Inflammation & swelling of soft tissue due to bone spurs; tendonitis of peroneal and Achilles; Pain issues with right ankle then right shoulder then left shoulder then left foot; Pain issues with right ankle then right shoulder then left shoulder then left foot; Pain issues with right ankle then right shoulder then left shoulder then left foot; Rotator cuff inflammation of both shoulders; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 69 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 20Feb2021 16:30 (Lot number: EN6203) at the age of 69 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Atrial fibrillation" (unspecified if ongoing), notes: other medical history: Atrial fibrillation; "arthritis" (unspecified if ongoing), notes: other medical history: Arthritis; "breast cancer" (unspecified if ongoing), notes: other medical history: Breast cancer; "Known allergies: Sulfa" (unspecified if ongoing), notes: Known allergies: Sulfa, dairy; "Known allergies: dairy" (unspecified if ongoing), notes: Known allergies: Sulfa, dairy. The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EN9581, Location of injection: Arm Left, Vaccine Administration Time: 10:30 AM), administration date: 30Jan2021, when the patient was 69 years old, for COVID-19 Immunization.  The following information was reported: ARTHRALGIA (non-serious), PAIN IN EXTREMITY (non-serious), ARTHRALGIA (non-serious) all with onset 13Mar2021, outcome "recovering" and all described as "Pain issues with right ankle then right shoulder then left shoulder then left foot"; ROTATOR CUFF SYNDROME (non-serious) with onset 2021, outcome "recovered" (2021), described as "Rotator cuff inflammation of both shoulders"; TENDONITIS (non-serious) with onset 01Jul2021, outcome "recovered" (Aug2021), described as "tendonitis of peroneal and Achilles"; EXOSTOSIS (non-serious) with onset 03Sep2021, outcome "recovered" (Sep2021), described as "Inflammation & swelling of soft tissue due to bone spurs". The events "pain issues with right ankle then right shoulder then left shoulder then left foot", "pain issues with right ankle then right shoulder then left shoulder then left foot", "rotator cuff inflammation of both shoulders", "tendonitis of peroneal and achilles", "inflammation & swelling of soft tissue due to bone spurs" and "pain issues with right ankle then right shoulder then left shoulder then left foot" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of arthralgia, pain in extremity, rotator cuff syndrome, tendonitis, exostosis, arthralgia.  Additional Information: The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient not diagnosed with COVID-19 and since the vaccination, has the patient been tested for COVID-19. Pain issues with right ankle then right shoulder then left shoulder then left foot, all within few weeks/months of 2nd vaccination on 20Feb2021. Diagnosed as rotator cuff inflammation of both shoulders, had cortisone injections in both shoulders on 09Jun2021 with next day pain resolution. Right ankle diagnosed on 01Jul2021 as tendonitis of peroneal and Achilles and pain resolved by end of Aug2021 after many doctors' visits & physical therapy. Left foot diagnosed on 03Sep2021 as inflammation & swelling of soft tissue due to bone spurs and pain resolved by end of Sep2021 after many doctors' visits & physical therapy. After booster vaccination on 07Oct2021, pain returned in both shoulders the next day 08Oct2021, the right shoulder predominately, had cortisone injection on 17Dec2021 with much slower pain reduction, still not gone. Left foot pain returned on 15Oct2021, and right ankle pain returned on 15Oct2021, both being sporadic, have not seen doctor again for these. Serious was no.Seriousness criteria Results in death,Life threatening,Caused/prolonged hospitalization, Disabling/Incapacitating and Congenital anomaly/birth defect was no.  No follow-up attempts are possible. No further information is expected.