joints were clicking and aching; joints were clicking; Heart murmur; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 66 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 14Apr2021 (Lot number: EW0161, Expiration Date: Jul2021) at the age of 66 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (First Dose: Received 22Mar2021, lot ER2613, NDC, and expiration date 31Jul2021.), administration date: 22Mar2021, when the patient was 66 years old, for Covid-19 Immunization; Flu (The patient took the flu shot twice as a kid and hasn't taken it since). The following information was reported: ARTHRALGIA (non-serious), outcome "recovering", described as "joints were clicking and aching"; JOINT NOISE (non-serious), outcome "recovering", described as "joints were clicking"; CARDIAC MURMUR (non-serious) with onset 23Aug2021, outcome "unknown", described as "Heart murmur". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of arthralgia, joint noise.  Additional information: Clinical course: The patient took the shot and didn't want to take it but her aunts are older and she caved. The governor stated that the caller wouldn't be covered unless she gets the booster. The patient goes to the doctor every year, the eye doctor, primary acre, dentist and all of that. Every year gets blood work, EKG and the whole 9 yards, every year. February of this year the patient went and had her physical and EKG and everything was fine. In March got the first shot and the second one in April. About a month or so later the joints were clicking and aching, and she has never had that before. She started exercising more trying to work things out. Wrist is the only joint left that is affected, they can't find anything wrong with it and are going to do x-ray and cortisone shots. Then went to the doctor in September because her primary care provider left the practice. The caller had blood work and the new doctor was like did anyone ever say you had a heart murmur. The first response was that it was from the Pfizer shot because she never had a doctor mention, not even in February of this year. The patient is going to call her doctor to see if she can get a medical exemption, she is very mad she got it she knows she can't see if it is or if its not. The doctor has never mentioned it again. She knows that a lot of people who have a had a lot of people take it and are fine and looks at the obituaries and he funeral homes who can't talk about it. The patient went to the cardiologist in 2009 and was perfectly fine and never had a doctor ever tell her she had a heart murmur. The joints aching and clicking went away except the wrist. The patient saw on the news that the vaccines cause all sorts of cancers. The caller believes that all of these events need to be reported to Pfizer and she doesn't think that doctors are reporting this. These vaccines have not been fully approved. The patient took the flu shot twice as a kid and hasn't taken it since.  No follow-up attempts are possible. No further information is expected.