Joint pain in arm and hands/ elbow joint pain and when squeezing hands, it hurts and aches; it is hard to sleep at night; joint pain, it is getting worse; it is just kind of hanging around it is not going away; Where my back ache all way up to my neck; Where my back ache all way up to my neck; I wake up with pain in my elbows; my hands are little swollen when I sleep; It (pain) affect my back like my spine, into my neck and then it is kind of push down to my elbows and hands; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 49 year-old patient received bnt162b2 (BNT162B2), administration date 22Mar2021 12:30 (Lot number: EN6206) at the age of 49 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "neck surgery", start date: 30Mar2019 (unspecified if ongoing); "cervical disc C6 replacement", start date: 30Mar2019 (unspecified if ongoing). There were no concomitant medications. Vaccination history included: Bnt162b2 (1st single dose at 12:30 PM, LOT: EN6200, Anatomical site of injection: right shoulder), administration date: 01Mar2021, when the patient was 49 years old, for Covid-19 Immunization. The following information was reported: SLEEP DISORDER (non-serious) with onset 2021, outcome "unknown", described as "it is hard to sleep at night"; ARTHRALGIA (non-serious) with onset 2021, outcome "unknown", described as "joint pain, it is getting worse; it is just kind of hanging around it is not going away"; BACK PAIN (non-serious), NECK PAIN (non-serious) all with onset 2021, outcome "unknown" and all described as "Where my back ache all way up to my neck"; ARTHRALGIA (non-serious) with onset 2021, outcome "unknown", described as "I wake up with pain in my elbows"; PERIPHERAL SWELLING (non-serious) with onset 2021, outcome "unknown", described as "my hands are little swollen when I sleep"; SPINAL PAIN (non-serious) with onset 2021, outcome "unknown", described as "It (pain) affect my back like my spine, into my neck and then it is kind of push down to my elbows and hands"; ARTHRALGIA (non-serious) with onset May2021, outcome "not recovered", described as "Joint pain in arm and hands/ elbow joint pain and when squeezing hands, it hurts and aches". The event "joint pain in arm and hands/ elbow joint pain and when squeezing hands, it hurts and aches" was evaluated at the physician office visit. Therapeutic measures were taken as a result of sleep disorder, arthralgia, back pain, neck pain, arthralgia, peripheral swelling, spinal pain, arthralgia.  Additional Information: Consumer stated: I had the Pfizer vaccine, and it was hard to sleep at night. I was noticing more and more joint pain. It has been month since I had the second dose, but it seems like my symptoms are getting worse. Where my back ache all way up to my neck, as the day goes on it kind of alleviate but it gets worse as when I go to sleep by probably 4-5 hours into my sleep in the morning. I wake up with pain in my elbows and my hands are little swollen when I sleep, my elbows hurt. It (pain) affects my back like my spine, into my neck and then it was kind of push down to my elbows and hands. Treatment: Consumer stated, I took the Advil I mean you know like the ibuprofen but other than that no. As treatment patient also received Mobic for the events.  No follow-up attempts are possible. No further information is expected.