chest pain; Tired; Headache; Body aches; Left arm sore at injection site; having chest discomfort; This is a spontaneous report from a contactable consumer. This 45-year-old male consumer reported that.  A 45-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: FC3180), dose 1 via an unspecified route of administration, administered in Arm Left on 23Aug2021 18:30 as (At the age of 45-years) dose 1, single for covid-19 immunisation. Medical history included diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. Illness/AE: Sleep apnea (3-4 years ago. Doctor said to lose some weight. He is breathing like he has sleep apnea. It was reported that patient Mother has a lot of issues high blood pressure and a lot of things going on with her. It was reported that He got COVID virus last Dec2020. When he got it, it was not as bad as the COVID is now. He did not have any problems with his heart. He just had headaches and body aches and that is it. No Other Products, Patient History and no Investigation Assessment ware reported. No History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). No Prior Vaccinations within 4 weeks. No AE prior vaccinations. The patient experienced chest pain on an unspecified date, patient having chest discomfort and left arm sore at injection site on 23Aug2021, patient experienced tired, headache, body aches on 24Aug2021. It was reported that patient having chest discomfort and chest pain after receiving his first dose of the vaccine. It has been 10 days and he is still experiencing chest discomfort. Caller has visited the ED and a cardiologist. The caller was prescribed Tylenol in the ED which he says it was not helping. Caller was nervous to receive his second dose of the vaccine. Caller is asking for other treatment recommendations. Caller said he doesn't have insurance and is expecting the hospital bill. He asked 'who is going to pay for it. Caller reports have been prescribed Tylenol while in the ED to alleviate his chest pain/discomfort. Later reporter describes that patient got his first dose a week ago last Monday, more than 10 days, and has a feeling of pressure on his heart. He then said Chest Pain, and discomfort and he went to the ER. He never had problem in his life with his heart. Now he got vaccine and he is feeling these symptoms. He went to ER on Sunday and they did all these tests and checked everything, and it was all normal. Only thing they gave him was Tylenol. Sometimes, it is not helping. He wanted to know if there is something else, he can do for the chest pain and discomfort. It was reported that on this past Tuesday, he went to see a Cardiologist. Sometimes the chest pain feels like it the same. It comes and goes. The only thing they gave him was Tylenol and it does not provide relief. When he had that discomfort, he feels anxiety. He does not know what is going on with his heart. It is not a pleasant thing to feel, and he never had any problem. The following day he had headache, and body aches. The headache is gone. Sometimes he feels it for half a day, but he also had body aches and was tired. All of those have gotten better. The Tylenol manufacturer is Johnson and Johnson, and it is 500 mg each tablet. He was taking 2 tablets every 6 hours. Total count size 24 tablets. The Lot is ADA071 and expiration Feb2025. He first stated it was 100mg, but when he got the bottle, he confirmed it was 500mg each tablet. It was reported that on 29Aug2021 went to Hospital. They did all kind of test and everything was normal. EKG, blood test and chest x-ray were done, and all were normal. They gave him Tylenol and they said to go to his primary care doctor. He did an appointment with a cardiologist last week because he was not feeling well. He got an appointment on Tuesday. She did the same thing; the EKG, put electrodes on his chest and that is it. Everything looked normal. She suggested to do an Ultrasound of heart. The Ultrasound is 300 and he cannot afford it. The medical bill from his hospital, he does now know how much it will be either. It was reported that patient went to ER at 8pm and was out at 02:00. The patient underwent lab tests and procedures which included blood tests, cerebro-spinal fluid culture, pleural fluid culture, urine culture, diagnostic imaging, (e.g., chest X-ray, MRI). Test: EKG, Blood test and chest x-ray were all normal. The outcome of event chest discomfort was not recovered, outcome of event chest pain was unknown, and outcome of all other events was recovering at the time of report.  Follow-up attempts are completed. No further information is expected.