First dose: Had almost immediate chest pain, across his chest and down his arms; First dose: Had almost immediate chest pain, across his chest and down his arms; First dose: Was very, very light headed/Dizzy; First dose: Is still experiencing headaches, severe headaches; This is a spontaneous report from a contactable consumer (patient's mother) reported for 18-year-old male patient.  A 18-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection; Lot number: Unknown), via an unspecified route of administration on 16Apr2021 (at the age of 18-year-old) as dose 1, single for COVID-19 immunization. Medical history included chronic Lyme disease (Has been dealing with since age 9). The patient's concomitant medications were not reported. On 16Apr2021, the patient experienced Headache, Light headedness, Pain in arm and chest pain. The reporter stated her son was not obese, just wide like a hockey goaler or linebacker body type. Reporter called on behalf of her son and reported negative side effects after her son received the first dose Pfizer Covid 19 Vaccine. The reporter wanted to clarify a little more of what was going on. The reporter stated her son had a minor reaction after receiving the first dose Pfizer Covid 19 Vaccine on 16Apr2021, had almost immediate chest pain, across his chest and down his arms and was very, very lightheaded lasted the weekend pretty much and by Sunday. Patient took Advil for pain. reporter stated her son was basically back to normal work schedule and whatever on 18Apr2021 (as reported by Sunday). The symptoms occurred the same day, almost immediately after her son received the first dose Pfizer Covid 19 Vaccine. Patient was still experiencing headaches, severe headaches on 16Apr2021. The reporter son had managed the headaches with Tylenol or Advil. Because of the son's Lyme disease, the patient  had a high pain tolerance, and it was not debilitating. The patient had to stay thirty minutes at the vaccination facility and was wheeled out in a wheelchair, the patient head hurt so much and he was so dizzy he couldn't walk. One thing the reporter was concerned about and why the patient's mother was like okay this was culpable was because the caller's son has chronic Lyme disease. The reporter son's immune system was kind of screwed up but not in the traditional senses and was not susceptible to everything. When the patient does get a cold or was overly fatigued his immune system was triggered and when this happens his Lyme symptoms can come back. The patient was on tincture therapy, modern medicine does not take care of Chronic Lyme disease. The patient had done antibiotics. The reporter stated her son manages it, was the best way to describe it. Patient was in remission most of the time, unless the reporter's son gets a cold then the Lyme comes back. The reporter was concerned with the Virus triggering her son's immune system to cause the Lyme symptoms to reoccur. Therapeutic measures were taken as result of adverse events. At the time of this report, the outcome of events were recovered with sequel on 18Apr2021.  This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.