He only had 3 hours of sleep and was tired on Sunday.; diarrhea; slight headache; His face, neck and chest looked red; stomach ache; hot flashes; sweat; He only had 3 hours of sleep and was tired on Sunday.; got dizzy.  Caller clarified not dizzy, but lightheaded.; He had a pain that came into his upper right chest lasting a few minutes and went away; can move his right arm well.  It was swelled after both shots; sore arm with second dose; This is a spontaneous report from a contactable consumer (patient). A 47-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6207), via an unspecified route of administration, administered in Arm Right on 07Apr2021 (on this past Wednesday) 10:20 (at the age of 47-year-old) as dose 2, single for COVID-19 immunisation. There were no prior vaccinations within 4 weeks. Medical history included ongoing high blood pressure, fibroneuropathy in his feet, tremors both arms and hands, mainly left (started in high school when he was drinking chocolate milk. His arms shook and it spilled all over), high cholesterol from early 2000s and ongoing, surgery from an unknown date and unknown if ongoing started after low back surgery 30 years ago, L5 fractured, had 2 rods and 4 screws into low back. He has it in his feet, heart disease runs on both sides of his family from an unknown date and unknown if ongoing. The patient has been on social security disability since 2014. He was 47 and feels like he is falling apart.The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6198), via an unspecified route of administration, administered in arm right on 17Mar2021 10:15 as dose 1, single for COVID-19 immunisation. He recovered completely from both episodes. He received both his doses in his right arm because he was right-handed, and it made it less sore and it did work. The patient stated that he did not know if his symptoms were side effects or not. On 07Apr2021, the patient got dizzy, Caller clarified not dizzy, but lightheaded, he had a pain that came into his upper right chest lasting a few minutes and went away, only had 3 hours of sleep and was tired on Sunday, can move his right arm well. It was swelled after both shots, sore arm with second dose. On 08Apr2021 (Thursday), the patient experienced hot flashes, that started the next day during the day, it made him sweat. The patient was fine on Friday and Saturday and he got them again Saturday night and only got three hours of sleep and was tired on Sunday. The patient had none on Sunday but was really tired due to no sleep. He did not have hot flashes on Monday, Tuesday or Wednesday of this week. The patient does not know what caused it was related to the Covid Vaccine or was it something he ate. On 14Apr2021, the patient had stomach-ache last night when he went to bed. He went to sleep at 10: 30. The patient added he was not young, and he cannot eat what he wants anymore. On 15Apr2021 13:30, the patient had diarrhea. The patient stated that last night at 1:30 he woke up with diarrhoea and ended at 4:00- 5:00. He had hot flashes at 12:30 and 2:30 last night. On 15Apr2021, the patient had slight headache, his face, neck and chest looked red. The patient stated it lasted a few minutes then goes away. He gets a slight headache when it happens. He took his temperature twice last night and it was 98.5 and 98.2. The patient asked what does Pfizer consider a fever. The patient stated that most of his side effects on the list had disappeared. He wanted to know how long the side effects can last after the second dose. He had his head laying on the couch and he woke up and his head was wet and sweaty. After the second hot flash today, he looked at himself in the bathroom in mirror. His face, neck and chest looked red. It lasted a few minutes. He took his temperature it was 98.2 degrees. Sometimes he gets a hot flash and has a slight headache, like right now. He was fine up to the 2nd shot and got dizzy. The patient clarified not dizzy, but lightheaded. Then he was fine. He got the other symptoms of hot flashes and diarrhea, but that might have come from something he ate. The patient was happy he got the shots, but not happy about how they are making him feel. He never had this until he got the shot. On an unspecified date, the patient checked his blood pressure, temperature and oxygen levels and they were all fine. The patient underwent lab tests and procedures which included blood pressure measurement: 121/72, body temperature: 98.2, Pulse rate: 80 (low), Oxygen levels: 97-98. On an unspecified date, outcome for hot flashes, slight headache, sweat, was not recovered and sleep disorder was unknown. On 07Apr2021, the patient was recovered from lightheaded and chest pain. On 09Apr2021, the patient had recovered from tiredness and can move his right arm well. It was swelled after both shots (lasted 2 days) and sore arm with second dose. On 15Apr2021, the patient was recovered from diarrhea, stomach-ache and his face, neck and chest looked red.  No follow-up attempts are needed. No further information is expected.