he has slight hearing loss which is normal with tinnitus/there was slight hearing loss going; after first shot on 24Mar I had severe tinnitus of the right ear. After second shot on 14Apr, it got progressively worse; Experienced a very disturbing ringing in the ears (Tinnitus); This is a spontaneous report from a contactable consumer (patient) via Pfizer-sponsored program . A 55-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EJ1686 and Expiration date was not reported), via an unspecified route of administration on 24Mar2021 (at the age of 55-years-old) at 1st dose, single for COVID-19 immunization. The patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6205 and Expiration date was not reported), via an unspecified route of administration on 14Apr2021 02:45 as 2nd dose, single for COVID-19 immunization. Medical history included gastric reflux. Concomitant medications included pantoprazole (a proton pump inhibitor for the indication of gastric reflux), Dosage: 140mg (as reported), Tablet, Twice a Day. No other vaccines were taken within four weeks. Other medications included Multivitamin-vitamin c, pantoprazole in two weeks. No known allergies were reported. No other medical history was reported. The patient did not have covid prior vaccination and was not tested post vaccination. The patient also reported that the day after first shot on 25Mar2021, he experienced a very disturbing ringing in the ears (Tinnitus), severe tinnitus in the right ear, there was slight hearing loss going. On an unknown date, after the second shot, the patient experienced worsening of the tinnitus. The patient wanted to make sure this was documented since it was life changing and because of this it was very hard for him to sleep, concentrate and was very depressing. The patient wanted to know if this was one of the side effects of Pfizer vaccine. He stated that he got the second shot thinking that tinnitus will go away, but it got worse after the second dose. The patient stated that he believed that it was certainly directly related to the vaccine. The patient stated that he had an audiology appointment Monday on 26Apr2021 with a follow-up ENT appointment Wednesday on 28Apr2021. The patient reported that he went to the ENT where his hearing was tested and told that he had slight hearing loss going but tinnitus was not explained. He was worried if this was some kind of permanent condition. He stated that no one had answers not even the immunologist and there were thoughts that it might be histamines or an irritation. The patient stated that he had not done any blood test. He had regular lab test to check his iron and cholesterol levels low or high. He reported that his blood levels were fine that was probably a couple of weeks before he got the shot. The patient reported that he had to ask his ENT to provide prednisone as treatment. Events caused to visit doctor or other healthcare professional office/clinic visit. The outcome of the event tinnitus was reported as not recovered whereas the outcome of the events slight hearing loss was unknown.  No follow-up attempts are needed. Information about lot/batch number cannot be obtained.  Follow-up (24Apr2021): This is a follow-up report combining information from duplicate reports 2021457050, 2021494963 and 2021469710. The current and all subsequent information will be reported under manufacturer report number 2021469710. Patient demographics, Lot number, medical history, concomitant medications, event details updated.  Follow up needed, further information was requested.  Follow up (30Apr2021): This is a follow up spontaneous report from a contactable consumer. Patient details updated, events caused condition and Hcp information added.