The heat from the elbow (not clarified further), besides the knees and the ankle and the toes.; pain in knees, ankles and feet and lower leg with the cramping and tingling, mostly tingling and burning like a radiating pain; discomfort with burning , tingling and radiating sensations in both knees , lower legs and feet during the night , those sensations have returned 10 days after vaccine; discomfort with burning , tingling and radiating sensations in both knees , lower legs and feet during the night , those sensations have returned 10 days after vaccine; I experienced discomfort with burning , tingling and radiating sensations in both knees , lower legs and feet during the night , those sensations have returned 10 days after vaccine; Also occasionally pain in hips, elbows and other joints/Pricking pain in my left hip/mild burning radiating from around the joints; cramping in my left footmy knees, my ankles and my feet, the lower leg felt cramp; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received first dose bnt162b2 (BNT162B2, lot number: EL1283), via an unspecified route of administration, at arm left, on 12Jan2021 15:00 at single dose for COVID-19 immunisation.  Medical history included blood cholesterol increased, chronic productive cough, known allergies to sulfa, sinus disorder. Is pregnant: No. Concomitant medication included mometasone furoate (FLONASE) for sinus, ascorbic acid (VITAMIN C). No other vaccine in four weeks. No covid prior vaccination, no covid tested post vaccination. 4 days after receiving vaccine, on 16Jan2021 12:00 AM the patient experienced discomfort with burning, tingling and radiating sensations in both knees , lower legs and feet during the night , those sensations have returned 10 days after vaccine and have continued for more than 30 hours now , Also occasionally pain in hips, elbows and other joints. As of 23Jan2021, it was reported the patient experienced burning, tingling sensations around ankles, knees and lower leg. Yesterday started feeling same thing, the feet, toes, around ankles, up legs and around knees. Sometime it feels like it's a mild burning radiating from around the joints and in the lower leg too. It is mainly her feet up to above the knees, burning, tingling, radiating. Sometimes have occasional pain little bit in some of the other joints, this is a little bit more than joint pain. Consumer stated, that she received the first dose of this Pfizer Vaccine on 12Jan2021. And about four days after during the night she was feeling some kind of burning, tingling sensations around ankles and knees and lower leg. It went away it lasted maybe about 4 hours, but then yesterday which is on the 22nd started in early afternoon started feeling the same thing, the feet and the toes, around ankles, up the legs and around the knees. Sometime it feels like it's a mild burning radiating from you know around the joints and in the lower leg too. It is mainly feet up to above the knees, burning, tingling, radiating. And sometimes I have occasional pain in just a little bit in some of the other joints you know that's been going on after the vaccine occasionally. The heat from the elbow (not clarified further), besides the knees and the ankle and the toes. The patient called this number because that is the number that was on the page to say if there was anything to report and then you know she was wondering if this is, she saw that some of the side effects could be joint pain but this is a little bit more than joint pain. So, she was wondering if there is anything. She mean she was going to see doctor on Monday, this has been going on for more than 30 hours now, but she was wondering if there is any advice in this. Pricking pain in her left hip started on 12Jan2021, Little bit of cramping in left foot started on 12Jan2021, Knees, ankles and feet, the lower leg felt cramp, like a radiating pain started on 16Jan2021. Consumer stated, initially, when she just got the vaccine, she felt a little prick in her left hip, like a little pain but it did not stay, pricking pain in her left hip. A little bit of cramping in her left foot, but it went away. So she did not think anything of it. 4 days later, on the 16Jan2021 (later confirmed), during the night her knees, her ankles and feet, the lower leg felt cramp, like a radiating pain. It was not very severe, like a mild pain in the knees and the lower legs and feet, a type of tingling but it went away. Pain was like a radiating, sort of burning but it was mild burn. Date when started experiencing pain is on the same day, 12Jan2021. Lab work was no. Treatment was no, because it was transient but afterwards what concerned her is on Friday which is the 22nd, she started experiencing a pain in knees, ankles and feet and lower leg with the cramping and tingling, mostly tingling and burning like a radiating pain. The whole, above her knees, down the lower leg, ankles, feet and toes and it continued up till last night and so more than for 30 hours that is what concerned her. That is why she called last night. The outcome of the event feeling hot , pain in extremity, muscle spasm was unknown, of the other events was not recovered.