feeling like he was about to pass out; very deep sinus infection; dizziness; feeling the extreme coldness; being disoriented; sensitivity to light; lymph nodes underneath the arm, seem to swell pretty bad; extremely loud in his head, sounds very loud; in pain; headaches causing such a pressure that would cause tooth pain and reports of trigeminal neuralgia; headaches causing such a pressure that would cause tooth pain and reports of trigeminal neuralgia; severe pressure causing like pressure in the sinus cavity and tooth and in the face connected to pressure in the head; severe pressure causing like pressure in the sinus cavity and tooth and in the face connected to pressure in the head; severe pressure causing like pressure in the sinus cavity and tooth and in the face connected to pressure in the head; reports of trigeminal neuralgia; suspects he may have allergies to something in vaccine; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 38-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 28Sep2022 as dose 4 (booster), single (Lot number: GS2524) at the age of 37 years for covid-19 immunisation. The patient's relevant medical history included: "suspected food allergies" (unspecified if ongoing), notes: Comments: suspected food allergies; "Covid-19", start date: Feb2020 (unspecified if ongoing), notes: believes he was one of the early people to get Covid-19 in Feb2020; "had the root canal", start date: May2021 (unspecified if ongoing), notes: That was May2021, that he had the root canal.; "had Covid", start date: 2003 (unspecified if ongoing), notes: Has reason to believe he originally had Covid in 2003. It is what he called the OG Covid.; "long Covid" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (Dose: 3, Dose: 02Nov2021, LOT: FF2593, NDC, EXP: Unknown), administration date: 02Nov2021, when the patient was 37-year-old, for COVID-19 Immunization, reaction(s): "feeling like he was about to pass out", "dizziness", "feeling the extreme coldness", "being disoriented", "headaches", "tooth pain", "infection was literally coming out of the nose", "some kind of inflammation", "trigeminal neuralgia", "depressed and his mood has totally changed"; BNT162b2 (DOSE 2, LOT: EN6203, NDC, EXP: Unknown), administration date: 23Feb2021, when the patient was 36-year-old, for COVID-19 Immunization, reaction(s): "head pain and tooth pain, like a sinus infection.", "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache", "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity", "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity", "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache", "feeling like he was about to pass out", "sensitivity to light", "dizziness", "feeling the extreme coldness", "being disoriented"; BNT162b2 (DOSE 1, Batch/lot number: EM9810, every time, in right arm; First Dose), administration date: 02Feb2021, when the patient was 36-year-old, for COVID-19 Immunization, reaction(s): "feeling like he was about to pass out", "dizziness", "feeling the extreme coldness", "being disoriented", "sensitivity to light". The following information was reported: PRESYNCOPE (medically significant), outcome "unknown", described as "feeling like he was about to pass out"; SINUSITIS (medically significant), outcome "unknown", described as "very deep sinus infection"; DIZZINESS (non-serious), outcome "unknown"; FEELING COLD (non-serious), outcome "unknown", described as "feeling the extreme coldness"; DISORIENTATION (non-serious), outcome "unknown", described as "being disoriented"; PHOTOPHOBIA (non-serious), outcome "unknown", described as "sensitivity to light"; LYMPHADENOPATHY (non-serious), outcome "unknown", described as "lymph nodes underneath the arm, seem to swell pretty bad"; TINNITUS (non-serious), outcome "unknown", described as "extremely loud in his head, sounds very loud"; PAIN (non-serious), outcome "unknown", described as "in pain"; TOOTHACHE (non-serious), HEADACHE (non-serious), outcome "unknown" and all described as "headaches causing such a pressure that would cause tooth pain and reports of trigeminal neuralgia"; PARANASAL SINUS DISCOMFORT (non-serious), DISCOMFORT (non-serious), HEAD DISCOMFORT (non-serious), outcome "unknown" and all described as "severe pressure causing like pressure in the sinus cavity and tooth and in the face connected to pressure in the head"; TRIGEMINAL NEURALGIA (non-serious), outcome "unknown", described as "reports of trigeminal neuralgia"; ALLERGY TO VACCINE (non-serious), outcome "unknown", described as "suspects he may have allergies to something in vaccine". The patient underwent the following laboratory tests and procedures: Acoustic stimulation tests: (17Aug2021) Fine, notes: said hearing was fine and his vitals were fine; Blood test: (unspecified date) pretty good health, notes: Does blood work every single year and has been in pretty good health; Blood triglycerides: (unspecified date) High, notes: Triglycerides were high one year and had gone down; (unspecified date) had gone down, notes: Triglycerides were high one year and had gone down; Body temperature: (2003) 106, notes: for 3 days; Computerised tomogram: (unspecified date) it was maybe something super deep in there, notes: When they explained CT scan, they said nothing was really showing up and they do still think it was maybe something super deep in there; Weight: (unspecified date) lose weight, notes: With dietary changes