left arm injection site aches in his arm but not the whole body; Chills; fever; Diarrhea; more sleepy; fatigued; 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 64 year-old male patient received bnt162b2 (BNT162B2), administration date 22Apr2021 (Lot number: EW0162) at the age of 64 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "GERD" (unspecified if ongoing). Concomitant medication(s) included: OMEPRAZOLE taken for gastrooesophageal reflux disease; FAMOTIDINE taken for gastrooesophageal reflux disease; LOVASTATIN taken for gastrooesophageal reflux disease; NEXIUM [ESOMEPRAZOLE MAGNESIUM] taken for gastrooesophageal reflux disease. Vaccination history included: Bnt162b2 (Dose 1, Single; Manufacturer Unknown, Batch/lot number: ER8730, Expiration date: Unknown, Left arm), administration date: 01Apr2021, when the patient was 64 years old, for Covid-19 immunization, reaction(s): "left arm where he got the shot general aches in the joints muscles", "left arm where he got the shot general aches in the joints muscles", "left arm where he got the shot general aches in the joints muscles", "Chills", "fever", "Diarrhea", "rose colored orange in his urine", "lost about 5 pounds"; Polio (When the patient was 5 or 6, in 1961 or 1962. The patient was involved in the original Polio vaccine in (withheld) county there was a polio outbreak and he remembers standing with his neighbors getting a booster for Polio.), for Immunisation. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 2021, outcome "unknown", described as "left arm injection site aches in his arm but not the whole body"; CHILLS (non-serious) with onset 2021, outcome "unknown", described as "Chills"; PYREXIA (non-serious) with onset 2021, outcome "unknown", described as "fever"; DIARRHOEA (non-serious) with onset 2021, outcome "unknown", described as "Diarrhea"; SOMNOLENCE (non-serious) with onset 2021, outcome "unknown", described as "more sleepy"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "fatigued". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The patient took his normal medications. The patient started out with Nexium. The patient has been taking PPIs for over 30 years. It was hard to find Famotidine because it was being studied at one time. The patient alternates Omeprazole because he was trying to cut back on his PPI use. The patient's weight fluctuates. The patient reported about the covid vaccination with the 2 shots and the first booster. The patient was strictly a Pfizer person. The patient has not reported this to VAERS, he has talked with them and asked them a bunch of questions. The VAERS agent said anything the patient tells Pfizer would be reported for his side effects. If the patient reports, it to VAERS they would not communicate it with Pfizer. The patient wants to ask a very specific question. The patient was unlike all the other 220 million people. The patient is part of the small percentage that did not have an adverse event, he had side effects and a lot of them. The patient was talking to a nurse at his second shot because they are first one was very busy so it was not so busy so he had downtime with the nurse. The patient talked about the side effects and the nurse said she could help answer some of his questions. The patient did his vaccines in an eastern (place)nursing homes and it was the first location to offer it. The first shot was in Apr. The nurse said every side effect the patient experienced she had heard of occurring in the nursing home. The nurse said she had never heard of side effects coming in phases. Given the unusual nature and multiple side effects the patient was considering the 4th booster shot. The patient was wondering if he will have a continuation of his side effects. The patient has not reported his side effects and would like to do so today. The patient reported his side effects to his PCP, but his doctor had never heard of them coming in phases. The doctor said he heard of these people having theses side effects but was not overly concerned. The symptoms the patient had after his first dose all occurred over 7 days. The patient 's symptoms started with left arm, where he got the shot, general aches in the joints muscles which decreased over 2-4 days. This event's onset started 2 days after he got the first dose with was on 01Apr2021. This symptom was still there but it decreased, this was the first wave. With First Shot: Chills and fever. This started 3-5 days after the first dose, and it decreased. The patient's fever was 98.5 degrees which is a lot because he is normally in the lower below 97-degree range or around there. The patient tries to keep up with everything and the WHO said we are halfway through the pandemic which means another 2 years. Only on day 6 and 7 after the first dose the patient had diarrhea, not a constant flow but instead of a normal stool it was diarrhea. The patient had this once each day. The evening of the 6th day after the first dose the patient got up at night to go to the bathroom and did not think anything of it. The patient urinated the following morning there is rose colored orange in his urine. the patient is not prone to that. This has never happened to the patient before. It has not happened since that shocking incident which freaked the patient out. All during the first week of symptoms the patient 's appetite was good but he lost about 5 pounds and was eating all the time. This is even a little extreme for the patient because he has this thing going with water. The patient usually fluctuates 2 to 3 pounds daily. On 22Apr2021, the patient received second dose, NDC and expiration date was unknown. After the second dose, the patient had the following symptoms that all ran together over 2 days. Second dose: left arm injection site aches in his arm but not the whole body. The patient had a left arm ache but not general body ache with the first shot and only lasted a couple of days. Second dose: Chills and fevers. The patient 's temperature again was 98.5 degrees. Then the last day the patient had diarrhea. The patient was more sleepy and fatigued, which he did not have with the first dose. On 23Oct2021, the patient received third dose, lot number was FF2590, and NDC and expiration date was unknown. The patient got this dose in his doctor's office. The first two doses were at a pharmacy it was a community. The patient did not have any really big side effects after the third shot, the booster. After the third dose both armpits itched, and the patient knows that could be because there are lymph nodes and some of the shot goes to there. The patient 's calves itched, he did not know if this was a coincidence or not. The patient did not know if his deodorant was doing this so he stopped using it and it did not really help. It was another 2-3 days of intense itching lessening over a month. These are a lot of side effects and the nurse in Apr2021 has said she had never seen it come in phases like this. Because of all of these side effects will the patient have them again. Sender's Comments: Linked Report(s) : US-PFIZER INC-202200518871 same product, patient, different AEs, different dose;US-PFIZER INC-202200519031 same product, patient, different AEs, different dose.