The shot was given pretty close to the shoulder, and with the needle upwards; pain wouldn't go away; COVID arm pain; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 74-year-old male patient received BNT162b2 (BNT162B2), on 11May2022 as dose 4 (booster), single (Lot number: FM9992) at the age of 74 years, in right arm for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: INFLUENZA VACCINE taken for immunisation, in 2022; VARICELLA ZOSTER VACCINE taken for immunization; he received BNT162b2 probably within the same month that he got the flu and shingle vaccine. Vaccination history included: BNT162b2 (3rd dose: Date: 10Sep2021. Time: not provided. Anatomical Site of injection: right arm. Unknown. Batch/Lot number: ER8727. NDC/EXP: not provided on handwritten vaccine card.), administration date: 10Sep2021, when the patient was 73-year-old, for COVID-19 immunization; BNT162b2 (2nd dose:  Anatomical Site of injection: right arm. Route of Administration: unknown. Batch/Lot number: EL3247, NDC/EXP: not provided on handwritten vaccine card.), administration date: 12Feb2021, when the patient was 73-year-old, for COVID-19 immunization; BNT162b2 (1ST Dose:Anatomical Site of injection: right arm. Route of Administration: Unknown. Batch/Lot number: EK4176.), administration date: 26Jan2021, when the patient was 73-year-old, for COVID-19 immunization; Pneumonia (He clarifies that he got unspecified pneumonia and shingles shots in Mar2022), administration date: Mar2022, when the patient was 74 years old, for Immunization; Shingles shots (He clarifies that he got unspecified pneumonia and shingles shots in Mar2022), administration date: Mar2022, when the patient was 74 years old, for Immunization. His medications and treatment of the chemo had all stopped in mid-2021, it had been a nine or ten month process with weekly treatment, then they cleared him as successful. He talked to his oncologist this afternoon, because he has a CT every three months and they took one yesterday, so because he had a phone appointment with him today, he was told everything looked fine, and that kind of good stuff, and to continue every 3 month CT. His doctor is happy with where he is at and what the oncology program did to relieve him with what was going on in his lungs. The patient reported he was getting treated for what is referred to as COVID arm, after getting a Pfizer COVID booster vaccine. This happened last year (2022). His provider decided to give him a Cortisone shot, which was the only time he saw him, and he will probably never see him again. His COVID arm happened after his fourth dose or second booster. He doesn't know if this dose was given intramuscularly. He thinks the reason it occurred was that the needle wasn't straight in the muscle, it was angled upwards, though he doesn't know what effect that could have. The shot was given pretty close to the shoulder, and with the needle upwards he was concerned about that when 2-3 days later the pain wouldn't go away, and it still has not gone away to date. The pain is reduced, he got some new treatment starting about three weeks ago, the cortisone shots give him a little more flexibility and let him do physical therapy. The COVID arm pain clarified to discomfort for the first few days, which he thought was normal for that kind of shot, and then it got worse. For a while it seemed like they were not sure what to do, he did a series of different reporting, and it took a while to do the process. He went to see his practical person who is in charge of his welfare, and they gave him some ideas and he went to a couple other doctors who took a look at him but didn't do much. The process began, and that wasn't getting better, it was getting worse, and he almost couldn't do anything with his right arm, it was too painful to do anything. They did more exams and tests, they apparently were not too sure if they would want do it, and sent him to a doctor who gave him a cortisone shot and within a few days it started relieving the pain and gives him more usability. The problem which it doesn't bother him, was the COVID shot occurred 11May2022 and he didn't get the Cortisone shot until 16Dec2022, which he classified this as a present to him, but it is working. Between that and physical therapy, which he has been going there about two months now, and the shots made determined ability for him to overextend himself.  Previous COVID-19 vaccines: He got his first two COVID-19 vaccine doses on schedule, close together, then got his first booster when it came out, he got it about 8 months later. He got his second booster when it came out. He was taking and is still taking cortisone shots at the time or report. For the dose the number 1.62 popped into his head, but he is not sure if that means anything. He is just coming off of cancer treatments, so he doesn't want to get those two mixed up. He says his cancer treatment was way before getting COVID vaccines, which those started in 2020. The patient says short of breath, but doesn't clarify this statement as he continues looking thru his paperwork, then provides cancer treatment date starting 08Jul2020. He didn't recognize it as pain at first for the COVID arm, it was uncomfortable, then the third day it got more serious, and the pain was not going away. Initially the discomfort didn't surprise him, he didn't recognize it until he couldn't use his arm to do certain things anymore without causing pain to himself, like take a shower or dry himself off certain ways or reach for things. He couldn't extend his arm that far, and it progressively wouldn't feel better. They took baby steps to get the situation resolved, and nothing was working, then the first thing where he made progression was the Cortisone shots that are only three weeks old. He says he had the impression that if the shots didn't work, then the next step was surgery.