muscle or tendon connecting to the left arm across his shoulders had not returned to normal; muscle or tendon connecting to the left arm across his shoulders had not returned to normal; After first dose he was very sore in his left arm and fatigued; After first dose he was very sore in his left arm and fatigued; The pain radiated across his shoulder blades toward his right shoulder; was very sick after shot # 1; A profoundly loud Tinnitus in left ear and minor tinnitus in right ear; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 56 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 31Jul2021 12:30 (Lot number: FA7485) at the age of 56 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Covid-19", start date: Feb2021 (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: PAIN IN EXTREMITY (disability), FATIGUE (disability) all with onset 01Aug2021, outcome "not recovered" and all described as "After first dose he was very sore in his left arm and fatigued"; PAIN (disability) with onset 01Aug2021, outcome "not recovered", described as "The pain radiated across his shoulder blades toward his right shoulder"; ILLNESS (disability) with onset 01Aug2021, outcome "not recovered", described as "was very sick after shot # 1"; TINNITUS (disability) with onset Aug2021, outcome "not recovered", described as "A profoundly loud Tinnitus in left ear and minor tinnitus in right ear"; MUSCLE DISORDER (disability), TENDON DISORDER (disability), outcome "not recovered" and all described as "muscle or tendon connecting to the left arm across his shoulders had not returned to normal". The events "after first dose he was very sore in his left arm and fatigued", "after first dose he was very sore in his left arm and fatigued", "the pain radiated across his shoulder blades toward his right shoulder", "was very sick after shot # 1", "a profoundly loud tinnitus in left ear and minor tinnitus in right ear", "muscle or tendon connecting to the left arm across his shoulders had not returned to normal" and "muscle or tendon connecting to the left arm across his shoulders had not returned to normal" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (11Feb2021) positive; (20Feb2021) positive; (06Sep2021) negative, notes: Nasal Swab. Therapeutic measures were taken as a result of pain in extremity, fatigue, pain, illness, tinnitus, muscle disorder, tendon disorder included: light massage and heat therapy for upper back. Clinical course: No other vaccine in four weeks. Known allergies was none. A profoundly loud Tinnitus in left ear and minor tinnitus in right ear. He first noticed it in mid Aug just and it had grown in intensity. He had never experienced Tinnitus before and it took awhile for him to understand what was going on. Any forward leaning caused extreme pain. He needed to stand ramrod straight up, pinning his shoulders back. After three days his left arm no longer hurt but his muscle or tendon connecting to the left arm across his shoulders had not returned to normal.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101697107 Same reporter/SD, Different AE/dose