fatigue; sore arm; unknown inflammation in ear; some hearing loss; Noticed ringing in the ears (Tinnitus) after the first one then went away.; This is a spontaneous report from a contactable consumer (patient).   A 63-year-old female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6199), via an unspecified route of administration, administered in Arm Left on 19Mar2021 15:10 (at the age of 63-year-old) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. Concomitant medication(s) included metformin (METFORMIN) taken for anti-diabetic(ongoing), amlodipine (AMLODIPINE) taken for blood pressure (ongoing), montelukast (MONTELUKAST) taken for asthma (ongoing), levothyroxine (LEVOTHYROXINE) taken for thyroid (ongoing), losartan (LOSARTAN) taken for blood pressure (ongoing), acetylsalicylic acid (ASPIRIN) taken for heart care (ongoing), within 2 weeks of vaccination. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. On 10Apr2021 15:15, the patient experienced hearing loss, noticed ringing in the ears (tinnitus) after the first one then went away (03:30), On an unspecified date fatigue, sore arm, unknown inflammation in ear. Noticed ringing in the ears (Tinnitus) after the first one then went away. Severe Tinnitus after the second which has not gone away. Doctor sent me for hearing test. Which she had some hearing loss. 1st shot sore arm fatigue. Received 2nd shot in the afternoon woke up next day to chills, fatigue, bad headache, Tinnitus, she never had habit. Five days latter seen doctor about tinnitus because she never had it. Sent for hearing test. Audiologist said some hearing loss. Seen ENT told me to learn to leave with it and see another MD. She set up for MIR. MIR came back with someone unknown inflammation in ear. Taking the methylprednisolone as I write this on day for not much results at this point. Have a another ENT appointment coming up to talk about ears /MRI. My concern was this Tinnitus. The other sides effects away but the Tinnitus has remained. And the cost of all these doctor visit's. May have been able to give more answers but this form was a little confusing to someone not knowing medical terms. Patient wanted to sell her hearing aides for treatment of hearing loss. Facility where the most recent COVID-19 vaccine was administered was doctor's office/urgent care. The patient underwent lab tests and procedures which included hearing test: loss of hearing (tinnitus) on 20Apr2021, MRI: unknown inflammation to inner ear need a repeat on 12May2021, acupuncture: not much results, after taking methylprednisolone needle practice on 11May2021 and 14May2021. Therapeutic measures were taken as a result of noticed ringing in the ears (tinnitus) after the first one then went away. Events hearing loss, noticed ringing in the ears (tinnitus) after the first one then went away (03:30) resulted in Doctor or other healthcare professional office/clinic visit. Patient received treatment with methylprednisolone for noticed ringing in the ears (tinnitus) after the first one then went away (03:30). The clinical outcome of events fatigue, sore arm was recovered on an unspecified date, hearing loss, noticed ringing in the ears (tinnitus) after the first one then went away (03:30) was not recovered, unknown inflammation in ear was unknown.  Information on Lot/Batch number was available. Additional information has been requested.