Her hand, that is somewhat in pain from the sprain, and is most of the time fine, was in excruciating pain/A little bit of a sore arm; Her left knee was hurting her a lot worse/excruciating pain on my left wrist and constantly I feel it; Her left knee was hurting her a lot worse/After second dose, it really aggaravted her hand; She could not sleep the whole night; Right hand is swollen; Sprained wrist; tired; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: ER8734, Expiration date: Not reported), via an unspecified route of administration in her left arm on 30Mar2021 at 12:50 (at the age of 60-years-old) as dose 2, single for COVID-19 immunization in a facility reported as other. Medical history included her knee problems which were on and off and had a sprained hand in 2021 before both the doses. Family history included heart disease to her father. There were no concomitant medications/other products reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN6206, Expiration date: Not reported), via an unspecified route of administration in left arm on 09Mar2021 between 12:45 to 13:00 (at the age of 60-years-old) as dose 1, single for COVID-19 immunization and experienced sore arm. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations within 4 weeks of COVID-19 vaccine. About four hours later after the vaccination on 30Mar2021, the patient's hand was somewhat in pain from the sprain, and fine at most of the time but was in excruciating pain/a little bit of a sore arm but not as bad as the first shot but much sorer during the night; her left knee was hurting her a lot worse/excruciating pain on my left wrist and constantly felt it; her hand was really aggravated, after the second dose and she couldn't sleep the whole night. It was reported that her knee pain was not as bad as her hand pain. It was reported that the pain was on and off and her right-hand pain is so much worse than her knee pain and really got bad at bedtime. Her pain has outweighed anything else that she was feeling, it's like overcompensating any type of pain. Her hand sprain would normally be 3 to 5 in a pain scale, but it was 10 out of 10 in the pain scale at the time of report. It was reported that around 09:30 on 31Mar2021, she couldn't sleep and had to take a pain killer with ibuprofen (ADVIL) 200 mg of two tablets which might be expired. This treatment made her to get 3 hours of sleep but not a deep sleep and the treatment helps her to reduce the pain. She also used heating pad and ice for pain in hand but didn't help her. She had a cardiac appointment. The patient's right hand was swollen and had a sprained wrist from it and the patient was tired in 2021. It was reported that there was no investigation assessment. The patient didn't visit the emergency room or physician's office. The patient doesn't know that the events had anything to do with the COVID vaccine. The patient is asking medical advice about her hand and would like to know what to do about her hand. The outcome of left knee was hurting a lot worse was recovering while the outcome of other events was unknown at the time of report.  No follow-up attempts are needed. No further information is expected.