extremely fatigued; was essentially dehydrated as well; woke up every hour; brain fog; shoulders were ridiculously sore; he couldn't get comfortable; He felt like he got hit by a train this morning; his heart rate has been hovering around 90 beats per minute and going between 90 to 114; from the back of his neck down to his back, he was in extreme amount of pain; from the back of his neck down to his back, he was in extreme amount of pain/back pain which was excruciating this morning but now is probably half as bad as it was; chills; blurry vision; couldn't think straight; sore arm; slight headache; 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 41-year-old male patient received BNT162b2 (BNT162B2), on 03Jul2022 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 41 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "BMI is high" (ongoing), notes: BMI is high, Onset Date: All of his life, Stop Date: Ongoing; "cardiovascular disease" (ongoing), notes: cardiovascular disease , ongoing prior to any dose of the Covid Vaccine; "very high calcium score" (unspecified if ongoing), notes: very high calcium score. There were no concomitant medications. Vaccination history included: covid-19 vaccine (Dose 3, Manufacture unknown, Lot Number: FH8028, Expiry Date: Unknown, this was not on the picture of the CDC vaccine record card caller had on his phone., Route, Anatomical Location: Injection, right arm he believes), administration date: 30Nov2021, when the patient was 40-year-old, for Covid-19 immunization; Covid-19 vaccine (Dose 2, Manufacturer unknown, Lot Number, Expiry Date: Unknown, caller did not have CDC vaccine record card with them at time of the call., Route, Anatomical Location: Injection, right arm he believes, Date: Unknown other than at least 6 months ago), for Covid-19 immunization; Covid-19 vaccine (Dose 1, Manufacturer unknown, Lot Number, Expiry Date: Unknown, caller did not have CDC vaccine record card with them at time of the call., Route, Anatomical Location: Injection, right arm he believes, Date: Unknown other than at least 6 months ago), for Covid-19 immunization. The following information was reported: HEADACHE (non-serious) with onset 04Jul2022, outcome "recovering", described as "slight headache"; PAIN IN EXTREMITY (non-serious) with onset 04Jul2022, outcome "recovering", described as "sore arm"; FEELING ABNORMAL (non-serious) with onset 05Jul2022, outcome "recovering", described as "He felt like he got hit by a train this morning"; VISION BLURRED (non-serious) with onset 05Jul2022, outcome "recovering", described as "blurry vision"; CHILLS (non-serious) with onset 05Jul2022, outcome "not recovered"; THINKING ABNORMAL (non-serious) with onset 05Jul2022, outcome "recovering", described as "couldn't think straight"; NECK PAIN (non-serious) with onset 05Jul2022, outcome "recovering", described as "from the back of his neck down to his back, he was in extreme amount of pain"; BACK PAIN (non-serious) with onset 05Jul2022, outcome "recovering", described as "from the back of his neck down to his back, he was in extreme amount of pain/back pain which was excruciating this morning but now is probably half as bad as it was"; DISCOMFORT (non-serious) with onset 05Jul2022, outcome "recovering", described as "he couldn't get comfortable"; HEART RATE INCREASED (non-serious) with onset 05Jul2022, outcome "not recovered", described as "his heart rate has been hovering around 90 beats per minute and going between 90 to 114"; ARTHRALGIA (non-serious) with onset 05Jul2022, outcome "recovering", described as "shoulders were ridiculously sore"; FATIGUE (non-serious), outcome "unknown", described as "extremely fatigued"; DEHYDRATION (non-serious), outcome "unknown", described as "was essentially dehydrated as well"; SLEEP DISORDER (non-serious), outcome "unknown", described as "woke up every hour"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "brain fog". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of neck pain, back pain, chills, vision blurred, thinking abnormal, fatigue, dehydration, sleep disorder, heart rate increased, feeling abnormal, arthralgia, discomfort, feeling abnormal, pain in extremity, headache.  Additional information: This consumer was the patient who called regarding his fourth dose which was his second booster shot of the Pfizer product: Covid Vaccine. He woke up this 05Jul2022 and reported extreme symptoms further clarified as he had pain in his back from his neck to lower back and shoulders were ridiculously sore; he couldn't get comfortable; his heart rate has maintained at a steady 90 beats per minute up to 114 beats per minute all day. He felt like he got hit by a train this morning; has chills. He felt better after going back to bed for about 6 hours. He also had blurred vision was not blurry anymore and he can think straight-he then clarified these events are improved. He asked if this was normal with the product, or if he should go to the hospital. He also reported events with onset of 04Jul2022 including sore arm and slight headache. Patient verified there were no relevant concomitant products or other medical conditions to report. Patient clarified that his very high calcium score, basically has cardiovascular disease was ongoing prior to any dose of the Covid Vaccine. Patient verified that he has had no testing, treatment or medical interventions relative to these events to report. Provide other relevant medical history including but not limited to these conditions: diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.