blackout spell; tremor; fall; vagal reaction; this is a spontaneous report received from a contactable reporter(s) (physician) from the agency regulatory authority-web. regulatory number: it-minisal02-842962. a 7 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 04feb2022 (lot number: fn4071) as dose 1, 0.2 ml single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: loss of consciousness (medically significant) with onset 05feb2022, outcome "recovered" (05feb2022), described as "blackout spell"; tremor (non-serious) with onset 05feb2022, outcome "recovered" (05feb2022), described as "tremor"; fall (non-serious) with onset 05feb2022, outcome "recovered" (05feb2022), described as "fall"; presyncope (non-serious) with onset 05feb2022, outcome "recovered" (05feb2022), described as "vagal reaction". therapeutic measures were taken as a result of loss of consciousness, tremor, fall, presyncope. additional information: the events lasted a few seconds. prompt recovery after administration of glucose and water. no follow-up attempts are possible. no further information is expected