Could barely lift his arm; He reported symptoms of pain/had a pain like awearing suspenders; Immobility in L arm/couldn't move his left arm/lost control of his left arm; he could barely lift it and it felt like it got punched. He had two days of not being able to pick up his arm; Pain in neck glands and lower back; Pain in neck glands and lower back/Pain settled into his back; he has had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs; he has had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs/ pain in the top of his right shoulder; He has had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs/pain coming into his lung directly; Nauseous; He gets a funny taste in his mouth; Falling down on the ground; Can't move on my hands and knees; Splitting headache; Migraine; Started to get pretty bad/get worse and worse."; Water would come out of my nose; lungs were like he was not getting any air/ he was moving air but he felt like he couldn't get any oxygen/ couldn't breath; He can still kind of feel it at the injection site; Sore throat; Weight has gone down about four pounds; This is a spontaneous report from a contactable consumer (patient). A 64-year-old male patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: EW0198), via an unspecified route of administration in arm left (in the top left shoulder) on 23Jun2021 at 14:00 (at the age of 63-years-old) as dose 1, single for COVID-19 immunisation. The medical history of the patient included, patient stated he had the beginning of COPD; he was a former smoker; he fractured his spinal column in 1989 when he was pinned under a semi truck; mentioned two years ago he had an incident where he could not roll over due to the back pain - he had over done himself but he finally got rolled over after 25 minutes; this happen one other time; the doctors did an MRI and said he had two nerve roots that are dying; mentioned his lower neck has been injected a couple of times for pain. Mentioned he is active, drag races and does other sports but protects his back, kidney stones, broken bones as he used to race motorcycles mentioned had been through everything in the world throughout his life, feeling cloudy for the past 7 to 8 months, had a splitting headache, like a migraine, 7 months ago and pleurisy. The concomitant medications of the patient included oxycodone hydrochloride (ROXICODONE), naproxen sodium (ALEVE) and prednisone (PREDNISONE) all taken for spinal pain from an unspecified start date and ongoing, patient stated he takes double doses of anything he had got. The patient reported, he received his first dose of the Pfizer BioNtech covid 19 vaccine on 23Jun2021. Immediately after vaccination, he reported symptoms of pain and immobility in L arm followed by pain in neck glands and lower back. That pain had eased off some however new symptoms had developed. The history of all previous immunization with the Pfizer vaccine considered as suspect, additional vaccines administered on same date of the Pfizer suspect and AE(s) following prior vaccinations was not provided. The Relevant Tests were reported as none. The Family Medical History Relevant to AE(s) was reported as none. On an unspecified date in June2021, starting on sunday he had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs. The patient reported it was not muscle or joint pain, but specific to his lungs. The pain lasted 40-45 minutes and made him nauseous it hurted so bad. He reported he felt like he was dying from that pain and had considered calling EMS. He reported one time the pain started when he was just sitting on the couch and another time it began after he had one puff of a cigarette. The first incidence of pain was Sunday morning at 7 am after the one puff of a cigarette. He also reported that he gets a funny taste in his mouth with the pain after a cigarette. The pain was increased in frequency with each passing day. He stated that he recently experienced pain in his right lung that lasted 40 minutes at a time before the pain subsided. He had experienced that pain in his lung for four consecutive days. He reported that he was on a Sunday morning walk, in which he had a pain in his right lung. He does not have to do anything before the pain comes on. He reported that he had experienced the pain in his lung twice in one day specifically around noonish and then again at another time. He stated that sequence of pain had happened a couple of times. He stated he can feel the pain coming on and it continued to get worse and worse. The pain was so bad it takes him out. He described the pain coming into his lung directly and stated that the pain did not felt like a strain or muscle. He stated the pain was the worst agonizing pain. He stated the medication was causing fits through his body, and now the pain is in his right lung. The vaccine has targeted multiple areas throughout his body. He was worn out, he was killing his lungs, and his right lung was suffering. He requested a callback in 15 minutes, due to he needed to catch his breathe. He reported the pain in his right lung as blunt force trauma, resulted in falling down on the ground, can not move on my hands and knees. He experienced the same cycle when the pain came. He reported he had a splitting headache, like a migraine, 7 months ago that