arm ached; sharp stabbing pain about 5-6 inches just below the shot when she started to do the exercises, reached for something, or when she moved her arm the wrong way; it was warm to touch; Nausea; arthritis in the shoulders; This is a spontaneous report from a contactable consumer (patient) or other non hcp.   A 81-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN5318, Expiration date was not reported), dose 2 via an unspecified route of administration, administered in Arm Left on 20Feb2021 at 16:30 as DOSE 2, SINGLE (at the age of 81-year-old) for covid-19 immunisation. Medical history included ongoing hypothyroidism (had this for almost 40 years), ongoing diverticulum (Diverticulosis- Bad gut- Under control, eating correctly, doing fiber. Diagnosed maybe in the 80s), Irregular heart beat and B12 was low, ongoing Arthritis. The family medical history included heart (Irregular heart beat) and Cancer (Family Medical History not relevant to AEs). Concomitant medication included ascorbic acid, tocopheryl acetate, xantofyl, zeaxanthin, zinc (AREDS) taken for eye disorder start and stop date were not reported, calcium carbonate (CALTRATE [CALCIUM CARBONATE]) taken for bone health start and stop date were not reported, vitamin b12 [vitamin b12 nos] taken for B12 was low start and stop date were not reported, colecalciferol (VITAMIN D3) taken for Bone health start and stop date were not reported, levothyroxine taken for hypothyroidism start and stop date were not reported, rosuvastatin taken for cardiac disorder start and stop date were not reported, patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/lot number: EN6200) via unspecified route of administration on 29Jan2021 (at the age of 81-year-old), (with a needle, right below shoulder on left arm, at time about 3:30 to 4:00 PM) as dose 1 single for covid-19 immunisation and 3 or 4 days after the dose, she started experiencing the ordinary pain just below where the shot was, felt nauseous (Nausea), but that went away, She thought it would eventually wear off and was fine. No any additional vaccines administered on same date of the Pfizer suspect. No any vaccine administered within 4 weeks Prior Vaccinations. No AE following prior vaccinations. On 18Mar2021 at 07:00, the patient experienced sharp stabbing pain about 5-6 inches just below the shot when she started to do the exercises, reached for something, or when she moved her arm the wrong way, it was warm to touch and Nausea. It was reported that stated that patient iced it and it stopped hurting and it was not warm anymore. The patient diagnosed with arthritis about a week or two ago, pain in her shoulders (arthritis in the shoulders) on an unknown date Mar2021. It was reported that no Emergency room or Physician Office due to the events. The patient stated that she had arm ached on an unknown date. She has arthritis exercises, and it really hurts to do them, but she still does them. The patient stated that she never had that pain before when doing the exercises, it was fine before she got the vaccine. (Magnesium, Potassium, aspartate Solaray product, Started about 6 years ago) taken for Irregular heart beat, (Fish, flax, borage oil) taken for overall health, (Metamucil and fiber powder) taken Gut health- intestines with the diverticulosis. The patient stated about shar pain as this just started this morning. The sharp pain went away, but she just knows and can feel that there's something going on there. The pain went away this morning after she iced it for 20 minutes, but then came back this afternoon and she iced it for 10 minutes, however; when she went to make the phone call, she got sharp pain again, but nothing came after that. It was reported that sharp pain as a sharp stabbing pain, which she didn't have before. It only lasted a couple seconds, she kept icing and icing it and it finally stopped. When she stops moving it, stops the exercises or whatever she's doing, the pain starts to subside. The patient confirm that the ordinary and the sharp pain in the same location. No relevant test done. The patient underwent lab test and procedure which include Weight 130 (Caller initially stated she was around 125, then she asked her husband and he said 130 so she changed it to 130). The outcome of event Feeling of warmth was reported as recovered on an unknown date of Mar2021, for event arm ached outcome was unknown and outcome of  other events it was not recovered.  No follow-up attempts are possible. No further information is expected.