This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 40 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 19Feb2022 16:00 (Lot number: FM0698) at the age of 40 years as dose 1, single for Covid-19 immunisation. Relevant medical history included: "blood clots" (unspecified if ongoing); "Thoracic outlet syndrome" (unspecified if ongoing); "two stents in his subclavian vein", (unspecified if ongoing), notes: Other medicines Aspirin: To prevent clotting on the two stents in his subclavian vein. Concomitant medication(s) included: ASPIRIN [ACETYLSALICYLIC ACID] taken for thoracic outlet syndrome, thrombosis, vascular stent thrombosis. The following information was reported: PALPITATIONS (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Heart beating out of chest"; CHEST PAIN (non-serious) with onset Mar2022, outcome "not recovered", described as "Pain in chest when trying to take deep breath on left side"; DYSPNOEA (non-serious) with onset Feb2022, outcome "not recovered", described as "Shortness of breath"; PARAESTHESIA (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Tingling of Fingers"; EYE PAIN (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Tenderness around eye sockets"; BODY TEMPERATURE INCREASED (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Hot forehead"; HEADACHE (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Head pounding"; DISTURBANCE IN ATTENTION (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Trouble concentrating"; ASTHENIA (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Lack of Energy - feeling depleted"; SLEEP DEFICIT (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Lack of sleep"; DRY THROAT (non-serious), DRY MOUTH (non-serious) all with onset 19Feb2022, outcome "not recovered" and all described as "Dry mouth and throat"; CHILLS (non-serious) with onset Feb2022, outcome "not recovered", described as "Chills"; NIGHT SWEATS (non-serious) with onset 20Feb2022, outcome "not recovered", described as "Wake up in middle of night with night sweats"; MUSCLE TWITCHING (non-serious) with onset Feb2022, outcome "not recovered", described as "Hands twitching started around 19Feb2022 or 20Feb2022 and is persistent, especially this past week"; FEELING ABNORMAL (non-serious), outcome "not recovered", described as "feeling worse"; HEADACHE (non-serious) with onset 19Feb2022, outcome "not recovered", described as "Headache". Additional information: Patient was is in the military and was forced to get it. He has been feeling worse and this has been going on so he decided to finally report it. Immediately after getting the shot on 19Feb2022, he began having symptoms. The shortness of breath began either 19Feb2022 or 20Feb2022 and he had several bouts last night. His tenderness around eye sockets was worse for a week afterwards and then better, but then came back and has been persistent in last week or so. Head pounding may have something to do with heart beating out of his chest. As soon as his head was pounding, which was usually in evening, he cannot get anything done. He cannot focus. Around 19Feb2022 or 20Feb2022, the lack of energy started. None of these symptoms were present before 19Feb2022. That was when all this started and it is why it was concerning. Lack of sleep - he could just lay there with heart racing staring at the ceiling and cannot get a good nights sleep. He might get one night of decent sleep, but if you look at the last 30 days, it has been few and far between to get a good nights sleep. Dry mouth - he thought it got better, but in the last 2 days came back and was persistent. Pain in chest started about a week ago. Chills were a week after the vaccine and it got better and then the last couple of days he has felt it pretty continuous. Hands twitching started around 19Feb2022 or 20Feb2022 and is persistent, especially this past week. He held off for a while to get the vaccine because he had blood clots in the past and had Thoracic outlet syndrome. He had a rib removed and ultimately 2 stents were put on his subclavian vein. He was put on blood thinners for a year. He put up for a waiver by his command and was pushing the waiver and it was ultimately denied. He knows his body and knows the side effects and as soon as they started, he knew what it was attributed to. He was supposed to go in on 12Mar2022 for 2nd dose and he was feeling sick and they advised him not to get it. Additional Vaccines was not Administered on Same Date of the Pfizer Suspect. Events started pretty much immediately. Not necessarily all at once, but during the week. The sunken eyes, hot to touch, headache, lack of sleep and unable to concentrate, rapid heart beat. They all started right away. AE(s) not required a visit to emergency room or Physician Office; He is contemplating going to the emergency. Prior Vaccinations (within 4 weeks) was none. AE(s) following prior vaccinations was none. He just hopes he feels better soon. Follow-up attempts are completed. No further information is expected.