Increased sensitivity to motion; dizziness/light headedness/Constantly dizzy/feeling faint; nauseous; feeling like I am going to pass out.; severe anxiety; panic attacks; The initial case was missing the following minimum criteria: [ICH-Unspecified Adverse Event]. Upon receipt of follow-up information on [27Aug2023], this case now contains all required information to be considered valid.   This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP), Program ID: (005570). The reporter is the patient.  A 33-year-old male patient received BNT162b2 (BNT162B2), on 22Apr2021 as dose 1, single (Lot number: ER8731), in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: DIZZINESS (disability, medically significant) with onset 26Apr2021, outcome "not recovered", described as "dizziness/light headedness/Constantly dizzy/feeling faint"; PRESYNCOPE (disability, medically significant) with onset 26Apr2021, outcome "not recovered", described as "feeling like I am going to pass out."; NAUSEA (disability, medically significant) with onset 26Apr2021, outcome "not recovered", described as "nauseous"; PANIC ATTACK (disability, medically significant) with onset 26Apr2021, outcome "not recovered", described as "panic attacks"; ANXIETY (disability, medically significant) with onset 26Apr2021, outcome "not recovered", described as "severe anxiety"; MOTION SICKNESS (disability, medically significant), outcome "not recovered", described as "Increased sensitivity to motion". The events "dizziness/light headedness/constantly dizzy/feeling faint", "nauseous", "feeling like i am going to pass out.", "severe anxiety", "panic attacks" and "increased sensitivity to motion" required physician office visit. The patient underwent the following laboratory tests and procedures: Acoustic stimulation tests: Increased sensitivity to motion; Computerised tomogram: Negative; Electrocardiogram ambulatory: Negative; Magnetic resonance imaging: Negative; X-ray: Negative. Therapeutic measures were taken as a result of dizziness, nausea, presyncope, anxiety, panic attack, motion sickness. Clinical course: Essentially, a few days after patient 1st dose of the COVID vaccine he began experiencing dizziness/light headedness symptoms. Those symptoms progressively got worse and worse and never went away. He began trying to do the appropriate thing by visiting the doctor and explaining what was going on. Then from there he would get referred to a series of specialists. Those included, audiologists, ENT's, Neurologist, Cardiologist, vestibular therapists, chiropractors, etc. All coming to the conclusion that something was for sure certainly off, but was hard to find a test to show it. The symptoms made life miserable; and still do to this day. Constantly dizzy, feeling faint, nauseous and feeling like he was going to pass out. These symptoms have made his life impossible to live normally. It was hard to go to work it was hard to exercise, it was hard to do yard work or house work or spend time playing with his kids or being with his wife. It was completely changed his life for the worse in so many ways. Also, with everything going on he had developed severe anxiety and panic attacks because well. The feeling of wanting to throw up/fall over/ or pass out on a daily basis changes mind he would assume. He just want his life back and to feel normal again. He can not financially continue this. He had spent so much money trying to resolve all of this. It was not fair. To him or his family. Family that he missing out on precious time and moments with.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.  Follow-up (27Aug2023): This is a spontaneous follow-up report received from same contactable consumer. Updated information included: Case updated to valid. Reporter; Patient detail (Age, gender), Relevant medical history, Lab data (MRI, Audiology, Holter monitor, X-Rays, CT and Contrast), Vaccine details (Start date, stop date, lot number, Anatomical location) New events; clinical course added.