the buzzing increased a little bit, it's reduced but still irritating; the buzzing increased a little bit, it's reduced but still irritating; wakes me up a little bit at night; left upper arm muscle soreness started about 3 hours after the second dose; 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 70 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 24Mar2021 (Lot number: EM6202) at the age of 70 years as dose 2, single for covid-19 immunization. Relevant medical history included: "high blood pressure" (unspecified if ongoing), notes: takes medicine. The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose number:1, Lot number: EN6201, Anatomical location: Left arm,), administration date: 03Mar2021, when the patient was 70 years old, for COVID-19 Immunization, reaction(s): "buzzing in ears", "left arm soreness", "awoke from hearing music while napping". The following information was reported: TINNITUS (non-serious), outcome "not recovered", IRRITABILITY (non-serious), outcome "unknown" and all described as "the buzzing increased a little bit, it's reduced but still irritating"; POOR QUALITY SLEEP (non-serious), outcome "unknown", described as "wakes me up a little bit at night"; VACCINATION SITE PAIN (non-serious), outcome "recovering", described as "left upper arm muscle soreness started about 3 hours after the second dose". The events "the buzzing increased a little bit, it's reduced but still irritating", "the buzzing increased a little bit, it's reduced but still irritating", "wakes me up a little bit at night" and "left upper arm muscle soreness started about 3 hours after the second dose" were evaluated at the physician office visit. Clinical course: he received his first Pfizer covid vaccine on March 3 and 1 day later began having "a buzzing in his ears".  He reported that it was a persistent buzzing that was worse when he was in a silent area and better when there are other noises around him. He reports that he received his second vaccine dose on March 24 and after that "the buzzing increased a little bit, it is reduced but still irritating". The patient reported that he went to see his internist on Thursday and was told that his "hearing is good, but this low buzzing was perpetual and wakes him up a little bit at night". The patient was asking if there was a solution. On Thursday, March 25th reported worsening of his ear buzzing. The patient became agitated asking to speak with a doctor. He experienced buzzing in both ears for 3 weeks. Clarified with caller that buzzing is ongoing in both his ears and is constant. After the second dose, he has noticed that this buzzing has increased a bit. The buzzing was not intolerable and he hopes there are not other cases. It was irritating, but he hopes it was not permanent. He describes it as a low frequency buzz that started 03Mar2021 and has been constant. He added that now it was a little bit louder and more noticeable. He added that he is in excellent health, exercises daily, and eats very healthy. He added he eats no carbohydrates in the evening, high protein, and doesn't eat sweets. He only has high blood pressure and takes a medicine for that. His general practitioner, email unknown, and was told he has no hearing deficit. His left upper arm muscle soreness started about 3 hours after the second dose and continues now, but is improving.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021337256 same patient/vaccine, different dose/event