, making it seem like he was having tooth pain. Appeared to the dentist that he needed to have root canal. That was May2021, that he had the root canal. He was not 100 percent sure when this started but would have been between late Mar2021 and late Apr2021 and had the root canal May2021. They gave him antibiotics because, they said they couldn't operate on the tooth because it was so infected. They needed to get the swelling down. They put him on another round of antibiotics and because he still had the infection after the root canal. In Jun2021, was still being impacted to the point where he had to go see a bunch of doctors. Has an appointment to see a neurologist tomorrow. Had to go again because they still thought he needed antibiotics and he was still in pain. Then, he started having appointments with the Ear, nose and throat doctor. Started appointments on 16Jun2021. For the last month, he had been complaining about head pain and tooth pain, like a sinus infection. Doctor said he had a very deep sinus infection. They put him on Levaquin, a high grade antibiotic and Prednisone, a steroid. Had follow up on 30Jun2021 and they stuck a metal rod up his nose in the nasal cavity and they could see that it was a very deep infection. The infection was so far in there, they would have to do a surgery on the sinus cavity. It was very deep in there. They said to just continue the medication to see if it would go away. They told him, he really needed a CT scan of the sinus cavity and had to go back for a hearing test. Took a month to get the CT scan. On 17Aug2021, had the hearing test, said hearing was fine and his vitals were fine. When they explained CT scan, they said nothing was really showing up and they do still think it was maybe something super deep in there. Right now, the antibiotics have run their course and he is not in as much pain anymore. Everybody was kind of satisfied with it. The patient received booster on 02Nov2021. Within the end of the month, or sooner, was complaining about the same issues. Was having headaches, dizziness, tooth pain coming. Went back to the dentist 1 month later, 01Dec2021 and again 08Dec2021. They referred him to endodontist because he was complaining about the same tooth. He was looking for antibiotics for the tooth pain. Was having heavy discharge, infection was literally coming  out of the nose. Does not have the dates he saw endodontist. Does not know when they scheduled the second root canal. When he went for his follow up, when they wanted him to see the specialist. Was able to sneak in to see his primary care physician the day before he got the root canal. On 30Dec2021, saw the doctor one more time. This time, explained that his head, was not like a severe pain in the back of his head. Was so intense, they believed it was causing some kind of inflammation and putting pressure on the sinus cavity at that time. Could have been a side effect to the vaccine. Hard to explain but, has seen there has been reports and has seen very minimal but, there have been a couple of people reporting trigeminal neuralgia. That can put pressure on the sinuses and cause a lot of mandibular pain, pain the upper right molar. Where it is infected, there has been a nasty putrid smell coming out of the tooth. It would come right out of his nose and was a yellow, nasty pus. Now, this is the third time going through this. It is the same thing but a different concentration. He is already feeling tooth pain but has been mild. Called the neurologist and thinks it is trigeminal neuralgia now. Only went to the primary care doctor 30Dec2021 because insurance told him he couldn't see the neurologist until he sees the Primary care provider. Did go see the primary care doctor and they finally believe him. Neurologist believes it could be trigeminal neuralgia. They can put him on steroids or, give him a steroid shot in to the trigeminal nerve. He was scared to do that. Put his trust in the vaccine. Felt like the benefits outweighed the risks. Because he had so many adverse reactions, he was scared to do the steroid shot in the brain. What if it causes a reaction? But, he was going to probably take doctor up on that. If he doesn't get that shot, he was sure that in the next 2 weeks, he was going to be calling the dentist, looking for antibiotics because it was so intense in his head. The trigeminal neuralgia has made him pretty depressed and his mood has totally changed. Has been pretty depressed and has had anxiety. Told his wife last year that he wanted to kill himself. He didn't want to kill himself but, wanted the pain to go away. The pain, the toothache and headache pain was so bad, he didn't want to feel pain anymore. Does not want to kill himself it is not that intense but during that time, dealing with knowing that he put something in and 2 weeks later having the same pain again. Over the course of the last year and a half, has seen his primary care doctor 5 times, Ear nose and throat doctor, 3 times, has seen a neurologist, has been to the dentist 7 times, the endodontist 2 or 3 times. Has hunch it is related to Covid vaccine but, not sure. Wants to be able to rule things out. Has gone to all those doctors and has appointment with neurologist. Going to have MRI Sunday and see allergist next week. Will probably have to follow up and go over the MRI with the neurologist within the next 2 weeks. Has reason to believe he originally had Covid in 2003. It is what he called the OG Covid. Being on his deathbed and 106 fever for 3 days, though he was going to die. Was in high school. Was also working at a high school the last 12 years. When this happened, he started tracking it Dec2019, saying the things was going to shut down and nobody believed him. That is why he got vaccinated. Now suspects he may have allergies to something in vaccine. Prior Vaccinations (within 4 weeks) he did not receive any other vaccination.