Tremendous burning pain, killing pain, in his right arm from his shoulder down to his fingers; Injection site pain and tenderness; Headache; Muscle pain; Pain kills his bones and joints, the pain is terrible; Pain kills his bones and joints, the pain is terrible; Had the taste of the Pfizer-BioNTech COVID-19 Vaccine that came out; Nausea; Nose running; Right arm was a little red; This is a spontaneous report from a contactable consumer (patient). An 86-years-old male patient received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Lot number: could be EN6204 or EV6204; Expiry Date: unknown), via an unspecified route of administration, administered in Arm Right on 20Mar2021 09:45 (at the age of 86-years-old) as dose 1, single for COVID-19 immunisation. Medical history included heart operation (After this operation the operating doctor gave him 1 pill that might be Entresto, and an Aspirin and he is not sure about further information, this was 6 years ago) and history of blood clots (He was hospitalized about 4 years ago, told his bleeding was bad, artery is clogged, they cleaned him out and started him on Eliquis for blood thinner about 4 years ago. He was then referred to see a Cardiologist semi-annually. He does not always feel ok with the daily medications he takes: Entresto and Eliquis and they are expensive; but the events he was reporting today are not related to those medications). Concomitant medication included ongoing sacubitril valsartan sodium hydrate (ENTRESTO) taken for heart operation from 2015 and ongoing apixaban (ELIQUIS) taken for blood clots from 2016. On 20Mar2021 the first dose of Pfizer-BioNTech COVID-19 Vaccine was administered and the injection itself was not painful, but right arm was a little red the first day, evening of 20Mar2021 which he noticed when he peeled off the protection bandage. He noticed on 21Mar2021, the morning after he was administered the first dose of Pfizer-BioNTech COVID-19 Vaccine that he had the taste of the Pfizer-BioNTech COVID-19 Vaccine the next morning that came out. He did not have a fever. He had a little side effect of nausea and nose running. Night of 22Mar2021 he reported having tremendous burning pain, killing pain, in his right arm from his shoulder down to his fingers; injection site pain and tenderness; headache; muscle pain. Pain kills his bones and joints, the pain is terrible. 23Mar2021 07:00 he woke in tremendous pain in his right arm from his shoulder down to his fingers. He got up and went in the bathroom and got Aspercreme liquid which was an over the counter lidocaine liquid cream for massaging, a pain reliever. While the Aspercreme did for a short time, when he woke again at 08:45 on 23Mar2021 he again had tremendous pain in his right arm from his shoulder down to his fingers, pain so bad that he almost screamed but was conscious because his wife was sleeping with him in the same bed so he just shut up got up in bathroom and got under lukewarm water and tried to relieve the pain. He is wondering if he should or should not get the second dose of the Pfizer-BioNTech COVID-19 Vaccine because of these events. Caller verified events have not yet required a visit to the physicians office, emergency room or hospitalization; but he has an appointment with his family doctor who is also a pain doctor tomorrow regarding these events. He is going to ask about these events and whether he should or should not get the second dose of the Pfizer-BioNTech COVID-19 Vaccine relative to these events and will do as his doctor recommends. He asked for USMI telephone number to provide to the doctor in case he wants to reach out with questions. Doctor will tell him something about inflammation or will say do not go for the second dose or just for your protection do it; he is well known doctor. Patient will listen to the doctor; doctor said what he is using, the Entresto and Eliquis is through the Cardiologist and patient has to use it or his life is hanging by a thread because the blood clots will take it. Aspercreme: Label shows powerful pain relieving liquid; temporarily relieves pain but not like aspirin for headache; massaging cream for spots where he hurts like the bones, he will apply a few drops to affected area and massage it in but Aspercreme did not help the pain he is having with these events. Aspercreme: Net weight: 2.5 ounces, Lot: Unknown, it shows this number near the Expiry date but does not say the meaning of the number: #; Expiry: 01Jul2022, UPC: Unknown. Manufacturer: Sanofi. His second dose appointment for the Pfizer-BioNTech COVID-19 Vaccine was 17Apr2021. Outcome of events of Pain in extremity, Vaccination site pain, Joint pain and Bone pain was not recovered and other events was unknown  No follow-up attempts are possible. No further information is expected.