twisting torso was painful and he had to get checked out; has pressure on his chest; chest pain/severe chest pain; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 25-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0202, Expiration date: unknown) via an unspecified route of administration, administered in left arm (left shoulder) on 12Jul2021 (age at vaccination was 25 years) as dose 1, single for COVID-19 immunization. The patient's medical history included ongoing eczema and ongoing asthma from an unknown date. The patient's family history included possibly, high cholesterol on his dad's side. Concomitant medication included dupilumab (DUPIXENT) taken for eczema and asthma from an unspecified start date and ongoing. The patient was on monthly allergy shots and Dupixent. It 'as monoclonal antibody for eczema and asthma. He took it every two weeks as well. He wanted to know if there was any information available on these medications and the Pfizer BioNTech COVID 19 vaccine. He wants to figure out if it was okay or was there any data points on side effects for people who had all these shots. He takes 3 extra shots a month. No additional vaccines were administered on same date of the Pfizer suspect. The facility where the most recent COVID-19 vaccine was administered was Pharmacy. The vaccine was not administered at Facility. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had a side effect after the first dose of the vaccine. On 19Jul2021, the patient experienced chest pain. On 26Jul2021, the patient experienced twisting torso was painful and he had to get checked out and had pressure on his chest. Fourteen days later on 26Jul2021, the patient experienced severe chest pain. On the 26Jul2021, it was severe enough where getting up from bed and twisting torso was painful and he had to get checked out. It was severe enough that it was hard to twist and get out of bed so he went to the emergency room on the 26Jul2021 and had labs done. At the ER, they checked his CBC (Complete blood count): everything within range, troponin 1: within range, basic metabolic panel: all within range and did a D-Dimer test: within range on 26Jul2021. All results were within normal range. He stated that the ER just tried to get him out quickly and they said that the vaccine may have caused his symptoms but they were unsure. After taking tylenol, that day the symptoms were more mild and less noticeable but still had pressure on his chest. The chest pain was more mild now and less noticeable than the past two days. On the 29Jul2021, with the help of Tylenol, it was more manageable. He could still feel a certain degree of pressure on his chest. He had severe chest pain for 14 days after the vaccine. The patient asked if these side effects were normal. The patient wanted to know if he should get the second dose. He received the response stating that he should not get the Pfizer-BioNTech COVID-19 Vaccine if he had a severe allergic reaction after a previous dose of the vaccine or if he had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by Pfizer. They referred him to speak to his healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. His healthcare provider knows his health situation and had access to information that can better help inform this decision. The event chest pain required as visit to Physician Office for follow up that day. The outcome of the event chest pain/severe chest pain and had pressure on his chest was not resolved. The outcome of the event twisting torso was painful and he had to get checked out was unknown.  Follow-up attempts are completed. No further information is expected.