joint pain, ankles were hurting, right knee started to hurt; Muscle pain; pain in both hands (all of his knuckles really hurt); This is a spontaneous report from a contactable consumer (patient). A 78-year-old male patient received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot number ER8732, Expiration Date: 02Jul2021) via an unspecified route of administration, administered in right shoulder (right arm), on 27Mar2021 (at the age of 78-year-old), as dose 1, single for covid-19 immunization. Medical history included ongoing glaucoma (has had 5 years), atrial fibrillation (has had about 9 years) from an unknown date and unknown, ongoing leukaemia (has the type of Leukaemia with the 50% chance they would not have any effects at all, but he has elevated white blood cell counts, has been over 10 years), ongoing back pain (he has back pain because he has two discs missing in the back), ongoing gout (has had periodic bouts of gout on and off for about 5 years, does not bother him too much but has periodic flare ups, which he takes medications for), ongoing arthritis in hands (has had a little over a year now), blood cholesterol, ongoing blood pressure, ongoing blood thinner, ongoing diuretic. The family history includes, the patient mother died of old age. The patient did not know about father; The patient thinks his father dies from cancer. The patient family is rather large. All senior members of his family die of old age as reported. The patient did not receive any additional vaccine on the same date of the COVID-19 vaccination. The patient was not received prior vaccination within four weeks. Concomitant medications included atorvastatin (ATORVASTATIN), the patient has been taking for quite a while, taken for blood cholesterol, start and stop date were not reported; amlodipine (AMLODIPINE), the patient has been taking for quite a while, taken for blood pressure, start and stop date were not reported; apixaban (ELIQUIS), the patient has been taking for quite a while, taken for blood thinner, start and stop date were not reported; enalapril (ENALAPRIL) taken for blood pressure, start and stop date were not reported; doxazosin (DOXAZOSIN) taken for diuretic, start and stop date were not reported; furosemide, potassium chloride (LASIX-K) taken for diuretic, start and stop date were not reported; potassium (POTASSIUM) taken for diuretic, start and stop date were not reported; colchicine (COLCHICINE) taken for gout, start and stop date were not reported; bimatoprost (LUMIGAN) taken for glaucoma, start and stop date were not reported; naproxen (NAPROXEN) taken for an unspecified indication, start and stop date were not reported; fish oil (FISH OIL) taken for an unspecified indication, start and stop date were not reported; colecalciferol (VITAMIN D3) taken for an unspecified indication, start and stop date were not reported; ascorbic acid (VITAMIN C ACID) taken for an unspecified indication, start and stop date were not reported; vitamin b complex (VITAMIN B) taken for an unspecified indication, start and stop date were not reported; selenium, tocopheryl acetate (VITAMIN E 2000 IU PLUS SELENIUM) taken for an unspecified indication, start and stop date were not reported; plantago ovata (METAMUCIL CITRON) taken for an unspecified indication, start and stop date were not reported; ginger root [zingiber officinale rhizome] (GINGER ROOT [ZINGIBER OFFICINALE RHIZOME]) taken for an unspecified indication, start and stop date were not reported; cinnamomum verum (CINNAMON) taken for an unspecified indication, start and stop date were not reported; vaccinium macrocarpon (CRANBERRY) taken for an unspecified indication, start and stop date were not reported; curcuma longa root (TURMERIC CURCUMIN) taken for an unspecified indication, start and stop date were not reported; pomegranate (POMEGRANATE) taken for an unspecified indication, start and stop date were not reported; beta vulgaris (BEETROOT) taken for an unspecified indication, start and stop date were not reported; paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for an unspecified indication, start and stop date were not reported. The patient stated, after the first dose he had really no effects, just some notable muscle pain and joint pain, it was slight but irritating. The patient stated, he talked to the representatives at the hospital where he had both doses. The patient stated, they said it was a normal reaction to have joint and muscle pain. The patient stated, he asked them what he should take because he has arthritis, leukaemia, glaucoma, and has had cancer, they told him to take Tylenol. The patient stated, Tylenol does nothing for him and he normally takes Naproxen. The patient stated, they told him not to take that. It is the only thing that helps the pain for his conditions. The patient stated, they told him to only take Tylenol and Aspirin which do not do him any good. The patient stated, they suggested to him to call this line to see if he could take Naproxen. The patient stated, muscle and joint pain started when he had the first dose. The patient stated, in the second week, he started to notice his hands. It felt like something was wrong and he could not tell what. He was still functioning. The patient stated, he experienced pain in both hands, almost all of his knuckles really hurt. The patient stated, he noticed because he has gout that is controlled, he noticed that his ankles were hurting, his right knee then started to hurt. The patient stated, after the second dose, about 8 days ago, he noticed an intensity in the pain in his knees and back and in both of his arms, especially in the shoulder. The patient stated, he is a big person, but is not a person who normally has any type of pain like that. The patient stated, he had back pain most of his life, he does not have much pain. The patient stated, he now really feels discomfort. The patient stated, the anything that ached before aches at a higher level now. The patient stated those are really the only symptoms. The patient stated, he has lot of friends that have told him all the problems they had. The patient stated, he has no problems at all except for this. The patient stated, his wife took the first shot and the only thing she experienced was that she feels tired. The patient stated, the pain is persisting, it has gotten worse since the first shot. The patient stated, as a treatment the patient took Tylenol which does not seem to do much of anything, when he does take it, he does notice less discomfort. The patient stated, Naproxen really does affect the pain and inflammation. The patient stated, the doctor called him because of his age, they said he was the perfect person to have the vaccine dose and was important to get it. The patient stated, all the vitamins and supplements he takes are because he read this stuff is good for him to take. The patient stated, he has not been to the doctor now for almost a year. They called and cancelled everything but now, everything is getting back to normal and is seeing doctors again. The adverse event did not result in emergency room or physician office visit. The patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot number ER8731, Expiration Date: Jul2021) via an unspecified route of administration, administered in left shoulder (left arm), on 17Apr2021 (at the age of 78 year), as dose 2, single for covid-19 immunization. The outcome of all the events was unknown.  No follow-up attempts are needed. No further information is expected.