pain in my arm/he had arm soreness; it was muscularly pain/it is more muscular pain like when he raises and lifts his arm; mild to moderate fatigue; feeling a little flushed in my face/He says that his face is flushed off and on a little bit; off and on pain in my neck/He says that the pain is to the right side of his neck and back of it; Right shoulder/He says he has joint pain in his right shoulder; This is a spontaneous report from a contactable Consumer (patient). A 64-year-old male Consumer reported that patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration, in Arm Right on 09Feb2021 01:25 (Batch/Lot Number: EM9809; Expiration Date: 30Jun2021) at a single dose for covid-19 immunisation. Medical history included spondylitis, arthritic issues in his back that were diagnosed recently, large prostate, broken toe (He says he also has joint pain, which is compounded by the fact that he broke his toe before getting the vaccine, and he has joint pain in the ankle with the broken toe), joint pain in the ankle and pain on the foot. The patient reported that the he had his first dose of the vaccine last Tuesday and felt fine right afterwards, then either late that night or the next morning he had arm soreness and fatigue. He says none of his side effects are unlisted on the list he has, it has just kind of gone on. He says that the arm pain is not where he got the shot, it is more muscular pain like when he raises and lifts his arm. He says he also has joint pain, which is compounded by the fact that he broke his toe before getting the vaccine, and he has joint pain in the ankle with the broken toe. He says that the joint pain is occasional. He says that today he has a little pain in his neck and is feeling a bit flushed in his face. He says that the pain is to the right side of his neck and back of it. He says that his face is flushed off and on a little bit. He says he would like to know how long should side effects go, and when should he be concerned, and should he worry about getting the second vaccine. He stated that his broken left toe happened two weeks ago, before he got the shot. He says he has pain in that ankle, which he doesn't know if that is related. He says that his joint in his right shoulder he doesn't think is related to his toe, or his left ankle pain on the foot with the broken toe. He says the shoulder pain he doesn't know if that is related to shot or not, but joint pain is listed as one of side effects. He says he has joint pain in his right shoulder, and his arm pain is muscular pain in the bicep area that came on within a day, so by Wednesday, and he still has it. He says that the joint pain is off and on since probably Thursday. He says that he has treated the pain with Tylenol only since he was told he can take Tylenol, and on occasion he ices it. He says that he has been taking Tylenol Extra Strength Rapid Release Gels, 500mg each, and has been taking two tablets about three times a day, usually 6 hours apart, by mouth. Tylenol Extra Strength EXP: Jan2022, LOT: SCAO41. Therapeutic measures were taken as a result of pain in my arm/he had arm soreness. The outcome of all the events was unknown.