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 65-year-old female patient received BNT162b2 (BNT162B2), on 05May2021 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 63 , in left arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, she also added that she didn't have this experience with the first three Pfizer BioNTech COVID vaccine. she received all of the vaccines on her left forearm.), for COVID-19 immunization, reaction(s): "didn't had this experience with the first three Pfizer BioNTech COVID vaccine"; Bnt162b2 (DOSE 2, SINGLE, She also added that she didn't had this experience with the first three Pfizer BioNTech COVID vaccine., she received all of the vaccines on her left forearm.), for COVID-19 immunization, reaction(s): "didn't had this experience with the first three Pfizer BioNTech COVID vaccine". The following information was reported: PAIN (non-serious), outcome "unknown", described as "pain it like the same area". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain. Additional Information: Caller confirmed that she received the Pfizer BioNTech COVID-19 bivalent vaccine for ages 12 and up and it was administered in her left forearm and is currently experiencing pain at the injection site. Caller stated, "I had my first booster at 05May2021 and my second booster, because I had a surgery, they didn't give it to me till 19Dec2022, I received my Pfizer COVID vaccine.". Caller stated that she received all of the vaccines on her left forearm and said "When I got it on the 19Dec2022, at about 01:30 at night, I'd wake up with fever, body aches and excruciating pain. And I assumed I had all the symptoms of COVID. It is just to be expected running a fever, body aches, runny nose, nauseous, I didn't lose my sense of taste and smell, but I have all the symptoms for a cold, that went away, about four days I was fine. But the problem is that excruciating pain from that night that I woke up, I've been getting it for 2 to 3 times a week. It like I want to cut my arm off, it's so painful. and it's like it runs from my left top of my left shoulder right to my forearm and the exact thing it hurts, I've never injured my left arm ever. the pain is just so hard to describe, it just, it hurts so, and it brings me to tears. It has been going on for the last man i was like,' okay, what is going on' I can go two or three days, I'm fine, wake from my sleep and it's the same thing, and it's like 'what the heck.'. Caller added that it's like she's experiencing this pain almost every day now and getting more and more intense. Caller also added that there was a lump on the injection site. She also added that she didn't have this experience with the first three Pfizer BioNTech COVID vaccine. Caller said that she is no longer having any other side effects aside from this pain as if it has been a regular. Caller wants to know if is this a still a side effect of the vaccine. Upon follow-up on 25Jan2023, All I can connect to is refer back to the day that I was last year, and I got the second booster and it's like the same pain it like the same area, just getting to be more frequent you know the intensity has been same. Lab Test: Consumer stated, "I have blood work done on 19Dec2022." When probed for the results of blood work: Consumer stated, "Yes, well yeah because they have not called me to say anything was wrong, that's the same day, I just done a blood work because it was a follow up physical for, just a test for my blood pressure, cholesterol, lipid and all of that and that was in Dec. They didn't call and change any medication that I take, and everything was fine, my blood pressure is managed by the Lisinopril, I don't take any diabetic medication even though I was on a bottom line diabetic, but I did not want to take diabetic medication. I take Atorvastatin for Cholesterol; I don't have the bottle handy. Hold on, I don't know you are going to ask me such questions hold on. I have to get up to the work today. Atorvastatin 10 milligrams for cholesterol, I have to take over the counter Vitamins every day and I take one as per every day and as a result of my surgery I take gabapin and I don't take it every day, I don't take it three times a day which I am supposed to but I don't, I take it as needed, it's 600 milligrams. (Further clarification unknown) Are you still there?" Name of the surgery: Consumer stated, "I had a rotator cuff repair on my right shoulder." Indication of aspirin: I just take it, just to take it, it's just a part of my daily, I just take it one time I just to take that at one time, it is good, I can go and aspirin on 81 milligrams, low dose I just take it every day." (Further clarification unknown) Site of administration: Consumer stated, "On my left arm yes ma'am." Outcome of the event: Consumer stated, "Yes ma'am, that was the purpose of my call, its getting more frequent." Treatment for AE: Consumer stated, "No, I just put a heating pad on, ice on, I take some Ibuprofen, you know to make it some reside. I take Ibuprofen once a day like it doesn't bother me for two or three days and I do not take Ibuprofen everyday. When I do not take it, it's like the pain just flies right up on my, everyday I have never injured. When probed if there is anything else, consumer stated, "No, I will call my doctor and take it from there, I said I call my doctor and take it from there, the reason I talk to you because I experience the pain, whatever they come up with I will call you guys and let you know, I will respond to the email, they said they will send me the email."  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.