irregular heart beat; chest pain; shaking; blood rush to head; sweating; ears getting hot; anxiety; blood rush to head; 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 32-year-old male patient received BNT162b2 (BNT162B2), as dose 1, single (Batch/Lot number: unknown) and as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: HEART RATE IRREGULAR (non-serious), outcome "unknown", described as "irregular heart beat"; CHEST PAIN (non-serious), outcome "unknown"; TREMOR (non-serious), outcome "unknown", described as "shaking"; HEAD DISCOMFORT (non-serious), ORTHOSTATIC HYPOTENSION (non-serious), outcome "unknown" and all described as "blood rush to head"; HYPERHIDROSIS (non-serious), outcome "unknown", described as "sweating"; FEELING HOT (non-serious), outcome "unknown", described as "ears getting hot"; ANXIETY (non-serious), outcome "unknown". The events "irregular heart beat", "chest pain", "shaking", "blood rush to head", "sweating", "ears getting hot" and "anxiety" required physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Caller states that he is having side effects, irregular heart beat, chest pain, shaking, sweating, blood rush to head, ears getting hot, anxiety. He has been to ER and has visited a couple of doctors, His family doctor (Doctor Withheld , Hospital number Withheld ) and was referred to cardiologist (Doctor Withheld , Works for Withheld, Hospital Withheld , Tel: Withheld ) and they seem to not have a cure for it. He did some research and is aware that some side effects similar to his has been reported after the second dose of Pfizer BioNTech covid vaccine, and he has been experiencing this condition for 9 months now (he has received the Second dose of Pfizer BioNTech covid vaccine)Caller states that he has done everything that he could and his Cardiologist required an EKG which showed everything was normal except for heart rate rising abnormally. Caller was 3-year-old. agent: E-transmitting potential duplicate AE (caller stated that he has filed a report) His family doctor (Doctor Withheld , Hospital number Withheld ) cardiologist (Doctor Withheld , Works for Withheld , Tel: Withheld. Response: Informed the caller that At Pfizer Medical information, medical recommendations and treatment is not provided but i would be able to provide information regarding concerns Spoke from the attached CONS-myocarditis and pericarditis (v4.0) and fact sheet LAB-1485-8.0 Revised: 13Apr2022 Post marketing data demonstrate increased risks of myocarditis and pericarditis, particularly within 7 days following the second dose. The observed risk is higher among males under 40-years of age. Although some cases required intensive care support, available data from short-term follow-up suggest that most individuals have had resolution of symptoms with conservative management. Information is not yet available about potential long-term sequelae.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.