The bull caught him as he was trying to help another runner in the annual event, in which a man also died past year.
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The nine day San Fermin fiesta, made famous by Ernest Hemingway, attracts thousands of foreign tourists each year.
The festivals themselves have come under increasing pressure from animal rights groups in recent years, while many people who attend them are often injured or even killed as a result.
More than 1,000 people took part in the run, which lasted almost six minutes, more than twice the normal running time. Revelers from around the world arrive to Pamplona every year to take part in.
Peruvian bullfighter Andres Roca Rey covers his head after being gored by a bull during a bullfight of the 2016 San Fermin fiestas in Pamplona, Spain, Thursday, July 7, 2016.
San Fermin, held in honor of the patron saint of Pamplona, is not just about bulls running. The last casualty was Daniel Jimeno, fatally gored by a Jandilla bull in 2009, according to the festival website.
Participants run ahead a Jose Escolar Gil’s fighting bull on the third day of the San Fermin bull run festival in Pamplona, northern Spain on July 9, 2016. During the bull run, people dash along with six bulls down a narrow 930-yard course from a holding pen to Pamplona’s bull ring.
A government statement said a Spaniard aged 58 and a 73-year-old South African man, identified by the initials MHO, were both in a serious condition after being gored during the run.
The Festival of San Fermin website lists a 46-year-old Canadian man as one of the 16 people wounded during the festival on Friday, seven of whom were reportedly gored by the charging bulls.
The regional government said a dozen others were also taken to city hospitals for trauma care, including a 37-year-old from Barcelona and another 33-year-old Japanese man.
In all, 15 have died from being gored since record-keeping began in 1924.
The danger was compounded when one of six bulls became separated from the other five and began to attack runners behind it, rather than continuing its headlong chase with its companions.
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Revelers go on the way of the Estafeta street beside Fuente Ymbro fighting bulls as people look on from balconies during the first running of the bulls at the San Fermin Festival, in Pamplona.
