COVID19 Booster injection following day, lifting my arm became extremely painful; a sporadic ringing in my ears; increased pain level in my right arm; more fatigue than the prior two injections.; feel more pain in my right arm at the injection site; This is a spontaneous report received from contactable reporter (Consumer or other non HCP and Physician). The reporter is the patient.  A female patient received BNT162b2 (BNT162B2), on 18Nov2021 as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (dose 1, site of administration: Right arm), administration date: 21Mar2021, for Covid-19 immunization, reactions: "pain in my right arm", "fatigue"; BNT162b2 (dose 2, site of administration: Right arm), administration date: 28Mar2021, for Covid-19 immunization, reactions: "pain in my right arm", "fatigue". The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 18Nov2021, outcome "unknown", described as "feel more pain in my right arm at the injection site"; VACCINATION SITE MOVEMENT IMPAIRMENT (non-serious), outcome "unknown", described as "COVID19 Booster injection following day, lifting my arm became extremely painful"; TINNITUS (non-serious), outcome "not recovered", described as "a sporadic ringing in my ears"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "increased pain level in my right arm"; FATIGUE (non-serious), outcome "unknown", described as "more fatigue than the prior two injections.". Additional information: On 18Nov2021, the patient received the COVID-19 booster injection through a Medical System at their off-site. Side Effects: immediately after the vaccine was given, during the drive home, the patient could feel more pain in their right arm at the injection site. By the following day, lifting of the arm became extremely painful. The side effects lingered longer. In addition to the increased pain level in the patient's right arm, the patient also noted more fatigue than the prior two injections. By the third or fourth week of November, the patient noticed a hissing "radiator" like sound in their head. The patient had never encountered this sound in their lifetime. At first, the patient thought it was coming from their apartment radiator, until the patient realized the sound was still present while driving in their car. It became very clear that something was wrong to the patient, the "radiator" hissing sound that she heard was in their head. The patient had no medical history of having tinnitus. The patient had experienced a sporadic ringing in her ears; "events that lasted for a few seconds and disappeared." The patient wanted to stress these ringing episodes were isolated and infrequent. The hissing sound had been ongoing with no relief since November. The patient was scheduled to take the second Pfizer COVID-19 booster injection on 28May2022; however, due to the onset of the tinnitus, the dose was put on a temporary hold until the patient got more information. At the time of the report, the patient was seeking medical attention to explore treatment options to address the tinnitus. "The timing between receiving the Pfizer COVID19 booster shot and my onset of Tinnitus, is it a coincidence or possible resulting side effect? We are all on this COVID19 expedition together." The patient never had COVID-19.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.