she stated she can hardly hold it. This began since she had the vaccine from the swelling of her hands; This is a spontaneous report from a contactable consumer (patient). A 91-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL3249, Expiration: Aug2021) on 14Jan2021 in the left arm near shoulder in the muscle at a single dose for covid-19 immunization. Medical history included Osteoarthritis (Noticed it a year ago, genetic) and Rheumatoid arthritis (Noticed 2 months ago, genetic) After the car accident 31Oct2017, she was in a mess. Patient stated that both wrist were broken and she had surgery in hands before receiving the vaccines.  She has Osteoarthritis and Rheumatoid Arthritis and they are genetic. She has never had it where she could not pick something up. She said it was not formally diagnosed but she just read it in her medical chart that she has it. She first noticed it about 2 months ago. She has not been in the cold weather for 25 years. Everyone was telling her she would get some pain. She noticed 2 months ago that she felt her fingers were hurting.  She did not notice it after the first shot, but after the second one, it did bother her. She had cataracts removed and this was before the vaccine. Concomitant medications included blood pressure medication losartan (LOSARTAN) 100mg one tablet daily, metoprolol 25 mg taking 1/2 tablet twice daily, cyanocobalamin (VITAMIN B-12) taken for an unspecified indication. The patient reported that 3 years ago, she was in a car accident. Directly after having surgery on her hands, her doctor's last remark was "Don't fall and break that wrist."  She broke both wrist with the car accident.  She expects there will be a lot of pain with arthritis and it has gotten so bad after the second dose of the COVID vaccine that she was doubled over with pain in wrist and knee caps where engine burnt both knees. She called the orthopedic surgeon to see if it would be possible to get some injections to ease up the arthritis pain. It did not start until after the second shot.  She is not sure if it is connected.  She has volunteered at the hospital and hospice. The pain was noticeable on 11Feb2021, and worsened by 14Feb2021, and started improving by 16Feb2021. She had them switch her blood pressure medication and got the new type and the swelling started improving right away. When reading the bottle of medication, she stated she can hardly hold it. This began since she had the vaccine from the swelling of her hands in 2021. Her hands did not swell this bad before the second dose of the vaccine. She needs to put her glasses on and needed glasses to see before the vaccine. Vaccination facility type was Hospital. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. No emergency or physician's office required. Adverse event following prior vaccinations was none. She had called her doctor to see if she could get injections for the arthritis and wanted to know if this would have any effect for the vaccine.  She would also like to know if the vaccine would it cause this pain and if so, is it going to ease off.  She mentioned she wanted to get Gold injections and said our bodies need certain minerals to see what might help. The outcome of the event was unknown.