blew nose and blood came out; just soreness in his arm.; he felt a little bit of a bulge and that's gone.; the arm they gave him the shot in still has tenderness; when he gets a shot, that spot bothers him for a while; This is a spontaneous report received from a contactable consumer (patient). A 73-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot number: EW0173; Expiration Date: 31Aug2021) via an unspecified route of administration at left arm on 06May2021 (at the age of 73-year-old) as dose 1, single for COVID-19 immunization. Medical history included ongoing prostate cancer, epilepsy and stent and three stents in his heart. History of all previous immunizations with the Pfizer vaccine considered as suspect and additional Vaccines administered on same date of the Pfizer suspect and Prior Vaccinations within 4 weeks (List any other vaccinations within four weeks prior to the first administration date of the suspect vaccines and Family Medical History RELEVANT To AE's were reported as No. Patient stated that he got his first shot last Friday, well Thursday. Patient stated that the arm that they gave him the shot in, it still has tenderness, it was not swelling. Patient stated that he can feel, when he gets a shot, that spot bothers him for a while, that was what's happening. Patient states he got it in his left arm, if he bumps it and if he takes his hand and rubs it on it, he can tell it's tender. Is that normal. Patient stated that friday was when it started being tender, he just figured that would be normal but he thought it would be gone by now. Patient stated that he read in the pamphlet it could last anywhere from 2 to 14 days and it not to the point where he can't sleep or anything like that, he knows it was there if he bumps it or rubs it, he can feel it. Patient stated that it doesn't cause him to hurt. Patient further stated that now this morning, when he woke up, he had to blow his nose and he blew blood out of his nose and he was on a blood thinner and he was reading a pamphlet and they talk about people who are on blood thinner medicine, but he doesn't feel sick, doesn't have diarrhoea, diet was normal, feels when he eats, he was fine and patient just ate breakfast a little bit ago and it doesn't bother him, have not had diarrhoea or anything like that, just soreness in his arm. Patient states that on a scale of 1-10, it's maybe a 3 or 4 and if he rubs his hand across it, he can feel it. Patient further stated that about a half hour ago, when he got up, the bloody nose wasn't really a bloody nose, it was just like when he woke up in the morning, he blew his nose and there was a little bit of blood in it and it made him wonder what caused that, maybe it was just from him, it wasn't that much, just a very little bit. Patient stated that if he lays down on his arm, he can feel it other than that no. Patient states when he got up this morning and he put on deodorant, he just put his hand over it to see how tender it still was and it was gotten better, it's not as sore as it was. Patient stated that he was supposed to go back on 27May2021 for his second shot. Patient stated that it was his first dose and patient was going to be 74 years old in September and he's going to take cancer treatment because he has been diagnosed as having prostate, the first stages of prostate cancer and luckily, they caught it early enough. Patient stated that he wasn't going to take chemo, just radiation treatment. Patient states the specialist, his regular doctor, both have been on him to get a Covid shot just to be safe and the one nurse he kept asking her where can he get a shot that he can trust because he will not take the Johnson shot, he said he prefers Pfizer and she said well her husband and her got them and they had it all set up just fine. Patient further stated that they walked him up to give the shot, gave the shot, and sat him down for 15 minutes to make sure there's no side effects and he had no side effects until the next day. Patient states he felt a little bit of a bulge and that's gone. Patient states if he bumps it or lays on it, he can feel it but it was not to the point where it was going to make his toes curl, it was not really that bad, maybe a stage 3 on a scale of 1-10 but he was just concerned because he's not used to a shot sticking around that long and because he was reading the pamphlet. Patient stated that he was epileptic, got three stents in his heart, and he was on a blood thinner. Patient stated that's another reason he called as he knows he told them at the church everything that day when he checked in to get the shot and they kept saying that's okay, he was alright, so it didn't concern him because he felt like they knew what they were doing, it was just rare like when he has gotten a flu shot before, it might bother him for a day or two and then it's gone but this shot was Thursday/Friday and this was Monday and it was still there, it was not tender sore, but he can still feel the soreness and also when he blew his nose he had blood come out of his nose and it wasn't runny blood, that concerned him and he has taken a new medicine, so he doesn't know if that caused it to bleed but other than that he hasn't had anything else. The patient experienced the arm they gave him the shot in still has tenderness, when he gets a shot, that spot bothers him for a while on 07May2021, blew nose and blood came out, just soreness in his arm and he felt a little bit of a bulge and that's gone on 10May2021. Patient did not visit the emergency room and physician office for the events. Outcome of events the arm they gave him the shot in still has tenderness and when he gets a shot, that spot bothers him for a while was resolving and remaining all other events was unknown.   No follow-up attempts are needed. No further Information is expected.