2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.; 2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.; 2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.; 2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.; 2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.; 2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 54 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 21Jun2021 14:00 (Lot number: EW0196) as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported. The following information was reported: TINNITUS (non-serious), EAR DISCOMFORT (non-serious), HEAD DISCOMFORT (non-serious), HEADACHE (non-serious), FEELING ABNORMAL (non-serious), MUSCULOSKELETAL STIFFNESS (non-serious) all with onset 23Jun2021 08:00, outcome "not recovered" and all described as "2-3 days after first Pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  ALL of these have continued to today.". The event "2-3 days after first pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  all of these have continued to today.", "2-3 days after first pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  all of these have continued to today.", "2-3 days after first pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  all of these have continued to today.", "2-3 days after first pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  all of these have continued to today.", "2-3 days after first pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  all of these have continued to today." and "2-3 days after first pfizer shot, experienced ear ringing, ear and head pressure, pressure headache, "brain fog", and upper neck stiffness.  all of these have continued to today." was evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of tinnitus, ear discomfort, head discomfort, headache, feeling abnormal, musculoskeletal stiffness.  Additional information: No other vaccine in four weeks and no other medications in two weeks. No COVID prior vaccination. The patient had no known allergies.  No follow-up attempts are possible. No further information is expected.