intense pain from that one and it's still painful in the shoulder joint; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 81 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 22Oct2021 (Batch/Lot number: unknown) at the age of 81 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Rotator Cuff surgery", start date: 2010 (unspecified if ongoing); "has had sore arms from vaccines" (unspecified if ongoing); "blood pressure" (unspecified if ongoing), notes: he takes medication for blood pressure and cholesterol; "cholesterol" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose 1 Right arm. Lot: EN9581, Expiry: Unknown), administration date: 12Feb2021, when the patient was 80 years old, for COVID-19 Immunization, reaction(s): "can't hardly use this right arm right now because he has really intense pain in his right shoulder"; Bnt162b2 (Dose 2 Left arm, Lot: EN6199, Expiry: 28Feb2022., The symptoms started around mid-July), administration date: 05Mar2021, when the patient was 80 years old, for COVID-19 Immunization, reaction(s): "his left upper arm/shoulder, he got a severe pain when he was just doing normal things", "his left upper arm/shoulder, he got a severe pain when he was just doing normal things"; Flu shot (He got the Flu shot in his right arm. He does not have the Lot/NDC/Expiry to provide.).  The following information was reported: ARTHRALGIA (non-serious) with onset 2021, outcome "unknown", described as "intense pain from that one and it's still painful in the shoulder joint".  Additional information: The patient's right arm, in 2010, had surgery for the rotator cuff where they replaced the joint, and it was doing very good with no problems, but all the sudden about 2 weeks ago he throwed something for his dog and he pulled something loose in there and now it's very painful. States that he was going to try to see an orthopedic surgeon. The patient reported something has changed since he had these shots. Both shoulders are pretty sore, but he was most worried about the right one; he can't hardly use this right arm right now because he has really intense pain in his shoulder. No previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer Suspect. No visit to Emergency Room and Physician Office done; but he will be going to a doctor's visit soon to get his right shoulder checked out. No prior Vaccinations (within 4 weeks) was taken, he got a flu shot but he thinks it was more than 4 weeks before the booster dose. The patient also got a Flu shot, and maybe that is what caused this cause the flu shot was mixed in. Caller then clarified that he received the Flu shot from the withheld at his check up which was way before the booster, but he doesn't remember the date. He got the Flu shot in his right arm. Something has changed since he had these shots. Both shoulders are pretty sore, but he is most worried about the right one; he can't hardly use this right arm right now because he has really intense pain in his shoulder.  The lot number for bnt162b2 was not provided and will be requested during follow up.