Dose number: 3; Severe pain in muscles of both shoulders/arms and hands; Right hand swollen; Body ache/ Pain all over; Pain in his shoulders down to his biceps, down to his hands intermittently; Pain in his shoulders down to his biceps, down to his hands intermittently; Was 172lbs and now he is down to 165; Losing muscle mass; Left arm was where he got the shot which is the most painful area; Inflammation; lump on the injection site it was my left shoulder; I started to develop some really weird things; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 69 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 27Sep2021 13:00 (Lot number: 3A30BA) at the age of 69 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Surfing accident" (unspecified if ongoing), notes: surfing accident 20 years ago; he splattered his right clavicle with 7 displaced. There were no concomitant medications. Vaccination history included: Bnt162b2 (Prev dose Lot number: EL9262, Prev dose Administration time: 10:00 AM, Prev dose Vaccine location: Left arm, Prev dose Dose number: 1, had nothing, no problems, just boom), administration date: 24Jan2021, when the patient was 68 years old, for COVID-19 Immunization, reaction(s): "had nothing, no problems, just boom"; Bnt162b2 (Prev dose Lot number: EL9269, Prev dose Administration time: 10:00 AM, Prev dose Vaccine location: Left arm, Prev dose Dose number: 2, had nothing, no problems, just boom), administration date: 14Feb2021, when the patient was 68 years old, for COVID-19 Immunization, reaction(s): "had nothing, no problems, just boom"; Flu shot (I also at the time up until then I never had any illnesses even I get the flu shot I don't get sick), for Immunization. The following information was reported: IMMUNISATION (non-serious) with onset 27Sep2021 13:00, outcome "unknown", described as "Dose number: 3"; MYALGIA (non-serious) with onset 27Sep2021 13:00, outcome "not recovered", described as "Severe pain in muscles of both shoulders/arms and hands"; PERIPHERAL SWELLING (non-serious) with onset 27Sep2021 13:00, outcome "not recovered", described as "Right hand swollen"; PAIN (non-serious) with onset 2021, outcome "unknown", described as "Body ache/ Pain all over"; ARTHRALGIA (non-serious), PAIN IN EXTREMITY (non-serious) all with onset 2021, outcome "unknown" and all described as "Pain in his shoulders down to his biceps, down to his hands intermittently"; WEIGHT DECREASED (non-serious) with onset 2021, outcome "unknown", described as "Was 172lbs and now he is down to 165"; MUSCLE DISORDER (non-serious) with onset 2021, outcome "unknown", described as "Losing muscle mass"; VACCINATION SITE PAIN (non-serious) with onset 2021, outcome "unknown", described as "Left arm was where he got the shot which is the most painful area"; INFLAMMATION (non-serious) with onset 2021, outcome "unknown", described as "Inflammation"; VACCINATION SITE MASS (non-serious) with onset 2021, outcome "unknown", described as "lump on the injection site it was my left shoulder"; FEELING ABNORMAL (non-serious) with onset 2021, outcome "unknown", described as "I started to develop some really weird things". The events "severe pain in muscles of both shoulders/arms and hands" and "right hand swollen" 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 myalgia, peripheral swelling, pain, arthralgia, pain in extremity, weight decreased, muscle disorder, vaccination site pain, inflammation, vaccination site mass, feeling abnormal.  Additional information: No known allergies. Other medical history was reported as none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19; Since the vaccination, the patient has not been tested for COVID-19. He went to his doctor. They did a bunch of things and gave him some Z-Pak, steroids. It was arthritis medicine Meloxicam.  No follow-up attempts are possible. No further information is expected.