Large Amount of Histamine; he still did not feel well/ felt terrible this morning; Earache and Ear Drainage; Dizziness; Chills; Fever; Soreness; Spitting up Blood; Problems Breathing; Shaking worse than usual; Headache; Nausea; Chest Pains; The initial case was missing the following minimum criteria: unspecified AE. Upon receipt of follow-up information on 21May2021, this case now contains all required information to be considered valid.  This is a spontaneous report from a contactable consumer (patient). This consumer reported similar events for 2 doses. This is the second of two reports for dose 2. This 58-year-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in arm left on 05May2021 11:30 (Lot Number: EW0179) at single dose for COVID-19 immunization. The patient's medical history included seasonal allergies and ear trouble. The patient's family medical history was none. The patient's concomitant medication was none. The patient no adverse effect following prior vaccinations. The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in left arm on 14Apr2021 (Lot Number: EW0164) at single dose for COVID-19 immunization and experienced events including earache and ear drainage from 17Apr2021 to 20Apr2021; dizziness from 15Apr2021 to Apr2021; chills and fever from 15Apr2021 to Apr2021; soreness from 15Apr2021 to Apr2021; spitting up blood from 15Apr2021 to Apr2021; problems breathing from 15Apr2021 to Apr2021; shaking worse than usual from 15Apr2021 to Apr2021; headache from 15Apr2021 to Apr2021; nausea from 15Apr2021 to Apr2021; chest pains from 15Apr2021 to Apr2021. The patient stated all of the symptoms from the first dose started on 15Apr2021 and recovered by 18Apr2021 or 19Apr2021. The patient stated he almost called the ER after the first shot because it was new to him and he did not know what he was dealing with. The patient had no other vaccine within 4 weeks. The patient received the second dose on 05May2021. The patient experienced earache and ear drainage from 08May2021 to 11May2021; dizziness from May2021 to 18May2021; chills and fever from May2021 to 18May2021; soreness from May2021 to 18May2021; spitting up blood from May2021 to 18May2021; problems breathing from May2021 to 18May2021;  shaking worse than usual from May2021 to 18May2021; headache from May2021; nausea from May2021; chest pains from May2021. The patient stated he had the same side effects with both the first and second doses, but with the second shot they were worse and longer. The patient stated he still did not feel well. The patient stated the side effects from the second vaccine started either the 06May2021 or 07May2021 and recovered 18May2021, except the headache, nausea, and chest pain were persisting. The patient stated he felt terrible this morning (21May2021) and he realized this could be from something else. The patient also experienced large amount of histamine; more than usual after the second dose. The events did not require a visit to emergency room neither physician office. All the events except earache did not require treatment. The patient stated he got both vaccines at the beginning of allergy season, but he had no reason to believe it was all from his allergies, it was seemingly related to the vaccine. The outcome of event large amount of histamine; more than usual was resolving. The outcome of event headache, nausea, chest pains, did not feel well/ felt terrible was not resolved. The outcome of other events was resolved.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021582540 same drug/ patient, different dose number/ event