it has gone down and was able to lose weight; (unspecified date) about 175, notes: Current weight is about 175. When he got the shot; (unspecified date) over 200, notes: he was like over 200. Therapeutic measures were taken as a result of sinusitis, toothache, headache. Clinical courses: Has reason to believe he originally had Covid in 2003. It is what he called the OG Covid. Being on his deathbed and 106 fever for 3 days, though he was going to die. Was in high school. Was also working at a high school the last 12 years. When this happened, he started tracking it Dec2019, was going to shut down and nobody believed him. That is why he got vaccinated. Before he got the shot, he believes and there is no way to retest but, believes he was one of the early people to get Covid-19 in Feb2020. He worked at a high school and when that happened, it was by the summer of 2020, he started having really crazy symptoms like dizziness and essentially, Had tinnitus, like ringing in his ear. Was telling people, it was like a concussion grenade going off. Was so confused, he would stand up and would almost pass out. Everything would go black and he would almost pass out. Was getting extremely cold, very, very, cold, like blood circulation issues. Was the feeling he would get right before he was about to pass out. Never fully passed out or blocked out. Was cognizant to sit down and brace himself slowly, down to the ground. Occurred to him he was having some neurological symptoms. Chalked it up to long Covid. Clarified this was all prior to getting any of the Covid vaccines. Caller asked if Pfizer has received any reports of sensitivity to light, headaches causing such a pressure that would cause tooth pain and reports of trigeminal neuralgia, specifically of any reports of such a severe pressure causing like pressure in the sinus cavity and tooth and in the face connected to pressure in the head. He mentioned that tomorrow he is going to see a Neurologist, and that other several Doctors over the last year and half have not believed him, so any information that Pfizer might provide would be of help. It has taken up to this final vaccine that he received 28Sep2022, just a month ago, has taken this long to figure out that the symptoms were happening within a month of getting the Pfizer shots. The symptoms were pretty severe and felt more pain that most people. His lymph nodes underneath the arm, seem to swell pretty bad within the first 72 hours. Had suspicions after the third shot that this was probably linked to the vaccine. After he got the shots, within usually about 2 weeks, he started having similar symptoms that he experienced before, like dizziness. Clarified that with every shot, he experiences the dizziness, feeling like he was about to pass out, feeling the extreme coldness and being disoriented. That same sensation happens with every single shot. It was only that severe with the very first and second shot. He always stayed put after every single shot, at least 15 to 30 minutes. Thinks they had pretty good system, tracking who was impacted every time and would say that he needed to stay about 30 minutes. Was not going to go anywhere and would get nervous during that time. His blood rushed and had that feeling like it went straight from his arm into his head, like almost immediately. Would have that dizziness and the other symptoms. Now, everything is extremely loud in his head, sounds very loud. His son would be right next to him and he would ask him to whisper because, even talking sounds are loud to him. Sensitivity to light is also painful to him. When he had Covid, that was a good 6 months, he was feeling dizzy, like things were very loud and those kind of symptoms. The reason he is describing this all is because, this exact thing reignites that response. Would say this happens within 2 or 3 weeks after getting the vaccine, he would feel these symptoms. Clarified that the sensitivity to light also occurred within 2 or 3 weeks after getting the shots. Outcome: Would say it used to take longer for these symptoms to show up. Would have to go back and look at his medical records. Has contacted every single doctor he has been to about his medical history over the last year, to connect the dots. Has an appointment to see a neurologist tomorrow (03Nov2022). Had to go again because they still thought he needed antibiotics and he was still in pain. Then, he started having appointments with the Ear, nose and throat doctor. Started appointments 16Jun2021. For the last month of 02Nov2022, he had been complaining about head pain and tooth pain, like a sinus infection. Doctor said he had a very deep sinus infection. They put him on Levaquin, a high grade antibiotic and Prednisone, a steroid. The patient is currently 38. Current weight is about 175. When he got the shot, he was like over 200. Is not attributing the weight loss to the shot but he went through a very aggressive campaign to lower his weight. With dietary changes it has gone down and was able to lose weight. Now suspects he may have allergies to something in vaccine. No Prior Vaccinations (within 4 weeks). AE required visit to None. Has hunch it is related to Covid vaccine but, not sure. Wants to be able to rule things out. Has gone to all those doctors (as reported) and has appointment with neurologist. Going to have MRI Sunday and see allergist next week. The reporter considered events as non-serious.