under his eyes felt swollen and painful; under his eyes felt swollen and painful; intense all around headache that was pretty much circling his whole head and his sinuses were feeling pressured; sore throat; dark red streaks down the back of his throat; intense all around headache that was pretty much circling his whole head and his sinuses were feeling pressured; sore throat; intense all around headache that was pretty much circling his whole head and his sinuses were feeling pressured; sore throat; his arm was hot to the touch around the area where the COVID vaccine was; soreness in his arm/but then on the second day he had soreness but for the second COVID vaccine it was the worst on the first day; little bit of dizziness right after the vaccine; flash fevers where he would get hot almost to the point of him sweating; flash fevers where he would get hot almost to the point of him sweating; This is a spontaneous report from a contactable consumer (patient). A 45-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0162, age at vaccination 45 years), dose 2 via an unspecified route of administration, administered in arm left on 20Apr2021 as single for COVID-19 immunisation. Medical history included thyroid condition (he thinks it is hypothyroid, it is a new condition to him he was only diagnosed a couple months ago), kidney stones and asthma. Concomitant medications included spironolactone, potassium citrate, both taken for kidney stones and thyroid medication taken for thyroid condition (he thinks it is hypothyroid). The patient previously took the first dose of BNT162B2 (Lot number: ER8733) as single for COVID-19 immunization and experienced his arm didn't feel too bad when he got it but then on the second day he had soreness. On 20Apr2021, the patient has had soreness in his arm and on-and-off fevers for the last two days. For the second COVID vaccine they happened that day which was the worst day for the arm soreness. He also had a little bit of dizziness right after the vaccine when he was sitting there. And a couple times throughout the day he had like flash fevers where he would get hot almost to the point of him sweating with some and then it would go away and that happened throughout the night. On 21Apr2021, the soreness had let up on his arm a little and he had more movement, but his arm was hot to the touch around the area where the COVID vaccine was and it was a little hard. Also, he had some headaches on and off but they would last only a few minutes and then they would go away. On 22Apr2021, his arm was still sore and hot but he had some more movement but that was about all that he had noticed so he thought that he was getting better. On 23Apr2021 night, he woke up at around 04:30 in the morning with an intense all around headache that was pretty much circling his whole head and his sinuses were feeling pressured too/ face pressure. As he started going through the day, he realized that his throat was sore. He looked in the mirror noticed that he has dark red streaks down the back of his throat and he knew that he can get a sore throat and headaches after the COVID vaccine but was it normal for him to get the redness in the back of his throat or was that something that he should talk to someone about. The patient further reported that his arm was still tender to the touch and if he rolls or bumps into it or his arm was just hanging for a while, it would get achy. He was feeling it but he can move it without much pain, but it was still painful. It got better with each day a little bit. With his first COVID vaccine it was kind of opposite, his arm didn't feel too bad when he got it but then on the second day, he had soreness but for the second COVID vaccine it was the worst on the first day. Caller confirmed that his dizziness was only after the COVID vaccine on 20Apr2021 and he says that the flash fevers were from 20Apr2021 to 21Apr2021. He confirmed that the intense all around headache, his sinuses feeling pressured and the sore throat began today, 23Apr2021 at around 04:30 when he had woken up. He confirmed that he was still experiencing this to now and when probed for outcome he reported that the headache has gotten a little better. He has been trying to not drink any caffeine to try and open things up a little and he knew that part of this was in his sinus area, so he has tried using steam to get it to open a little bit. He can still feel it on his temples and it was still there. It was not as intense but it was a discomfort. Later in the call, he confirmed that the arm soreness that began the day after his first COVID vaccine began on 31Mar2021. The patient thought it was the 3rd day that it had gotten pretty decent. Still, again, there was a little bit of pain but it wasn't very noticeable and it didn't limit anything he was doing. The patient assessed the events as non-serious. The outcome of events pain in eyes, eyes swollen, rash and vaccination site warmth was unknown, dizziness was resolved on 20Apr2021, fever and sweating was resolved on 21Apr2021, and was resolving for the rest of the events.  No follow-up attempts are possible. No further information is expected