knots on side of her knees/these side effects worsened after her booster dose of the vaccine; lumps on her shoulder/ small raised lump on the left shoulder; her elbow is very sore/ pain in her knees; side effects worsened after her booster dose of the vaccine/she is falling apart; she hurts; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 59 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 30Nov2021 (Lot number: FJ6762, Expiration Date: 30Jun2022) at the age of 59 years as dose 3 (booster), 0.3 ml single for covid-19 immunisation. Relevant medical history included: "steroid shot", start date: 2021, stop date: 2021, notes: She had a steroid shot in between the second dose of Covid vaccine and the booster.; "fall", start date: Sep2021 (unspecified if ongoing), notes: She had fallen in Sep2021; "Elbow is very sore", start date: Sep2021 (ongoing); "on the sides and behind her knees she has knots", start date: Oct2021 (unspecified if ongoing); "lumps on her shoulder" (ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (First dose: given on 18Mar2021, Lot number is maybe EN6204. NDC: unknown. Expiry: unknown.), administration date: 18Mar2021, when the patient was 58 years old, for covid-19 immunization; Bnt162b2 (Second dose: given on 08Apr2021, lot number: EP7533, NDC: unknown, expiry: unknown.), administration date: 08Apr2021, when the patient was 58 years old, for covid-19 immunization. The following information was reported: ARTHROPATHY (non-serious), outcome "not recovered", described as "knots on side of her knees/these side effects worsened after her booster dose of the vaccine"; MUSCULOSKELETAL DISCOMFORT (non-serious), outcome "not recovered", described as "lumps on her shoulder/ small raised lump on the left shoulder"; ARTHRALGIA (non-serious), outcome "not recovered", described as "her elbow is very sore/ pain in her knees"; CONDITION AGGRAVATED (non-serious), outcome "unknown", described as "side effects worsened after her booster dose of the vaccine/she is falling apart"; PAIN (non-serious), outcome "unknown", described as "she hurts".  Additional information: Patient reported having a fall in Sep2021 and developed knots on side of her knees, pain in her knees, lumps on her shoulder (She has on the sides and behind her knees she has knots. She has a large lump on her shoulder and a small raised lump on the same shoulder. It is the left shoulder) and her elbow is very sore. Patient noticed these side effects worsened after her booster dose of the vaccine. Orthopedic doctor states that she should not still be experiencing these side effects from her fall therefore caller seeking information if these side effects could be from her vaccination series. Caller also states that she used to exercise all the time and was really healthy and now she feels like she is falling apart. She was very healthy and the caretaker of her 96 year old stepdad. She cleaned and cooked for everyone in the house. She exercised with a ball, walked with her neighbors everyday but Sunday, did Pilates, and was very active prior to Sep2021. Since then she hasn't been really able to do anything. Now she can do those things, but not exercise. She can still walk and clean and stuff like that, but she hurts. The orthopedist thinks something else is going on. Now she has these lump things on her. She can't say it is the shot. Now she hurts and feels like she is falling apart. Patient clarified that she is not in a clinical trial and doesn't have a study number. She called the clinical trial contact center to see if they could point her in the right direction to talk to someone. She has no new medication. She had a steroid shot in between the second dose of Covid vaccine and the booster. She had the booster shot scheduled before the date it was given, but it would have been around 2 weeks after the steroid shot and the pharmacist said he wanted her to wait. The booster was given three weeks after the steroid shot in her arm in the elbow. She was thinking it would help the pain and it didn't. The vaccines were given in the arm, but she doesn't remember if it was left or right. When she went for the booster or maybe it was the flu shot she asked them to give it in her left arm because her other arm was hurting and it wouldn't go away. She thinks it was the Pfizer booster that she requested that with. She had wondered if the second dose was what bothered her right arm and didn't want the booster to bother it even more. The events did not require a visit to Emergency Room and Physician Office. She has an upcoming appointment with primary care on Friday, 21Jan2022. Patient got a flu shot, but she believes she got the booster Covid vaccine before she got the flu shot.  No follow-up attempts are possible. No further information is expected.