Left foot pain; right ankle pain; pain returned in both shoulders; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 69 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 07Oct2021 16:00 (Lot number: FC3184) at the age of 69 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Atrial fibrillation" (unspecified if ongoing); "arthritis" (unspecified if ongoing); "breast cancer" (unspecified if ongoing); "known allergies: Sulfa" (unspecified if ongoing); "known allergies: dairy" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EN9581, Location of injection: Arm Left, Vaccine Administration Time: 10:30 AM), administration date: 30Jan2021, when the patient was 68 years old, for COVID-19 immunization; Bnt162b2 (Dose Number: 2, Batch/Lot No: EN6203, Location of injection: Arm Left, Vaccine Administration Time: 04:30 PM), administration date: 20Feb2021, when the patient was 68 years old, for COVID-19 immunization, reaction(s): "Pain issues with right ankle then right shoulder then left shoulder then left foot", "Pain issues with right ankle then right shoulder then left shoulder then left foot", "Pain issues with right ankle then right shoulder then left shoulder then left foot", "rotator cuff inflammation of both shoulders", "tendonitis of peroneal and Achilles", "tendonitis of peroneal and Achilles", "inflammation & swelling of soft tissue due to bone spurs".  The following information was reported: ARTHRALGIA (non-serious) with onset 08Oct2021, outcome "recovering", described as "pain returned in both shoulders"; PAIN IN EXTREMITY (non-serious) with onset 15Oct2021, outcome "unknown", described as "Left foot pain"; ARTHRALGIA (non-serious) with onset 15Oct2021, outcome "unknown", described as "right ankle pain". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of arthralgia.  Clinical information: Pain issues with right ankle then right shoulder then left shoulder then left foot, all within few weeks/months of 2nd vaccination on 20Feb2021. Diagnosed as rotator cuff inflammation of both shoulders, had cortisone injections in both shoulders on 09Jun2021 with next day pain resolution.  Right ankle diagnosed on 01Jul2021 as tendonitis of peroneal and Achilles and pain resolved by end of Aug2021 after many doctor visits & physical therapy. Left foot diagnosed on 03Sep2021 as inflammation & swelling of soft tissue due to bone spurs and pain resolved by end of Sep2021 after many doctor visits & physical therapy. After booster vaccination on 07Oct21, pain returned in both shoulders the next day 08Oct21, the right shoulder predominately, had cortisone injection on 17Dec21 with much slower pain reduction, still not gone. Left foot pain returned on 15Oct21, and right ankle pain returned on 15Oct21, both being sporadic, have not seen doctor again for these. Adverse event start date: 13Mar2021  Additional information: The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was received within 2 weeks of vaccination of any other medications. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.  No follow-up attempts are possible. No further information is expected.