with each new vaccine the tinnitus gets a little bit louder; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID: (159558).  A 70-year-old male patient received BNT162b2 (BNT162B2), on 17Aug2022 as dose 4 (booster), single (Lot number: FP1737), in left arm for covid-19 immunisation. The patient's relevant medical history included: "hearing aides He wears hearing aides and has for about 20 years." (ongoing), notes: Comments: hearing aides He wears hearing aides and has for about 20 years. The patient's medical history, reported also as family history included: "Hearing loss" (unspecified if ongoing), notes: My husband has hereditary hearing loss and tinnitus, the ringing in the ears; "Tinnitus" (unspecified if ongoing), notes: My husband has hereditary hearing loss and tinnitus, the ringing in the ears; "Ringing in the ears" (unspecified if ongoing), notes: My husband has hereditary hearing loss and tinnitus, the ringing in the ears. There were no concomitant medications. Vaccination history included: BNT162b2 (dose: 1st, Pfizer covid vaccine first dose: 10Mar2021 Lot: EN6206 Expiration: unknown NDC: unknown, Thinks all doses were administered in his left arm), administration date: 10Mar2021, for COVID-19 immunization, reaction(s): "Tinnitus"; BNT162b2 (dose: 2nd, Pfizer covid vaccine second dose: 31Mar2021 Lot: ER8733 Expiration: unknown NDC: unknown, Thinks all doses were administered in his left arm), administration date: 31Mar2021, for COVID-19 immunization, reaction(s): "with each new vaccine the tinnitus gets a little bit louder"; BNT162b2 (dose: 3rd, Pfizer covid vaccine third dose, booster: 09Nov2021 Lot: FF8839 Expiration: unknown NDC: unknown, Thinks all doses were administered in his left arm), administration date: 09Nov2021, for COVID-19 immunization, reaction(s): "with each new vaccine the tinnitus gets a little bit louder". The following information was reported: TINNITUS (non-serious), outcome "not recovered", described as "with each new vaccine the tinnitus gets a little bit louder". Therapeutic measures were not taken as a result of tinnitus.  Additional information: Caller stated: I am calling about my husband and the Pfizer vaccine. Before we had the original two vaccines and two boosters. My question is: My husband has hereditary hearing loss and tinnitus, the ringing in the ears, and with each new vaccine the tinnitus gets a little bit louder, and it does not come back down, it stays in an elevated level, it has happened every time. How should we approach this, do we continue taking the vaccine, and make the tinnitus even louder? Caller also added that a lady in the church has the same problem, and that every time she got the vaccine, tinnitus a little louder, it's more than just some other cases, have to weigh unprotected and have the tinnitus. The caller said she and her husband had received the Original Two Shot and the Two Booster from Pfizer but not the Bivalent One. She wants to know what is in the vaccine that is causing her husband to have tinnitus, which becomes louder every time he receives the shot. She also noted that a woman at the church is experiencing the same thing, should he take the booster shot even though it could make his tinnitus worse. On 15Aug2023, calling about Pfizer covid 19 vaccine. Her husband has received the original two vaccines and two boosters. He has hereditary hearing loss and tinnitus. Every time he received a vaccine the tinnitus would get a little bit louder and not come back down. Agent provided information for her inquiry. Confirms contact details upon transfer. Confirms the hereditary hearing loss and tinnitus was prior to him receiving the Pfizer covid vaccines. Confirms all his covid vaccines were from Pfizer. Declined Age: currently 70, but was about 68 years old when he received his first covid vaccine in 2021 and experienced the tinnitus that would get a little bit louder.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.  Follow-up (15Aug2023): This is a spontaneous follow-up report received from a contactable consumer.  Updated information included: reporter information, patient details (age, ethnicity, height, weight, gender, historical vaccine updated), other medical history, suspect drug details (vaccination date, lot number, anatomical location), event detail (event treatment), and clinical course details.