Thumb hurt; Hand swelled up; Elbow was swollen; Intense pain in the elbow; This is a spontaneous report from a contactable consumer (patient).   A 59-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, at age of 59 years old, administered in Arm Left on 09Apr2021 09:45 (Lot Number: EN6200; Expiration Date: 30Jun2021) at single dose for covid-19 immunisation. Medical history included blood pressure increased from 1995 and ongoing (It is controlled), anxiety (young and suffering from anxiety, has no clue why) and family cancer history. The patient previous received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 19Mar2021 09:45 (Lot Number: EN6200; Expiration Date: 30Jun2021), at age of 59 years old, at single dose for covid-19 immunisation.  The patient's concomitant medications were not reported. He received the Covid vaccine on 09Apr2021. The following day he later noticed his elbow started bothering him that night, and around midnight it woke him up. He had intense pain in the elbow and tried to tough it out. 4 hours later he was in the ER, it was that bad. When he got there they did an ultrasound and some X-rays. The ultrasound showed his elbow was swollen, and they removed 17cc of fluid. They asked if he had any trauma to his arm and he said absolutely no way. He doesn't know what to think. He was trying to find someone to help with the issue. On a scale of 1 to 10 the pain was a strong 10. To this day it was still bothering him pretty bad. He coundn't work because of it. He could hardly straighten it out because it is so sore. It was painful, but not as bad as Saturday(10Apr2021) and Sunday(11Apr2021) morning. On 13Apr2021, his hand swelled up. That's gone away. His thumb hurt on 14Apr2021 and that had gone away, he just aced that. He put ice on his elbow. His elbow from last night(13Apr2021) to today (14Apr2021) probably had a 30 percent change. It is getting better but it is still sore. He can't straighten it and he is trying to bend it to work it so it doesn't get stiff. With the work he does he needs to use his arms. He works in construction. He got the shot on 09Apr2021, and the pain was later in the day. He received his dose around 0945, and at about 1500 to 1530 he noticed his elbow bothering him. Later that night when he went to bed he was uncomfortable and couldn't sleep. Eventually he did fall asleep and at 0000 he woke up in excruciating pain. He tried to deal with it until 0400 when he went to the ER. His pain is nowhere near what it was. When he tries to straighten it, it is very painful, about a 6. If he bends it back it is much better. If he tries to straighten it the pain level goes up. It is still swelled up a bit. It is hard to say if it has improved, he never really saw it. He went to bed and when he woke up he was in so much pain. He had on his PJs and put on his shoes and left. All he knew was he was in pain. He presumed it was more swollen then, they did the ultrasound and found all that fluid. The pain in his thumb subsided a bit. He took the ice off of it about 30 minutes before this phone call, so about 45 minutes ago. It feels a little better. At least one part of the puzzle is solved. He noticed it at about 0730 this morning. He had an ultrasound on 11Apr2021. He had 3 to 4 X-rays on 11Apr2021. Outcome for events was not recovered. The patient was not diagnosed with COVID-19 prior to vaccination, and Since the vaccination, the patient has not been tested for COVID-19.  The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine.  No follow-up attempts are needed. No further information expected