feeling like he was about to pass out; The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache; head pain and tooth pain, like a sinus infection.; sensitivity to light; The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache; dizziness; feeling the extreme coldness; being disoriented; 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 36-year-old male patient received BNT162b2 (BNT162B2), on 23Feb2021 as dose 2, single (Lot number: EN6203) at the age of 36 years for covid-19 immunisation. The patient's relevant medical history included: "long Covid" (unspecified if ongoing); "Suspected food allergies" (unspecified if ongoing), notes: Medical Conditions: Suspected food allergies prior to all of this occurring with vaccine.; "Triglycerides" (unspecified if ongoing), notes: Triglycerides were high one year and had gone down. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE: 1, Lot: EM9810, Anatomical Location: Arm right), administration date: 02Feb2021, when the patient was 36-year-old, for COVID-19 Immunization, reaction(s): "feeling like he was about to pass out", "After 2 Pfizer shots, had to get 2 different root canals on the same tooth", "feeling the extreme coldness", "being disoriented", "sensitivity to light"; BNT162b2 (DOSE: 1, Lot: EM9810, Anatomical Location: Arm right), administration date: 02Feb2021, when the patient was 36-year-old, for Covid-19 immunization, reaction(s): "Dizziness". The following information was reported: TOOTHACHE (medically significant), HEADACHE (non-serious) all with onset Feb2021, outcome "unknown" and all described as "The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache"; DISORIENTATION (non-serious) with onset Feb2021, outcome "unknown", described as "being disoriented"; DIZZINESS (non-serious) with onset Feb2021, outcome "unknown"; PRESYNCOPE (medically significant) with onset Feb2021, outcome "unknown", described as "feeling like he was about to pass out"; FEELING COLD (non-serious) with onset Feb2021, outcome "unknown", described as "feeling the extreme coldness"; SINUSITIS (medically significant) with onset Feb2021, outcome "unknown", described as "head pain and tooth pain, like a sinus infection."; PHOTOPHOBIA (non-serious) with onset Feb2021, outcome "unknown", described as "sensitivity to light". The events "feeling like he was about to pass out", "the vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity/on antibiotics for a toothache", "head pain and tooth pain, like a sinus infection.", "sensitivity to light", "dizziness", "feeling the extreme coldness" and "being disoriented" required physician office visit. The patient underwent the following laboratory tests and procedures: Blood test: good health, notes: Test results: No. Does blood work every single year and has been in pretty good health. Triglycerides were high one year and had gone down; Weight: 175, notes: Current weight is about 175. When he got the shot, he was like over 200. Therapeutic measures were taken as a result of presyncope, toothache, sinusitis, photophobia, headache, dizziness, feeling cold, disorientation.  Clinical course: Has reason to believe he originally had Covid in 2003. It is what he called the OG Covid. Lived in country in 2003. Being on his deathbed and 106 fever for 3 days, though he was going to die. Was in high school in city. Was also working at a high school the last 12 years. When this happened, he started tracking it Dec2019, saying the country was going to shut down and nobody believed him. That is why he got vaccinated. First Dose: 02Feb2021, Second Dose: 23Feb2021, Third Dose: 02Nov2021, Fourth Dose: 28Sep2022. Event details: This started Feb2021. The symptoms are primarily in his head. Before he got the shot, he believes and there is no way to retest but, believes he was one of the early people to get Covid-19 in Feb2020. He worked at a high school and when that happened, it was by the summer of 2020, he started having really crazy symptoms like dizziness and essentially, it was POTS. Had tinnitus, like ringing in his ear. Was telling people, it was like a concussion grenade going off. Was so confused, he would stand up and would almost pass out. Everything would go black and he would almost pass out. Was getting extremely cold, very, very, cold, like blood circulation issues. Was the feeling he would get right before he was about to pass out. Never fully passed out or blocked out. Was cognizant to sit down and brace himself slowly, down to the ground. Occurred to him he was having some neurological symptoms. Chalked it up to long Covid. Clarified this was all prior to getting any of the Covid vaccines.  