Caller stated he had a sore, achy arm after the 1st, 2nd and 3rd dose of the Pfizer covid 19 vaccine; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program (159558). The reporter is the patient.  A 73 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 27Feb2021 (Lot number: EN6201) at the age of 73 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "COPD" (unspecified if ongoing); "heart condition" (unspecified if ongoing); "tooth infection" (unspecified if ongoing), notes: couple years ago he developed an infection, a tooth infection maybe. There were no concomitant medications. Past drug history included: Augmentin, notes: doctor prescribed Augmentin, an antibiotic he has taken a number of times over the decades. Vaccination history included: Bnt162b2 (First dose:, LOT: EM9809, NDC: Unknown, Expiry Date: Unknown, Injection, unknown dosage, left upper arm, Date of start of reaction/event: 06Feb2021, Date of end of reaction/event: 07Feb2021, Duration of reaction/event: 1, Duration of reaction/event (Unit): Day, Outcome of reaction/event at the time of last observation: RECOVERED/RESOLVED), administration date: 06Feb2021, when the patient was 72 years old, for Covid-19 Immunization, reaction(s): "sore achy arm". The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 27Feb2021, outcome "recovered" (28Feb2021), described as "Caller stated he had a sore, achy arm after the 1st, 2nd and 3rd dose of the Pfizer covid 19 vaccine". Additional information: The NDC number and Expiry Date of Pfizer COVID 19 Vaccine: Unknown. Vaccination Facility Type was Pharmacy and Vaccine did not Administer at (private) Facility. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). Additional Vaccines did not Administer on Same Date of the Pfizer Suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient Medical History (including any illness at time of vaccination) was None. Family Medical History Relevant to Adverse Event was not provided. The patient did not receive any other medications within 2 weeks of vaccination. The patient states the only adverse medical reaction, a negative reaction to a medicine is a couple years ago he developed an infection, a tooth infection maybe, he can't remember, and a doctor prescribed Augmentin, an antibiotic he has taken a number of times over the decades, but this one time, he almost went into anaphylaxis, he had finally caught his breath by the time the EMTs got there, they wanted to put him on oxygen, it wasn't like it wasn't something he hadn't taken before, that was the only negative reaction to any medication he's ever had. The patient states he is substantially older than call handler, its kind of interesting in the context of this vaccine, he is old enough to remember the introduction of the polio vaccine in the mid 1950s, everything has virus in them, it was chaotic, people were getting sick, getting polio from the polio vaccines, it was an entirely different ball game, what he is seeing because of the call handler's youth, or his advanced age, he is old enough to see what has just happened with Pfizer BioNTech and Moderna, and its one of the most important medical developments of his lifetime. The patient is a 73-year-old consumer calling about the Pfizer-BioNTech Covid19 Vaccine. He got both doses of the Pfizer Covid19 Vaccine beginning of Feb and booster dose end of Jul2021. Per patient he did not have any negative reactions from the shots, he only got a little sore arm whenever he gets a shot. He is calling if we have any information about the 4th shot being studied in (Country). Per caller, because of the Omicron variant, he has a fear what could happen if he contracted Covid19 virus because he has COPD and heart condition. Caller mentioned that he is fascinated with the 4th dose studies that are being done in (Country) and he wants to know if Pfizer have any recommendations in having a 4th shot. The patient states the first concern that caller stated is that he had a sore and achy arm after his first, second and third dose of the Pfizer BioNTech COVID 19 vaccines. He was convinced after he got the first dose that there was a load of antidepressants in it, he felt so relieved. Transferring agent stated he received the first dose 06Feb2021, second dose 27Feb2021, and third dose 30Jul2021. Transferring agent reports caller got the third dose, the caller states the reason he got the third dose is because he pretended, he hadn't gotten the first two doses, so he got an off-label dose with the pharmacy. The patient states basically, he's not an MD, not a virologist, but is a bit of a science wonk, he is married to one, his wife is a nurse, he is awestruck with messenger RNA vaccines, its so cool, he's been following all the research all around the world, and the delta variant, and this is before the third dose on 30Jul2021, he was learning that because of the delta variant, he's still not going to die from it, he probably won't go into the hospital, he could get sick and could become a virus shedder, and just the thought of infecting somebody else, he couldn't live with it, he has had three doses and still wears a mask and distances in stores, he doesn't want to be a jerk. He states now the call handler knows why shots hurt him, he's so skinny. He states because of the delta variant, he has learned there are new issues involved. He walked into a local pharmacy and pretended he hadn't had any doses and said he would like to get the vaccine, so he got the third dose of the vaccine, he got a brand new CDC vaccine, and about an hour after he got home, he got a call from the pharmacist stating they were entering it into the CDC database and his name came up as having two other doses, so he briefly explained why, and the pharmacist said well is he feeling okay, she just wanted to check and make sure, and he said yes, she didn't seem very upset about it at all. He states his concern and what prompted this calling is he's a science wonk, he's amazed by messenger RNA vaccines, and he learned that the reactions that people were having to the vaccination, the Pfizer and Moderna vaccines, were good things, it was the immunization kicking in, nobody was dying, nobody was catching COVID from the vaccine. He states these people who have had reactions from the vaccine, they get to go to bed knowing the vaccine worked. He states and at 73 years old, he wanted to make sure he was working looked it up and said that he doesn't need to have had a reaction for it to be effective. He states he's glad this is recorded, in the context of his 73-year-old self, his arm and vaccination in general, he does not recall having received an annual flu shot, or pneumonia shot, or shingles shot, or any vaccine he's gotten that he did not get a sore arm, there is no way anybody could convince him it was specific to the COVID 19 vaccine. The patient asking how is it that people his age are on the cutting edge of vaccines and have pounced on them, and the younger generations, they drink red bull by the gallon and eat hot dogs, they have tattoos all over their body, and they won't take these vaccines? He doesn't get that, it doesn't make sense, old people like him should be so far ahead of the curve and understand what they are doing, and young people are doing the opposite. The caller mentioned they got the usual sore arm after the vaccine. Both doses they got in Feb and then after 3 weeks for the next one. Got the booster dose already on 30Jul. He is now asking if he should consider having the 4th booster shot. The AE(s) did not require a visit to: Emergency Room or Physician Office. Relevant Tests reported as None.  No follow-up attempts are possible. No further information is expected.