soreness in the arm; Dizzy/Lightheaded; things started spinning; Headache/Migraine; things started spinning/Headache/Migraine; This is a spontaneous report received from contactable reporter (Consumer). The reporter is the patient.  A 57 year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), administered in arm left, administration date 19Apr2021 11:00 (Batch/Lot number: unknown) at the age of 57 years as dose 1, single for covid-19 immunization. Relevant medical history included: "Migraine" (ongoing), notes: started having them when he was teenager. It is a genetic thing in the family; "heart issues" (ongoing), notes: he is not sure when he was diagnosed. It was in his late teens or early 20's; "High Blood pressure" (ongoing); "Atrial fibrillation" (unspecified if ongoing), notes: Has been shocked back a couple of time. They tried to convert him before he was shocked. Sometimes it would convert from Afib to normal, but sometimes it wouldn't. Cardia keeps him in regular rhythm.; "Heart Ablation surgery" (unspecified if ongoing); "Anxious" (unspecified if ongoing), notes: before he got the vaccine. Family history included: "Vertigo" (unspecified if ongoing), notes: There is family history of vertigo in a couple of people. He has been given medication for that years ago. He hasn't had vertigo for a long time. Even when he had vertigo it wasn't like this. He was prescribed medication for vertigo. Concomitant medications included: ENALAPRIL taken for blood pressure abnormal; CARDIA taken for atrial fibrillation. Vaccination history included: Flu shots, for Influenza Immunization, reaction: "soreness in the arm". The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 19Apr2021, outcome "recovering", described as "soreness in the arm"; DIZZINESS (non-serious) with onset 19Apr2021, outcome "not recovered", described as "Dizzy/Lightheaded"; VERTIGO (non-serious) with onset 19Apr2021, outcome "not recovered", described as "things started spinning"; MIGRAINE (non-serious) with onset 19Apr2021, outcome "unknown", described as "Headache/Migraine"; DISEASE RECURRENCE (non-serious) with onset 19Apr2021, outcome "not recovered", described as "things started spinning/Headache/Migraine". Therapeutic measures were taken as a result of pain in extremity, dizziness, vertigo, migraine and disease recurrence.  Additional information: The patient was between 6 foot 2 inches and 6 foot 3 inches and around 205 to 210 pounds. He doesn't know his weight off hand. He got the first injection yesterday around 11:00AM. The soreness hit on the way home up in his shoulder. Today the soreness in the arm was not as bad as it was yesterday when he got it. When he was sitting there for the 15-minute period around the 12-minute point he started getting dizzy and things started spinning. It subsided a little bit. He was anxious before he got it. He thought it was just coming off the anxiety he had before getting it. It subsided enough that he could get up and walk to the car. He went to the store and was still a little lightheaded, but not as bad as it had been. Today he was very, very dizzy. He has his eyes closed while on the phone. When he opens his eyes, everything was spinning. He had heart issues and migraine headaches. He was on a medication called Fioricet with Codeine. He took it at 2:40PM with the Xanax 1mg. It helped with the headache on the side of the head, but it didn't help with the headache on the top of the head. About 8:15PM the migraine started coming back. At 8:36PM he took Fioricet with Codeine, Xanax, and blood pressure medication, Enalapril. He was also on Cardia 240mg. Caller clarified that as far as any headache it took that away, but it didn't help with dizziness. He was scheduled to go back to get the second dose on 10May2021 at 11:10AM.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.