he started coughing bad. He has been coughing every day since; coughing up globs of mucus; Reactive Respiratory Disease; He now has sinus and ear problems (pressure); He now has sinus and ear problems (pressure); sick right after receiving booster; This is a spontaneous report received from non-contactable reporter(s) (Consumer or other non HCP). The reporter is the parent.  A 20-year-old male patient received BNT162b2 (BNT162B2), on 12May2022 as dose 3 (booster), single (Lot number: Fm9992) at the age of 20 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Known allergies: Penicillin" (unspecified if ongoing). There were no concomitant medications. The patient did not received any other medications in two weeks and other vaccine in four weeks. Patient did not had COVID prior to the vaccination. Vaccination history included: BNT162b2 (Dose Number: 2, Batch/Lot No: Fc3181, Location of injection: Arm Left), administration date: 15Aug2021, when the patient was 19-year-old, for COVID-19 Immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: Ew0198, Location of injection: Arm Left), administration date: 25Jul2021, when the patient was 19-year-old, for COVID-19 Immunization. The following information was reported: PARANASAL SINUS DISCOMFORT (non-serious), EAR DISCOMFORT (non-serious) all with onset 13May2022, outcome "not recovered" and all described as "He now has sinus and ear problems (pressure)"; BRONCHIAL HYPERREACTIVITY (medically significant) with onset 13May2022, outcome "not recovered", described as "Reactive Respiratory Disease"; PRODUCTIVE COUGH (medically significant) with onset 13May2022, outcome "not recovered", described as "coughing up globs of mucus"; COUGH (medically significant) with onset 13May2022, outcome "not recovered", described as "he started coughing bad. He has been coughing every day since"; ILLNESS (non-serious) with onset 13May2022, outcome "not recovered", described as "sick right after receiving booster". The events "he started coughing bad. he has been coughing every day since", "coughing up globs of mucus", "reactive respiratory disease", "he now has sinus and ear problems (pressure)" and "sick right after receiving booster" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Chest X-ray: (2022) (was ok), notes: had chest X-ray (was ok) and CT scan (ok) nothing is helping; Computerised tomogram: (2022) ok, notes: had chest X-ray (was ok) and CT scan (ok) nothing is helping; SARS-CoV-2 test: (24May2022) Negative; (23Jun2022) Negative, notes: Nasal Swab; (19May2021) Negative, notes: Nasal Swab; (27Jul2022) Negative, notes: Nasal Swab. Therapeutic measures were taken as a result of cough, productive cough, bronchial hyperreactivity, paranasal sinus discomfort, ear discomfort, illness. Clinical course: The reporter stated that day after reporter son received his booster, he started coughing bad. He had been coughing every day since and coughing up globs of mucus. He had been to the Dr numerous times (including Pulmonologist) and been on Prednisone twice, 2 different antibiotics, albuterol, Advair, Mucinex, and had chest X-ray (was ok) and CT scan (ok) nothing was helping. He now had sinus and ear problems (pressure). Nothing was working and he was no better than the day it started. He never had a cough before or any bad illness). The Pulmonary Dr said he thought it was Reactive Respiratory Disease and after trying to treat it, it did not help. He had been sick right after receiving booster and there was no other explanation as to why he has been uncured.