started to get pretty bad. He also reported that water would come out of my nose. He stated, he had never been sick. He stated he got a really bad adverse effect. It had settled in his right lung so bad, sunday morning he had a pain like wearing suspenders. Added three hours after vaccination, he could not move his left arm for 2 days, then glands hurt, and then his lungs were like he was not getting any air, and the pain settled into his back. He clarified he received the first dose of the Pfizer COVID 19 vaccine on 23Jun2021 at 14:00 in the top left shoulder. Added his next dose is due, he had not scheduled it yet. He does not know if he should get the second one. He rubbed his arm and not felt anything; but within one more hour, he lost control of his left arm; he could barely lift it and it felt like it got punched. He had two days of not being able to pick up his arm then it was a little better. Stated he can still kind of feel it at the injection site. Next he noticed pain in the glands of his neck; mentions he swallowed and it felt like a sore throat; both sides, left and right glands he could feel it; it was sore when he twisted his neck. He has completely recovered; the discomfort only lasted a day and half in his glands. Then maybe a day later, it was about midday and he noticed his breathing; he was moving air but he felt like he could not get any oxygen. When night came, after four or five hours, he still felt like he could not breath so, he went into the house and turned the air conditioner down and then felt a little better. He was afraid but he made it through the night. That continued for about two days; bothering his lungs and feeling like he was not getting any air. Now he does not cough a lot; but he occasionally had to clear his throat. Clarified his breathing was pretty close to back to normal as far as air intake. Then the pain settled in his lower back; for four days it was killing him. He was planning to go into his pain management doctor and let him had it. When he saw the doctor; the doctor put him on prednisone. Added he is on pain management. This was the fourth time the doctor had put him back on Prednisone. Added now the lower back pain is tapered off a little bit. Mentioned Prednisone is a miracle drug. Clarified the lower back pain had improved since starting the prednisone; it always hurted some from the fracture of his spinal column but it was back to his normal level. Then on Sunday, that thing hitted him in his lungs, reported pain in the top of his right shoulder; he barely made it back to the house; never had that pain or maybe when he was a kid with pleurisy. Stated he ran into the house and took a pain pill and prednisone 2 hours early and put on Voltaren; lidocaine cream and took some Aleve and finally it started to taper off. Stated he was sitting dead still and he started to feel that pain into his collarbone and then it moves under his shoulder; slowly creeping until it was full on in his lung. That combination of the pain pill and the prednisone with the Aleve and the creams is what worked. It hurted so bad that he did not care. He cannot believe it hurt so bad, he was on the floor, ready to dial 911 and then finally the medication backed it down. He had the pain in his lung one time the first day; two times the second day, early then later that night both lasting about 40 minutes; and then two times today. Added he cannot lay on his right side when it comes because it is in his right lung and the pressure is so painful it did not let him do, he was panic about that. Mentioned his weight has gone down about four pounds even though he was eating; stated more due to the prednisone. He asked had this happened to other people, was he damaged for life and was that going to go away. Also asked if anyone else had experienced this side effect and what he would do about the pain he was experiencing. He was at a loss. He cannot believe he was the only one who has experienced this. The outcome of the events He reported symptoms of pain/had a pain like a wearing suspenders, Immobility in L arm/couldn't move his left arm/lost control of his left arm; he could barely lift it and it felt like it got punched. He had two days of not being able to pick up his arm, he has had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs, he has had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs/ pain in the top of his right shoulder, Nauseous, He gets a funny taste in his mouth, Falling down on the ground, Can't move on my hands and knees, Splitting headache, Migraine, Started to get pretty bad/get worse and worse, Water would come out of my nose, He can still kind of feel it at the injection site, Sore throat, Weight has gone down about four pounds was reported as unknown, the outcome of the events He has had pain starting in the area near his collar bone and shoulder blade plate and moves into his lungs/pain coming into his lung directly, lungs were like he was not getting any air/ he was moving air but he felt like he couldn't get any oxygen/ couldn't breath, Could barely lift his arm was reported as not resolved, the outcome of the events Pain in neck glands and lower back/Pain settled into his back was reported as resolving and the patient recovered from Pain in neck glands and lower back.