headache; muscle and joint pain; muscle and joint pain; soreness at the injection site; unable to sleep; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 75-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6202) via an unspecified route of administration, administered in arm left on 23Feb2021 13:15 (at the age of 75-year-old) at dose 1, single for covid-19 immunisation. Medical history included hypertension from 2008 and arthritis. Concomitant medications included clonidine (CLONIDINE) taken for blood pressure measurement from an unspecified start date and ongoing; irbesartan (IRBESARTAN) taken for blood pressure measurement from 2019 and ongoing. On 23Feb2021 the patient experienced unable to sleep, muscle and joint pain, soreness at the injection site, soreness at the injection site on 24Feb2021 headache. Reports unable to sleep, took 3 mg Melatonin. Reports muscle pain, joint pain, and soreness at the injection site. Additional Context: Reporter received the Covid-19 vaccine yesterday/ Last night he was unable to sleep. He was unable to sleep last night. He has muscle pain, joint pain and headache. His arm is not red but it is sore. How long will he feel like this. He received the injection at 1:15. He did not have any symptoms until last night. He normally walks 2 miles a day. He has joint pain in both ankles. It is ok if he is moving but hurts when he is not moving. The headache comes and goes. He took two Tylenol this morning. He will take two more at 2:00pm and then again later this evening. When providing concomitant medications, caller states he was taking Clonidine 1mg, 2 tablets three times daily. His blood pressure was going up so the doctor increased the dose to 3mg, three tablets daily. The order was written on Friday. He received the changed dose in the mail yesterday. Unable to provide NDC, Lot or Expiry from Clonidine 1mfg. Product is filled in pharmacy bottle. He saw his doctor on 05Nov2020 and received a flu shot in Then he got sick. He went to the Emergency Room. The doctor said it had nothing to do with the flu shot. He saw his primary care provider and a cardiologist. He had a stress test and was told everything was good. He usually gets the flu shot every year. The Friday after getting the flu shot he woke and was short of breath. His heart was beating fast so he drove himself to the emergency room. He didn't know what the side effects of the flu shot were. He received an inactivated influenza vaccine. NDC, Lot and Expiry are not documented. He provides 300AA-26 from the papers that he has. He does not know what this represents. Additional Context: Reporter stated that he has called in previously due to events he was experiencing after his first dose of Pfizer COVID-19 vaccine. Reporter stated that his first Pfizer COVID-19 vaccine was on 23Feb2021. He called in due to the same events he is experiencing now and was told that the events should go away after about 7 or 8 days. Reporter stated does confirm that they did go away and he was fine. Reporter stated that his 2nd dose of Pfizer COVID-19 vaccine was administered on 15Mar2021. He notes that it was originally scheduled sooner than that but due to snow and bad weather it was rescheduled for the 15Mar2021. Reporter stated after he got his second dose on 15Mar2021 the electricity feeling in his legs began that night. Reporter stated it feels like electricity going through his veins down to his toes and comes back up. Reporter stated it does not happen 24/7, it comes and goes. Reporter stated the leg cramps, headache and muscle and joint pain, started the next day. Reporter stated the muscle and joint pain are not 24/7 either, it comes and goes. Reporter stated he is able to move around but feels it when he walks around. Treatment: Reporter stated he has been taking extra strength Tylenol three times when it first started, and now he is taking it 2 times a day. Reporter stated that he went through the same thing after he got his first Pfizer COVID-19 vaccine, and the events went away after 7-8 days and these are not. Reporter stated to know if this is something that he is going to have to deal with for the rest of his life. Will it go away. Reporter stated also stated saw on the news people taking the Johnson and Johnson vaccine and fainting. Caller also adds that he also saw on the news that a lot of doctors and nurses are refusing to take the COVID-19 shot. History: Reporter stated he takes medication for high blood pressure. Caller declines to list specific medications stating that he listed them the last time he called in and we should have it. AE following prior vaccinations: Adverse Event arm hurt, headache, leg cramps like electricity going through veins and toes, joint pain comes and goes in his back, knees ankle and toes, leg muscle pain part of thigh and knees comes and goes, most of time it is in his calf. The patient underwent lab tests and procedures which included stress Test: normal on an unspecified date. Outcome of the event unable to sleep was unknown and remaining other events was not resolved.  No follow up attempts are possible. No further information is expected.