feels like a stiff neck; every bone and muscle in his body hurt; every bone and muscle in his body hurt; headaches; shoulder pain/pain under right shoulder blade; severe neck pain on the right side; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 68-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6208, Expiration date: unknown) via an unspecified route of administration, administered in right arm on 19Mar2021 at 13:00 pm (age at vaccination was 68 years) as dose 2, single for COVID-19 immunization. The patient's medical history included bypass right leg artery in 2018, ongoing AFib (atrial fibrillation) (it took a long time for him to be diagnosed with Afib, that the physician wasn't sure what was going on. It had been at least 5 years since he was diagnosed), coronary artery disease from 2010 and ongoing (his arteries get clogged up and that his arteries were cleaned out every once in a while. He was checked every six months. He was diagnosed with coronary artery disease when he had his first bypass in 2010), 2 bad discs in 2019 and ongoing, 2 rods and cage put in below neck in 2020 and ongoing (he went to the physician for his lower back and after examining his MRI, the physician informed him that his neck had to be addressed first. In 2020 he had surgery for another cage to be put in and the hardware rebuilt just below his neck), shoulder replacement in 2019, back surgery in 2018 and ongoing lower back pain. The patient's father died of lung cancer and his mother died of a heart attack. Concomitant medications included tamsulosin taken for having a hard time urinating from an unspecified start date and ongoing (he had been taking for about a year. He began taking tamsulosin because he was having a hard time urinating and the medication makes you urinate), rosuvastatin taken for high cholesterol from an unspecified start date and ongoing (he had been taking rosuvastatin for years, probably 10 or better. Rosuvastatin lowers cholesterol readings and that his readings have been good but his physician has not taken him off of the medication), metoprolol taken for Afib (atrial fibrillation) from an unspecified start date and ongoing (he has been taking metoprolol for about a year, he had previously been on a different medication that was really bad and that he had been bugging his physician about changing the medication and was finally switched), clopidogrel bisulfate (PLAVIX) taken for plaque from 2010 and ongoing, vitamin C [ascorbic acid] taken to boost immune system from an unspecified start date and ongoing (he had been taking vitamin C for 5 years), colecalciferol (VITAMIN D [COLECALCIFEROL]) taken for vitamin D was low from an unspecified start date and ongoing (he began taking the vitamin D supplement about 2 years ago), cyanocobalamin (VITAMIN B 12 [CYANOCOBALAMIN]) taken for an unspecified indication to give him a little more pep from an unspecified start date and ongoing (he had been taking the vitamin B12 for a couple of years), hydrocodone taken for an unspecified indication from an unspecified start date and ongoing (hydrocodone acetaminophen does not fully take the pain off of his lower back but it takes the edge off), acetaminophen taken for an unspecified indication from an unspecified start date and ongoing (he had been taking hydrocodone/acetaminophen for 2 years. He took this medication as needed and that sometimes he did not take it), rivaroxaban (XARELTO) taken for bypass on right leg artery from 2018 and ongoing, hydrocodone bitartrate, paracetamol (NORCO) 5/325 taken for lower back pain (this was the only pain medication he takes. He began taking the Norco when he began having back problems, about 2 years ago. He has had quite a few operations. He had been on stronger pain medications in the past but he just takes the lowest dose of the Norco now) and Adult plus 50 multi vitamin taken as a multivitamin from an unspecified start date and ongoing (he had been taking a multivitamin for a couple of years). The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6200, Expiration date: unknown) injection, administered in right arm on 26Feb2021 (age at vaccination was 68 years) as dose 1, single for COVID-19 immunization and he did not have any problems with the first dose of the COVID-19 vaccine. The patient previously took flu shot in Sep2020 (he has not had any shots since he received his flu shot in Sep2020). The facility where the most recent COVID-19 vaccine was administered was a fire department. The vaccine was not administered at Facility. No additional vaccines were administered. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The had the second dose of the Pfizer COVID 19 vaccine on 19Mar2021. On 19Mar2021, the patient experienced severe neck pain on the right side and pain under right shoulder blade/severe neck and shoulder, every bone and muscle in his body hurt and headaches. On 19Mar2021, about 6-7 hours after he received the second dose of the COVID-19 vaccine, the patient experienced severe neck and shoulder pain. Headaches started when the severe neck pain started. He could feel the pain going up his neck behind his ear and into his head. On 19Mar2021 around 21:00 pm, the patient experienced muscle aches. The pain gets so bad that he had to lay down. The pain would go away a little bit for maybe a half hour or something and then the pain comes right back. The body and muscle aches went away the following day, but that the severe neck and shoulder pain and headaches will not go away. It had been four days and he was still having severe neck pain on the right side and pain under right shoulder blade. On an unspecified date, it felt like a stiff neck and intense especially in the evening. It was very irritating. On 21Mar2021, the patient felt better but the severe pain was still present in his neck and under his right shoulder blade. He could not walk very far due to his back pain. He would walk to his mailbox and could not make it back sometimes due to the pain in his lower back. The neck and shoulder pain was not as in bad in the morning when he wakes up, but as the day progresses it gets worse. The patient wanted to know how long that would last asking and would he have that the rest of his life. He has been experiencing the neck pain, shoulder pain, and headaches for 4 days. The patient was a little concerned as he was going in for back surgery on 14Apr2021 for 2 bad discs and he did not want any problems. He wanted to make sure everything was ok, that he had been waiting to have that surgery for a year and cannot wait any longer. He had talked to other people who reported similar side effects and said the side effects only lasted 2 days. He was still having symptoms 4 days after his second dose of the COVID-19 vaccine on 19Mar2021. He was nervous about it with his upcoming surgery on 14Apr2021. He will be hospitalized for 3 days after the surgery and he was anxious to get the COVID-19 vaccine because he wanted to be protected during his hospital stay post surgery. No relevant tests were done. There was a Product Complaint. The outcome of the event every bone and muscle in his body hurt was resolved on 21Mar2021. The outcome of the event feels like a stiff neck was unknown. The outcome of the other events was not resolved.  No follow-up attempts are needed. No further information is expected.