tendonitis; his joints have been in terrible pain/pain in his right knee; knee is flared up/his knees were so weak/right knee is impaired; hurts to bend the leg/pain/excruciating pain; cannot bend knee to a certain extent; His body feels crazy; Achilles his knees still felt so weak; He just turned 41 and feels like he is 80; can't walk normal; limping from his right knee; cholesterol was high; This is a spontaneous report from a contactable consumer (patient). This 41-year-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the left arm on 29May2021 (at the age of 40-year-old) as DOSE 2, SINGLE for COVID-19 immunization. Medical history included gout and gout flares when drinking too much alcohol, had depression and frustrations over what he has experienced. None of additional vaccines administered on same date of the Pfizer suspect. Prior vaccinations (within 4 weeks) were none and none of events following prior vaccinations. Concomitant medications reported as none. The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0170), via an unspecified route of administration in his arm on 23Apr2021 (at the age of 40-year-old) as single dose for COVID-19 immunization. The patient previously took allopurinol for gout. One month after completing vaccination series his joints had been in terrible pain and this was ongoing starts on one spot then goes to another part of his body. It was in right Achilles for 30 days and felt like it was going to left Achilles and the pain moved. Joint pain had migrated from on knee to the other as of current his right knee was impaired as of last Thursday night and he was in excruciating pain. As of now he cannot bend knee to a certain extent and hurts to bend the leg. He has also had involvement in his right Achilles and left elbow. Patient further confirmed that this has been ongoing since the end of Jun. He explained it feels like something inside his body was attacking his joints. Even when pain leaves his knees they feel super weak afterwards. He noted feelings of crackles and snaps and that it feels like episodes of Gout. His body felt crazy. He had been evaluated in the ER and by and HCP diagnosing tendonitis in his Achilles and attributed symptoms to getting older, overuse of tendon and being a big guy. As of current all of his bloodwork had been negative. Patient reiterated his depression and frustrations over what he has experienced. He just turned 41 and felt like he was 80. Patient stated he had some concerns. He got the 2nd shot on 29May2021, the lot number reported as EW0185 or 0785, it's wearing off on card, or 0485 and about 1 month after his joints in his body have been terrible. Stated he had pain in his right knee for 2-3 weeks and that went away and then got left knee pain for 3 weeks. Stated that went away then he had right Achilles pain for 3 weeks and that went away and he now had right knee pain again. Patient had blood work for Lyme, rheumatoid, STD's, everything and they were not coming back with anything. Stated the only thing he can think of is the vaccine, that he feels like he was 80, it didn't go away. Patient was trying alopurinol for gout but it isn't gout. Stated his knee was flared up and he can't bend it. Stated it has been months and he can't walk normal. Patient relayed his elbow was a little, not terrible but then it goes back to his legs, it attacks his legs. Patient stated mentally it's driving him crazy. He has been to the ER, he's been everywhere. He was told he had tendonitis and it was for 30 days and didn't go away and it jumped to another part of his body. Clarified that it was sometimes his right elbow. Stated its started about a month after, that on the 04Jul weekend at a party he was at he was limping from his right knee locked up. Stated that a week before that he started to experience pain and he assumed he had gout, that he had had that before and that was what it feels like, crystals in the joints, and it was weird to him and lasted so long he started eating Alopurinol and another gout medication and when that didn't help it made him nervous. Stated it went to his left knee and he didn't know what was going on. Investigations included he went to the doctor on 11Aug2021 for bloodwork he believed he went on 12Aug2021 to quest diagnostics and it all came back negative. Stated they said his cholesterol was high and put him on Lipitor and it ended up going back to his Achilles so he called again and went to the ER on Labor day weekend he couldn't take it anymore, it was just so long over 3 weeks it was stuck in his Achilles and it was excruciating pain. Stated when he went to the ER they also did bloodwork there at (Name withheld) ER. Stated he went back to his doctor this past week and was sent for bloodwork for rheumatoid arthritis and the ER tested for Lyme and STD's again and it was all negative again. Stated he has done a lot of blood and urine (Unknown results) and no answers and they were blaming it on overuse and that can't be as he hasn't been doing anything, he's not even working. Stated they are saying he's a big guy and he knows his body ad he hasn't felt this way and when the pain left and went to his Achilles his knees still felt so weak it was just very weak, he had to push off the sink to get up from the toilet his knees were so weak. Patient stated it feels like something is inside his body attacking his body it what it feels like. Events required a visit to emergency room and physician office. Event tendonitis reported as hospitalized. Outcome of events tendonitis and joint pain was not recovered, while of the other events was unknown.   The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.