first weekend after receiving first booster dose of vaccine, he could not lift his arm higher than shoulder height; When he has his arm in a forward motion he noticed the pain; damage to his right arm, and he can't throw softball more than about 40-43 feet without it hurting; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 50-year-old male patient received BNT162b2 (BNT162B2), on 05Nov2021 as dose 3 (booster), single (Lot number: FF2593) at the age of 49 years, in right arm for covid-19 immunisation. The patient's family history included: "CHF" (unspecified if ongoing), notes: Father died of CHF at 68; "borderline diabetic" (unspecified if ongoing), notes: Mother is 93-94 years old and is borderline diabetic. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Anatomical location: Right arm, Lot number: EW0153), administration date: 08Apr2021, when the patient was 49-year-old, for Covid-19 immunization, reaction(s): "No adverse event"; BNT162b2 (DOSE 2, SINGLE, Anatomical location: Right arm, Lot number: EW0153), administration date: 30Apr2021, when the patient was 49-year-old, for Covid-19 immunization, reaction(s): "No adverse event". The following information was reported: PAIN IN EXTREMITY (non-serious) with onset Nov2021, outcome "not recovered", described as "When he has his arm in a forward motion he noticed the pain"; LIMB DISCOMFORT (non-serious) with onset Nov2021, outcome "not recovered", described as "damage to his right arm, and he can't throw softball more than about 40-43 feet without it hurting"; JOINT RANGE OF MOTION DECREASED (non-serious) with onset Nov2021, outcome "not recovered", described as "first weekend after receiving first booster dose of vaccine, he could not lift his arm higher than shoulder height". The events "first weekend after receiving first booster dose of vaccine, he could not lift his arm higher than shoulder height", "when he has his arm in a forward motion he noticed the pain" and "damage to his right arm, and he can't throw softball more than about 40-43 feet without it hurting" required physician office visit. Therapeutic measures were taken as a result of joint range of motion decreased, pain in extremity, limb discomfort.  Additional information: The patient had no other conditions or medical history. There were no adverse events following prior vaccinations. The patient did not have any prior vaccinations (within 4 weeks). The patient used to umpire baseball every weekend. The first weekend after receiving first booster dose of vaccine, he could not lift his arm higher than shoulder height. When he had his arm in a forward motion, he noticed pain. It was still (at the time of this report) consistently bad. He could not throw a ball without pain and still (at the time of this report) had trouble in throwing. The patient reported that his first booster dose of Pfizer BioNTech COVID-19 Vaccine did some damage to his right arm, and he could not throw softball more than about 40-43 feet without it hurting. Noticed it by the next weekend. Patient had over the counter medication like Aleve or Ibuprofen but no physical therapy anything like that. Patient had contacted the doctor he was aware of it. He had been taking over the counter medication Aleve and Tylenol to relieve the pain. He brought his pain up with the physician on Friday (as reported). He had been trying to work it himself, but nothing else was helping. He reported it to his doctor, and was advised to contact Pfizer to see if they would cover the cost of Physical Therapy if he ordered it. No investigations were done. No relevant tests were done. The event did not require a visit to emergency Room. Time the Vaccination was reported as around 15:00. The report was related to a study or programme. This report was not serious.