Swelling of the brain; I was starting to develop tunnel vision; I was nearly blacked out; Burning sensation in the back of my neck; Dizzy; Disoriented; Nauseous; Shaking uncontrollably; Felt an extreme burst of pressure in my ears/ my inner ears blew out while i was flying; Within 30 minutes i developed a severe stabing headache; Left and right Perilymphatic fistulas; vertigo; Elevated intracranial pressure; eustachian tube dysfunction; Severe panic attack; paralyzed from the diaphragm down; This is a spontaneous report from a contactable consumer (patient). A 33-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 01Feb2021 (lot number and expiry date: unknown) at the age of 33-years-old, as dose 1, single, for Covid-19 immunisation. The patient had no relevant medical history. Concomitant medications were not reported. Patient was a commercial pilot who accumulated 10,000 hours of flight time and diagnosed with left and right perilymphatic fistula, Eustachian tube dysfunction, and elevated intracranial pressure on unspecified date in Feb2021, following Pfizer COVID-19 vaccination. Patient stated that he experienced side effects while flying, and "by the Grace of God" was able to get the plane back down on the ground before blacking out, something to this day he does not even remember doing.  On 03Feb2021, the patient experienced swelling of the brain following the Pfizer shot. He went through multiple surgeries. He lost nearly a year of his life with his family. He doesn't know if I he ever be able to fly a plane again. His career was destroyed, and he had to use up all of his savings just to pay medical bills. He felt the government has abandoned him as they refuse to help, after assuring everyone the shots were "safe and effective." Patient stated, "I felt like I drank poison". His whole body felt different. He went to bed at 10:00 at night and woke up at 2:00 in the morning paralyzed from the diaphragm down. The life he knew was gone. The patient stated that he was very healthy his whole life with no underlying conditions. He received his first dose of the Pfizer coveted vaccine on 01Feb2021 and within 30 minutes he developed a severe stabbing headache that later became a burning sensation in the back of neck two days after vaccination. On 03Feb2021, few hours before his job and immediately after taking off he knew something was not right with him. He started to develop tunnel vision and his headache was getting worse approximately two hours into flying. He pulled the airplane up to turn around and felt an extreme burst of pressure in his ears instantly; he was nearly blacked out dizzy, disoriented, nauseous and shaking uncontrollably. By the grace of God, he was able to land his plane without incident although he did not remember doing this. His initial diagnosis on unspecified date in 2021 were vertigo and a severe panic attack although he never had a history of either of these were later replaced with left and right paralymphatic fistulas eustachian tube dysfunction and elevated intracranial pressure due to brain swelling. His condition continued to decline, and his doctors told him that only an adverse reaction to the vaccine or a major head trauma could have caused this much spontaneous damage. He had six spinal taps over eight months to monitor his intracranial pressure and two surgeries eight weeks apart to repair the fistulas. He had missed nearly an entire year of his life and part of his children's lives days of baseball games playing in the backyard and just picking up his kids to hug them have been replaced with being trapped in a sick body. His doctor visits him for invasive procedures and more questions than answers. He doesn't know if he will be able to fly an airplane again. Patient stated that the vaccine had taken his career and the future he had worked so hard to build. He used all of his savings to pay medical bills to be able to survive. His family are on the verge of losing everything they have and he was still a "pro-Science" and "pro-vaccine". Outcome of the events was not recovered.  The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.