She had a massage which increased the pain across her back/neck with radiculopathy in right arm; She had a massage which increased the pain across her back/neck with radiculopathy in right arm; soreness in her left index finger; Her finger became red, swollen and painful; Her finger became red, swollen and painful; she also developed pain in left 5th toe (entire toe) which eventually caused lifting of the toenail; she also developed pain in left 5th toe (entire toe) which eventually caused lifting of the toenail; headache; achy fatigue; by 11 am she felt pain in her left/suprascapular region; left sided neck/shoulder pain; left sided neck/shoulder pain; This is a spontaneous report received from a contactable Other Healthcare professional. A 69-years-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via intramuscular, administered in Arm Left on 03Feb2021 (Batch/Lot Number: EN 5318) as single dose for COVID-19 immunisation. Medical history included hyperlipidaemia, migraine, osteopenia, seborrhoeic dermatitis, anxiety. Concomitant medication(s) included atorvastatin at 10 mg once daily; calcium carbonate, colecalciferol (CALCIUM CARBONATE AND VITAMIN D) and soy isoflavones at 600 mg once daily; fish oil, tocopheryl acetate at 1200 mg once daily; meloxicam at 15 mg once daily; MVI 50 plus at once daily, all taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. It was reported that the patient received ' headache, achy fatigue; by 11 am she felt pain in her left/suprascapular region. She went to ED for pain and was treated for pain. The following day, she returned to the same ED for follow up, had CXR (reportedly CXR clear) & went home. Two days (05Feb2021) after injection, she developed soreness in her left index finger (distal joint) which progressed to the tip bent down and she also developed pain in left 5th toe (entire toe) which eventually caused lifting of the toenail. Her finger became red, swollen and painful; 5 days later, she went to urgent care, finger was incised and she was put on antibiotic. By this time, she was having constant left sided neck/shoulder pain and was unable to get out of bed without help. Her PCP treated her for pain. She had a massage which increased the pain across her back/neck with radiculopathy in right arm. The adverse event result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The patient received treatment for the adverse event with pain medication and anti-inflammatory and also massage. The patient received second dose of vaccine on 03Mar2021 in the left arm. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests and procedures which included chest x-ray: clear in Feb2021, nasal swab on 05Feb2021 and 06Feb2021 was negative. Outcome of the events increased the pain across her back/neck with radiculopathy in right arm was unknown and all other events was not recovered.  Information on Lot/Batch number was available. Additional information has been requested.