Develop rash front of his left arm the injection on the side, the rash is on front kind of even where the injection was given; Pain in his left arm; Started having a lot of pain in his shoulder, left elbow and it radiated down into his finger; Started having a lot of pain in his shoulder, left elbow and it radiated down into his finger; Started having a lot of pain in his shoulder, left elbow and it radiated down into his finger; Left elbow swelled; This is a spontaneous report from a contactable consumer (patient's wife). A 82-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EL9261), via an unspecified route of administration, administered in arm left on 04Feb2021 (at the age 82-years-old) as 2nd dose single for COVID-19 immunization. Medical history included hypertension (20 Years ago, patient don't know the exact date, at least 20 years ago), cardiac pacemaker insertion from Feb2020, bypass heart surgery on an unspecified date in 2006, neuropathy (patient did not remember its diagnosis date, patient only had bypass and to put in 2 stents). Concomitant medications included hydrochlorothiazide (Tablet) (MANUFACTURER UNKNOWN), orally on an unspecified date at 50 mg (25 mg, 2 tablets per day) daily for hypertension; metoprolol (MANUFACTURER UNKNOWN), orally on an unspecified date at 25 mg twice a day for unknown indication; duloxetine (MANUFACTURER UNKNOWN), orally on an unspecified date at 30 mg once a day for unknown indication; hydralazine (MANUFACTURER UNKNOWN), orally on an unspecified date at 50 mg thrice a day for unknown indication; furosemide (MANUFACTURER UNKNOWN), orally on an unspecified date at 80 mg once a day for unknown indication; rivaroxaban (XARELTO) (MANUFACTURER UNKNOWN), orally on an unspecified date at 50 mg once a day for unknown indication; ezetimibe (MANUFACTURER UNKNOWN), orally on an unspecified date at 10 mg once a day for unknown indication; clopidogrel (MANUFACTURER UNKNOWN), orally on an unspecified date at 75 mg once a day for unknown indication. Vaccination Facility at the doctor's office. The patient experienced started a lot of pain in shoulder, left elbow and it radiated down into finger on an unspecified date in 2021. 3 days age develop rash front of left arm the injection on the side, the rash was on front kind of even where the injection was given on 14Mar2021 (reporter stated that, read moderna (not clarified) had a problem with rash). Pain in left arm on an unspecified date in 2021. Event start date, it would had couple of weeks after the 04Feb2021 and patient had the rash right now. Probed for events start date, reporter stated, That one was about two weeks ago, everything was in left arm. When probed still having the problems (event), reporter stated, that was better but yes patient had still left, it improved but patient still have it, it progress started about 3 days ago. On an unspecified date, the patient underwent lab tests and procedures which included blood test they were fine, patient was almost fine had routine blood work done but now had not anything. Any treatment for the event, reporter stated, For the rash patient not had any treatment for, the pain in arm and everything the orthopedic doctor gave a shot of cortisone to see if that might have (treatment) and that was on 01Mar2021. When probed for cortisone dose (treatment), reporter stated, I have no idea, I don't know about that. Patient probed for cortisone dose (treatment), reporter had no idea and do not know about that. When probed for cortisone shot (treatment) site of injection, reporter stated, would be on left shoulder and frequency, just once. The clinical outcome of the event pain in arm was recovering and rest of the events were unknown.   No follow-up attempts are possible. No further information is expected.