headache; swollen lymph nodes on his left side; fever; body aches/it's just a sharp needle knife pain goes back from time to time, and there is a lot of pain; after receiving the first dose, the pain was extremely high in those areas where he had that injury."; after the vaccine, I had a lot of pain from that elbow injury; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program (159558). The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202101739540 (Pfizer).  A 45 year-old male patient received bnt162b2 (BNT162B2), administered in arm, administration date 26Feb2021 (Lot number: EN6201) as dose 1, single for covid-19 immunisation. Relevant medical history included: "back injury" (unspecified if ongoing); "dislocated elbow" (unspecified if ongoing). There were no concomitant medications. The following information was reported: HEADACHE (non-serious) with onset 2021, outcome "unknown", described as "headache"; LYMPHADENOPATHY (non-serious) with onset 2021, outcome "unknown", described as "swollen lymph nodes on his left side"; PYREXIA (non-serious) with onset 2021, outcome "unknown", described as "fever"; PAIN (non-serious) with onset 2021, outcome "unknown", described as "body aches/it's just a sharp needle knife pain goes back from time to time, and there is a lot of pain"; BACK PAIN (non-serious) with onset 2021, outcome "unknown", described as "after receiving the first dose, the pain was extremely high in those areas where he had that injury.""; LIGAMENT SPRAIN (non-serious) with onset 2021, outcome "unknown", described as "after the vaccine, I had a lot of pain from that elbow injury". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache, lymphadenopathy, pyrexia, pain, back pain, ligament sprain.   Additional information: Transferring agent stated, "I have a report reference the call was transferred from COVAX to safety. I have a report reference of # (Reference# of COVAX). Caller's name is withheld. He was a consumer. He declined to provide any other personal contact details, I don't even have his phone number or his last name but I have his age, 45 years old. He did not filed a report earlier to the safety department or the safety team (Hence checked as initial report) His concern actually earlier is he received the first dose of the Pfizer COVID-19 Vaccine for the purple cap 8-9 months ago, and his he was not able to get the second dose. I have already addressed his concern and during the call he mentioned that the reason he didn't got the second dose was because he had every side effect from the first dose and the other side effects that he mentioned were headaches, swollen lymph nodes on his left side, fever, body aches, sharp needle knife pain throughout his body up and down now, it's just a sharp needle knife pain goes back from time to time, and there is a lot of pain. He also mentioned that before getting the vaccine, before getting the first dose, he had a back injury (history) before the vaccine, everything was fine. He doesn't feel any pain throughout his body but after receiving the first dose, the pain was extremely high in those areas where he had that injury. "When paraphrased the above concern, consumer stated, "Well that's fine. One another thing is including a back injury I had a dislocated elbow (Intent: history), I never had any pain from it and after the vaccine, I had a lot of pain from that elbow injury." Patient was stated, "No, no definitely not. I have the date I took the vaccine, I can tell you, I am 45 years old, I can give you my age (Age at the time of adverse event was not clarified, hence not captured in tab)." Patient was stated, "I forgot, it was on my arm, I forgot what arm it was, maybe left side, on my shoulder." Patient was stated, "No, I was not taking any medication. I usually take some Ibuprofen, some of that stuff (incomprehensible voice)." Patient had not received Prior vaccinations (within 4 weeks). Caller declined to provide any other contact details. 45 years old consumer calling about the Pfizer-BioNTech Covid19 Vaccine. He received the 1st dose 8 or 9 months ago and did not get the 2nd dose. Caller wants to know if he can get the 2nd dose or booster dose and how to proceed with this? What is our guideline for this? During the call, caller stated that the reason he was not able to get the 2nd dose, because he had every side effects from the 1st dose. Caller stated he wants to file his side effects. He had headaches, left side lymph nodes was swollen, fever, body aches, sharp needle knife pain throughout his body (until now), he described it as "as if there are needles going inside my body, and there's a lot of pain". Caller also added that he had a back injury back then and before getting the 1st dose of the vaccine, everything was fine. After he received the 1st dose, the pain from his injury was extremely high in those areas that are affected. He also states that he's not the only one who experienced this kind of side effects, he knows other people who had injury before and experienced pain after getting the vaccine.   Follow-up attempts are completed. No further information is expected.