severe pain in the injection arm not at the injection site; she was awake every hour with the pain; she cannot lift her arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 74 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 17Mar2021 10:45 (Lot number: EN6208) at the age of 74 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Hysterectomy" (unspecified if ongoing); "bad fall", start date: 09Mar2021, stop date: 09Mar2021, notes: 1st dose event; "right shoulder very sore", start date: 09Mar2021 (ongoing), notes: 1st dose event; "significant black eye", start date: 09Mar2021 (ongoing), notes: 1st dose event; "lacerations on right eye", start date: 09Mar2021 (ongoing), notes: 1st dose event. Concomitant medication(s) included: ADVIL [IBUPROFEN], start date: 09Mar2021 (ongoing); TYLENOL taken for pain, start date: 19Mar2021 (ongoing); ESTROGEN;TESTOSTERONE taken for hysterectomy, start date: 1996 (ongoing). Vaccination history included: Bnt162b2 (Dose 1, Time: 11:00 AM, Lot# EN6198, Expiration Date: 30Jun2021, Anatomical site: Arm Left), administration date: 24Feb2021, when the patient was 74 years old, for covid-19 immunisation. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 18Mar2021, outcome "not recovered", described as "severe pain in the injection arm not at the injection site"; SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION (non-serious) with onset 18Mar2021, outcome "not recovered", described as "she was awake every hour with the pain"; HYPOKINESIA (non-serious) with onset 18Mar2021, outcome "not recovered", described as "she cannot lift her arm". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: No prior vaccinations within 4 weeks. Consumer states she had the second shot last Wednesday and two days ago she noticed she was having really severe pain in that in arm. She was asking was this normal? Clarifies she received the first dose of the Pfizer COVID 19 vaccine 24Feb2021 at 11:00 AM in the left arm. Then received the second dose of the Pfizer COVID 19 vaccine on 17Mar2021 10:45 AM in the left arm. She noticed the really severe pain in that in her left arm yesterday. Adds it was worse at night, she was awake every hour with the pain. She was also having problems with she cannot lift her arm. Adds between doses of the vaccine she had a bad fall 09Mar2021. States after the first dose she was in her house and tripped and fell. Adds she had her glasses on, they are metal frames, the frames bent and caused the two lacerations. Adds her right shoulder has also been very sore from the fall and she had a significant black eye. She went to the emergency room. They did x rays and told her she had no broken bones, they glued shut the lacerations because they said that would not leave as bad a scar. She was advised to take Advil with meals so it would not bother her stomach, and tylenol for pain. She was not admitted to the hospital and was recovering from the fall. Mentions it was hard to tell if the two lacerations just above her eye are better since they are glued shut. Mentions her husband died two months ago and now she does not have anyone to do the heavy lifting and it was really hard with her one arm sore from the vaccine and her shoulder painful from the fall.  There was Product Complaint which includes: Consumer reporting an AE for Pfizer COVID 19 vaccine while providing concomitant products caller mentions she has been going down on her dose of Estro-Testos. Product name as provided. She started it in 1996 after a total hysterectomy. She was told by her doctor that she would have to take the product for life. Caller states she used to take a higher dose and now she only takes one every other day because they do not make it any lower. Caller does not see NDC, lot or expiration date for Estro-Testos dispensed in a pharmacy vial from (name withheld).  No follow-up attempts are possible. No further information is expected.