Tinnitus; Fatigue; This is a spontaneous report from a contactable consumer (patient). A 64-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration administered in left arm on 05Mar2021 at 11:20 (Lot number & expiry date were not reported) (at the age of 64-years-old) as 1st dose, single dose; then via an unspecified route of administration, administered in left arm (shoulder area) on 26Mar2021 at 10:30 (Lot number & expiry date were not reported) (at the age of 64-years-old) as 2nd dose, single dose for COVID-19 immunisation. Vaccination facility type was reported as unknown and vaccine was not administered at military facility. No other vaccines given the same day and no problem with vaccines in past. There were no adverse events (AEs) following prior vaccinations. Medical history included ongoing multiple sclerosis (MS). History of all previous immunization with the Pfizer vaccine considered as suspect and family medical history relevant to AEs were reported as none. The patient's concomitant medications included Gabapentin and modafinil (PROVIGIL) from unspecified date and unknown if ongoing. The patient previously took interferon (unspecified) at 10mg. The doctor thought that since he has not had any relapse, he was okay not to take Interferon anymore. He wanted Pfizer to know he does have an auto-immune issue. He had used Interferon and then an oral medicine, but unable to provide NDC, Lot, or expiry for either product since it has been 3 years since he'd been on that. He did mention taking Gabapentin before bed and Provigil in the morning. The patient experienced tinnitus and fatigue on Mar2021 and ongoing. The patient reported side effects after the administration of the COVID-19 vaccine. He had the first dose on 05Mar2021 and second dose on 26Mar2021. After the first shot his tinnitus started and he was also fatigued. Patient clarified he didn't go to the doctor for the fatigue, but the tinnitus. He only mentioned the tinnitus. He also went to the doctor today and noticed since the vaccine and how ironic besides having the tinnitus how much more fatigue he has. He never took naps in the afternoon and now he does, he needs to. He is much more fatigued, and he even does yoga and notices his balance also. Before today's visit he had seen specialist, ENT (ear, nose, throat) doctor and told him the same thing and had asked if what he experienced was possible. He saw the ENT doctor on 31Mar2021 and was told he did not know if that was very common, but prescribed him steroids, which he took.  He stated that with the steroids the tinnitus didn't get any better and he is not better now. He got ahold of his family provider recently to see if there was anything else that could be done like cleaning ears for wax or seeing if there was an infection, or something since he had no relief from the ENT visit. Later he clarified that steroids given by ENT was Prednisone 10mg tablets. He had 69 tablets and it was pretty strong and has used them all. He noticed the tinnitus maybe the week after getting the first dose. He didn't really think much about it, but it kept ongoing. This has been ongoing since after first and second shot. The event tinnitus did not require a visit to the Emergency Room but required a visit to Physician Office. Relevant tests done was unknown. The outcome of the events was not recovered.  No follow-up attempts are completed; information about lot/batch number cannot be obtained.