This is a spontaneous report received from contactable reporter (Consumer or other non HCP).  A 69 year-old male patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 24Apr2021 (Lot number: EW0171) at the age of 69 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "previous disc injury and heart conditions" (unspecified if ongoing); "previous disc injury and heart conditions" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose brand: PFIZER, Batch/lot number: EP7533, Dose administrator route: Intramuscular, vaccine location: Left arm), administration date: 27Mar2021, when the patient was 68 years old, for Covid-19 immunization. The following information was reported: NECK PAIN (disability), ARTHRALGIA (disability), BACK PAIN (disability) all with onset May2021, outcome "not recovered" and all described as "Aches and pains in the neck, shoulders and lower back"; FATIGUE (disability) with onset May2021, outcome "not recovered", described as "increased tiredness"; MUSCULOSKELETAL STIFFNESS (disability) with onset May2021, outcome "not recovered", described as "stiffness in lower back"; INTERVERTEBRAL DISC DISORDER (disability), SCIATICA (disability) all with onset May2021, outcome "not recovered" and all described as "Lower back discs swelled creating pressure against sciatic nerves"; NEURALGIA (disability) with onset May2021, outcome "not recovered", described as "nerve pain in right leg". The events "aches and pains in the neck, shoulders and lower back", "aches and pains in the neck, shoulders and lower back", "aches and pains in the neck, shoulders and lower back", "increased tiredness", "stiffness in lower back", "lower back discs swelled creating pressure against sciatic nerves", "lower back discs swelled creating pressure against sciatic nerves" and "nerve pain in right leg" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (11Nov2021) negative, notes: post vaccination. Therapeutic measures were taken as a result of neck pain, arthralgia, back pain, fatigue, musculoskeletal stiffness, intervertebral disc disorder, sciatica, neuralgia. Additional information: The vaccine was administered at a pharmacy or Drug Store. The patient had no other vaccine in four weeks and received medications in two weeks which included prescribed medicines. The patient had no Covid prior vaccination. The patient had no known allergies. It was reported that the patient had aches and pains in the neck, shoulders and lower back with increased tiredness and stiffness in lower back. The lower back discs swelled creating pressure against sciatic nerves causing severe pain in the lower back and nerve pain in the right leg. The patient was currently receiving treatments from pain management physicians which included injections in lower back to reduce pain. The events resulted in doctor or other healthcare professional office/clinic visit. This report was assessed as serious due to disability or permanent damage.  Follow-up attempts are completed. No further information is expected.