he felt tenderness in groin and waist area/on the back of my shoulder blades, upper back, feel tenderness; can not lay down on my back it hurts/I do have a pain in upper back; In the beginning had throbbing pain that it is something pulsating in love handles, flank area/When I walk, I feel pain/Pain not letting me sleep; sometimes I have a fog in my brain, and I can't concentrate; sometimes I have a fog in my brain, and I can't concentrate; my heart beating increased sometimes at night time; fever; I haven't' felt sick or in need a doctor until after the vaccination; I am exhausted/I don't have enough strength, now if I walk a mile I am tired; I felt something like pain in my heart, very mild; numbness; This is a spontaneous report from a contactable consumer. This 57-year-old male consumer (patient) reported for himself that:  A 57-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EK 5730), via an unspecified route of administration on 21Mar2021 as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EJ 1685, Exp: Mar2021), via an unspecified route of administration on 01Mar2021 as DOSE 1, SINGLE for covid-19 immunisation and experienced twitching in the muscle in the arm, same arm of injection noticing discoloration of the skin turning pale, feeling like numbness and pain in that area as well, the twitching it is spreading, to his waist , groin area, he does feel some tenderness, I haven't' felt sick or in need a doctor, until after the vaccination. On an unspecified date in 2021, the patient experienced i felt something like pain in my heart, very mild, numbness, in the beginning had throbbing pain that it is something pulsating in love handles, flank area/when i walk, i feel pain/pain not letting me sleep, can not lay down on my back it hurts/i do have a pain in upper back, i am exhausted/i don't have enough strength, now if i walk a mile i am tired, sometimes i have a fog in my brain, and i can't concentrate, he felt tenderness in groin and waist, my heart beating increased sometimes at night time, fever and i haven't' felt sick or in need a doctor until after the vaccination. On Mar2021, he felt tenderness in groin and waist, sometimes. Caller stated that the twitching started in the arm of location of inoculation, twitching lasted a week or two, he does feel some tenderness, but no pain in the arm. After he received the 2nd shot, numbness and tenderness started after a day or two and after a few days he felt tenderness in groin and waist area, "where my belt was on, spreading in the skin on both sides, he thought it was going away. No twitching in groin or waist, only at injection site. Pain that is tender and not going away. He do not see any redness or discoloration. I feel the tenderness, he could not sleep on my sides and on the back of my shoulder blades, upper back, feel tenderness, could not lay down on my back it hurts. It was kind like a It's been longer than 3 months, 4 months now. In the beginning had throbbing pain that it is something pulsating in love handles, flank area, he do not have that any more. I have to take ibuprofen to alleviate the symptoms , other wise he feel good. When he walk, he feel pain, when he come home, have to lay down. He was a pretty strong guy, do not take medicines unnecessarily and was procrastinating getting this. He did mention to my boss. On my back he feel tenderness, he feel it with my hands, he try to massage it with skin lotions. He was procrastinating it, because he thought it was going away, since 21Mar. Pain not letting me sleep. He do have a pain in upper back and love handles and feel like something is driving upward in belly area., groin area. I feel tenderness, I don't see any redness. Have these been report I take ibuprofen 600mg when it is unbearable. Not 24 hours a day and do not have enough strength, now if he walk a mile when he was tired. He reached out to the doctor in May, took EKG and said he needed to put me on cholesterol medication, but was not ready to listen to all of that. He do not have a doctor and in search of finding a doctor. He just do not have any strength. It was not going away. He had a two teeth extracted in lower jaw on 14Apr2021 on the right side almost the same time he had the vaccination, I thought that maybe the pain and fever is because of that and If he have to go see a doctor. First time went to Dentist was 05Feb2021, vaccination in Mar2021 and first visit to doctor he went back in April for the extraction. Maybe he was feeling week from the antibiotics. After vaccination started feeling these pains in my back, throbbing in my back, no longer throbbing, but unbearable, he was sitting and it was hurting because it was touching the cushion and could not sit properly. The patient underwent lab tests and procedures which included annual blood labs: same on unspecified date, my annual blood labs are the same, EKG: needed to put me on cholesterol medication on May2021 he needed to put me on cholesterol medication, but was not ready to listen to all of that. Therapeutic measures were taken as a result of can not lay down on my back it hurts/i do have a pain in upper back, in the beginning had throbbing pain that it is something pulsating in love handles, flank area/when i walk, i feel pain/pain not letting me sleep. Event I felt something like pain in my heart, very mild was considered as serious (medically significant). The clinical outcome of events in the beginning had throbbing pain that it is something pulsating in love handles, flank area/When I walk, I feel pain/Pain not letting me sleep was recovered on an unspecified date in 2021, numbness, he felt tenderness in groin and waist area/on the back of my shoulder blades, upper back, feel tenderness, can not lay down on my back it hurts/I do have a pain in upper back were not recovered and other events were unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101007499 same patient, different dose/event