After he got the shots, within usually about 2 weeks, he started having similar symptoms that he experienced before, like dizziness. Clarified this started with the very first vaccine, 02Feb2021. He was instantly impacted and felt like he about to pass out. It was like a huge rush to the head and immediately felt like extreme coldness all over the body. Was like, really disoriented and actually nervous about not being able to drive. Clarified that with every shot, he experiences the dizziness, feeling like he was about to pass out, feeling the extreme coldness and being disoriented. That same sensation happens with every single shot. It was only that severe with the very first and second shot. Outcome: He always stayed put after every single shot, at least 15 to 30 minutes. Thinks they had pretty good system, tracking who was impacted every time and would say that he needed to stay about 30 minutes. Was not going to go anywhere and would get nervous during that time. His blood rushed and had that feeling like it went straight from his arm into his head, like almost immediately. Would have that dizziness and the other symptoms. Now, everything is extremely loud in his head, sounds very loud. His son would be right next to him and he would ask him to whisper because, even talking sounds are loud to him. Sensitivity to light is also painful to him. When he had Covid, that was a good 6 months, he was feeling dizzy, like things were very loud and those kind of symptoms. The reason he is describing this all is because, this exact thing reignites that response. Would say this happens within 2 or 3 weeks after getting the vaccine, he would feel these symptoms. Clarified that the sensitivity to light also occurred within 2 or 3 weeks after getting the shots. Outcome: Would say it used to take longer for these symptoms to show up.  Would have to go back and look at his medical records. Has contacted every single doctor he has been to about his medical history over the last year, to connect the dots. On 02Feb2021, got the shot, by 23Feb2021, got the second shot, thinks it was 3 weeks later and was fully vaccinated. Within 2 months of that time, he was on antibiotics for a toothache. The vaccine was causing extreme pressure on his head and putting pressure on his sinus cavity, making it seem like he was having tooth pain. Appeared to the dentist, that he needed to have root canal. That was May2021, that he had the root canal. Is not 100 percent sure when this started but would have been between late Mar2021 and late Apr2021 and had the root canal May2021. They gave him antibiotics because, they said they couldn't operate on the tooth because it was so infected. They needed to get the swelling down. They put him on another round of antibiotics and because he still had the infection after the root canal. Jun2021, was still being impacted to the point where he had to go see a bunch of doctors. Has an appointment to see a neurologist tomorrow. Had to go again because they still thought he needed antibiotics and he was still in pain. Then, he started having appointments with the Ear, nose and throat doctor. Started appointments 16Jun2021.   For the last month, he had been complaining about head pain and tooth pain, like a sinus infection. Doctor said he had a very deep sinus infection. They put him on Levaquin, a high grade antibiotic and Prednisone, a steroid. Had follow up 30Jun2021 and they stuck a metal rod up his nose in the nasal cavity and they could see that it was a very deep infection. The infection was so far in there, they would have to do a surgery on the sinus cavity. It was very deep in there. They said to just continue the medication to see if it would go away. They told him, he really needed a CT scan of the sinus cavity and had to go back for a hearing test. Took a month to get the CT scan. On 17Aug2021, had the hearing test, said hearing was fine and his vitals were fine. When they explained CT scan, they said nothing was really showing up and they do still think it was maybe something super deep in there. Right now, the antibiotics have run their course and he is not in as much pain anymore. Everybody was kind of satisfied with it. Was fully vaccinated Feb2021 and have a booster 02Nov2021. Within the end of the month, or sooner, was complaining about the same issues. Was having headaches, dizziness, tooth pain coming. Went back to the dentist 1 month later, 01Dec2021 and again 08Dec2021. They referred him to endodontist because he was complaining about the same tooth. He was looking for antibiotics for the tooth pain. Was having heavy discharge, infection was literally coming  out of the nose.