weird low back pain; lot of joint pain; his left arm was sore; he could not lift his arm up over his head; pain in wrist; big toes hurt and throbbing; tiredness; everyone told caller he sounded terrible; muscle spasms; felt miserable; left shoulder pain; his left shoulder has been tingling on and off; This is a spontaneous report from a contactable consumer (patient) from a Pfizer sponsored program via medical information team.   A 68-year-old male received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number EN6198; Expiration Date: 30Jun2021), via an unspecified route of administration, administered in arm Left (left shoulder by injection) on 26Feb2021 at 11.45 (at the age of 67-year-old) as dose 1, single for covid-19 immunisation. Medical history included ankylosing spondylitis from an unknown date and unknown if ongoing, ongoing elevated blood pressure from an unknown date and ongoing cholesterol from an unknown date. Concomitant medications included lisinopril was taken for elevated blood pressure, start and stop date were not reported (was taken for 8 months or 7 months), rosuvastatin calcium (ROSUVASTATIN PLUS PHARMA) taken for cholesterol, start and stop date were not reported (has been on for maybe a year), hydrochlorothiazide taken for elevated blood pressure water pill, start and stop date were not reported (has been on for about a year) and bunch of vitamins. Past drug included amlodipine for elevated blood pressure. The patient had only got his flu shot last Sep2020.On 27Feb2021, the patient experienced left arm was sore. On 06Apr2021, the patient experienced weird low back pain, lot of joint pain. On an unspecified date in 2021, the patient experienced he could not lift his arm up over his head, his left shoulder has been tingling on and off, pain in wrist, big toes hurt and throbbing, tiredness, everyone told caller he sounded terrible, muscle spasms, left shoulder pain and felt miserable. The patient reported that he got his first shot back in mid-Feb and he only had a reaction of a sore arm. The patient received his second shot of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: Lot EN6207, expiration date: 31JUL2021) via an unspecified route of administration, administered in arm Left (left shoulder by injection) on 19MAR2021 at 11:45 and did not really have any reaction. Caller confirmed this was the Pfizer Covid19 Vaccine. Caller added that he was fine up until a couple of days ago, when he was getting a lot of joint pain, particularly in his wrists. The patient's big toes were hurt, and he had a weird low back pain. The patient added that all of these symptoms started last Monday or Tuesday. For some reason, this morning he got up and he had a tingling in his shoulder. He added it was in his left shoulder where he got the shot, and it came and went. Caller added that it started tingling, went away, started tingling, and went away. Caller added that he did not know if this has something to do with the vaccine, but that was the only thing that he has done in the last few weeks. He has not really done anything else that could cause this. Caller added that his arm was sore the next day after he got the first shot. His arm was tender the next day, the next morning. Caller added that it was on 26FEB2021 that he received his first vaccine, and on the next day 27FEB2021 he had this soreness. Caller added that it went away. The only thing that he got after that was a tingling in his arm, like in the muscles. Refer to tingling in left arm and shoulder, caller added this was in his muscles. The pain went away but he had muscle spasms. It just kept on going, and it was not consistent. Like right now, it was not doing that but it would just start tingling and then it would go away. Caller confirmed this was after receiving his first vaccine when it started. The patient stated that he has left shoulder pain that seemed like it was in the morning. It went away this morning. Caller was wondering, it seemed like it was 2.5 weeks since his second shot and he had no symptoms before that. He did not know if it was from the shot or not. On 06APR2021, Tuesday, the patient had a lot of joint pain Now that he was thinking about it, it just suddenly shut off. Up until yesterday, he was miserable. His wrist was hurt his back was hurt. Caller stated that his right wrist was the worst and he could not open and close his hand or move his hand. Caller stated he had the vaccine on the left side. Caller. The patient reported that he felt miserable the last couple of days. Caller added that his symptoms came further out. Wrist hurt so bad he could not pick up glass of water, he had to use two hands. Caller added there was no pain there whatsoever now, it was just shut off. Just yesterday, he was having a hard time picking up a glass of water it hurt so bad and now the pain was gone. Weird low back pain: caller had trouble sitting, he was going from side to side because it just started and it was hurting. Caller added that it started on 06APR2021 but went away. Caller unsure dates on the events he listed, but he thought the low back pain was Tuesday, Wednesday, and Thursday. Caller did not clarify dates but states that yesterday was the worst, especially with the wrist. He still was having trouble lifting his arm up related to left shoulder pain. It subsided during the day, but in the morning he could not life his arm up. The patient added that the shoulder pain was his left, the wrist pain was his right. Unclear dates. Around Tuesday, the pain in his wrist was building and building until yesterday when he was really bad. This morning it went away, it went away when he woke up. Now, his wrist does not hurt at all. caller added he has been tired the last few days but today he was wide awake. He added he was kind of like, everybody kept saying what was the matter he sound terrible. The patient did not go to the physician's office or emergency room. He went to the chiropractor because he did not know where the pain was coming from or what was causing it and it came on suddenly and disappeared suddenly so he thought maybe it was a vaccine thing. The patient did not received any other vaccinations within four weeks prior to the first administration. The outcome of the events was unknown.  No follow-up attempts are needed. No further information is expected.