couldn't sleep all night; bleeding with urination; Caller states last night, so the 4th day after, he had anxiety; He had arm pain; lightheadedness; This is a spontaneous report from a contactable consumer or other non-HCP who reported for herself.  A 54-years-old male received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 14Apr2021 at 14:30 (age at the time of vaccination was 54-years-old) as a DOSE 2, single for COVID-19 immunization. Medical history included Benign prostatic hyperplasia. Additional Information for Other Conditions: Prostate Issue is BPH. Diagnosed a few years back 2016 or 2017. States he had a Uralist in 2019 and that resolved his issues. Been on no meds and back to normal since that procedure. Concomitant medications included Lipitor for Blood cholesterol. Additional Information for Concomitant Products Lipitor: Primary doctor put him on Lipitor for cholesterol. He was concerned with the dark urine so he stopped taking it, and called doc but said didn't need on it anyhow. Took within 2 weeks of first dose. The patient had received both the doses of Pfizer COVID Vaccine within 4 weeks. The patient had no reactions to medications and vaccines. Previously, the patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 24Mar2021 at 1:00, as a DOSE 1, single for COVID-19 immunization. On 31Mar2021, the patient experienced sweating and bleeding with urination. On 14Apr2021, the patient experienced He had arm pain and lightheadedness. On 18Apr2021, the patient experienced Caller states last night, so the 4th day after, he had anxiety. On an unspecified date, the patient experienced couldn't sleep all night. Caller was calling about the Pfizer COVID Vaccine. He stated he did not knew if he was reporting a side effect or not. He had both vaccines now and experienced the same thing both times, like clockwork on the same days. He states it was odd that it came up again. He states with the first, he had the normal arm pain and was lightheaded for a day. He states then 4-6 days after that in the evening, he couldn't sleep and had weird anxiety and half way through the night, he broke out in a sweat, but he was not feverish. He went to bathroom and was urinating blood. He was concerned because in the past he has had some issues with his prostate. Caller states with prostate infections, blood is rare it is usually cloudy. He called his urologist although it seemed to have been fixed from the surgery he had and he hadn't had a single infection since. He states for about 5 days from Thursday to a Tuesday, he pushed fluids because his doctor couldn't get him in right away. He states his urine kept getting darker and darker, and it was a brown coffee colour, then it turned bloody the day before his appointment and then it went away on the day of his appointment. States they did a urinalysis at the doctor's office and he had +3 blood and leukocytes. States the urologist said his best guess is probably an infection and he was put on a month of Cipro and he is on that still. He usually starts to feel better after antibiotics but he wasn't so he wasn't sure if the Cipro was working. He states a week or two after he noticed less abdominal discomfort. He did not knew if the antibiotics were doing that or not. He states since that he had his second COVID vaccine last Wednesday. He had arm pain and lightheadedness that went away the next day. He states last night, so the 4th day after, he had anxiety and couldn't sleep all night and sweating and today he has bleeding with urination again. States he doesn't know if it is related to the shot or not. States he was on antibiotics still, so why would he develop another infection if he is on Cipro. He doesn't know if that is normal or if it has been heard of before? States all he knows is this is the first day of the light bleeding, and he noticed it is getting dark. Right Arm Pain after First Vaccine: States it was odd because he doesn't have issues with shots. States he woke up the next day and he had deltoid pain but he also had pain like he had been hit from his right pectoral down his arm to about 4-5" above his wrist. He clarified the blood in his urine started on 31Mar2021 and it got darker 02Apr2021, 03Apr,2021, 04Apr2021, and then blood again 05Apr2O21, and then it cleared up 06Apr2021, the day of his appointment. He also clarified the sweating lasted half a hour to an hour. Caller states the first time he thought it was because of his prostate. He told the urologist he had the vaccination, but the urologist said that was probably not causing it. He called to report adverse events from the COVID vaccine. States he was on Cipro but he doesn't feel like it was doing much because he didn't feel better and he had discomfort in his abdomen. Caller states he doesn't know if it is working or not, it is not painful it was a discomfort. The patient underwent lab tests and medical procedures on 06Apr2021, which showed results as Leukocytes and Blood +3. The clinical outcome of couldn't sleep all night was recovered on an unspecified date, the clinical outcome of sweating was recovered on 01Apr2021, the clinical outcome of He had arm pain and lightheadedness was recovered on 15Apr2021, the clinical outcome of Caller states last night, so the 4th day after, he had anxiety was recovered on 19Apr2021, the clinical outcome of couldn't sleep all night was recovered on an unspecified date, while clinical outcome of bleeding with urination was unknown.  No follow-up attempts are needed. No further information is expected.