his arm hurt just a bit the next day; muscle pain; joint pain/knee and hip hurting is mostly on his right side, the side he got his shot on; could barely walk down to get his mail; fatigue; wake up in middle of the night with charley horses; warm sensation; leg cramps; This is a spontaneous report from a contactable consumer. A 72-years-old male patient received bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration, administered in Arm Right on 15Jun2021 (Batch/Lot Number: EW0178) as DOSE 1, SINGLE at the age of 72-years-old for covid-19 immunisation.  Medical history included none. There were no concomitant medications. The patient experienced muscle pain in Jun2021 with outcome of recovering, joint pain/knee and hip hurting is mostly on his right side, the side he got his shot on in Jun2021 with outcome of recovering , could barely walk down to get his mail in Jun2021 with outcome of not recovered , fatigue in Jun2021 with outcome of recovering , wake up in middle of the night with charley horses in Jun2021 with outcome of not recovered, warm sensation in Jun2021 with outcome of unknown, leg cramps in Jun2021 with outcome of not recovered , his arm hurt just a bit the next day  on 15Jun2021 with outcome of recovered.   Therapeutic measures were taken as a result of all events except for event warm sensation and leg cramps and included 5 weeks of acupuncture. The clinical course was reported as follow: Caller said that it has been 4 months from his first shot. Caller experienced fatigue, muscle pain, and joint pain. Caller mentioned that he could barely walk down to get his mail. Caller said it is going a little better but it's not improving a lot and not going away. Caller also wants to know that if he should get the second dose, if he will experience the same effect or worse.He says he is still feeling fatigue, muscle pain, and joint pain. He says he wakes up in the middle of the night with charley horses. He says he would like to know how long might those side effects last? He clarifies that after he got his first shot of Pfizer COVID-19 vaccine he talked to his pharmacist and doctor and they said second shot is same as first, and he said if he would be going through this again, he is not doing it.Caller says his arm hurt just a bit the next day, then that was gone, the third day was a Tuesday, then on Wednesday he felt great, and on Thursday he had to crawl to the bathroom because of his legs and joints. Caller says he spent four weeks going to the chiropractor, and did 5 weeks of acupuncture, which helped, but going every week he is not going to do that the rest of his life. AE Outcome: Caller says the fatigue, muscle pain, and joint pain has gotten better. He says every once in a while he feels like he has a fever, but it is not a fever, he has a warm sensation but when his wife checks it, his body temperature is right at normal, this lasts for 4-5 minutes. He says he still wakes up in the middle of the night with leg cramps, and his knee and hip hurting like he ran a marathon. He says the knee and hip hurting is mostly on his right side, the side he got his shot on. He says he felt great the day after he got the shot and walked down to the (Withheld) market which is a 1/2 mile down and back, and then on Thursday morning he had a hard time walking.  No follow-up attempts are possible. No further information is expected