costochondritis; severe pain; can't sleep at night and stays up all night; pain is became worse as time gone on and they are getting desperate; This is a spontaneous report from contactable consumer or other health care professional (patient husband). An 80-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: EP1533 and Expiration date Unknown) via an unspecified route of administration, administered in left arm on 30Mar2021 (at the age of 80-year-old) and first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: EN6205 and Expiration date Unknown) via an unspecified route of administration in arm left on 09Mar2021 (at the age of 80-year-old) as single dose for COVID-19 immunisation. Patient received enoxolone, glycol salicylate, levomenthol, tocopheryl acetate (SALONPAS 30) from Jun2021 and permanently discontinued for pain, ibuprofen (IBUPROFEN) from an unknown date and ongoing for pain, codeine (CODEINE), from and unknown date and ongoing for pain and nerve ending blocking medication for an unknown indication from Jun2021 and ongoing. The patient's medical history and concomitant medications were not reported. Additional Vaccines Administered on Same Date of the Pfizer Suspect If applicable, list of all vaccines administered on same date with the Pfizer vaccine considered as suspect were reported as none. The patient has been having severe pain that was increasingly getting worse. Has been to the emergency room twice and seen multiple doctors and various specialists and given multiple drugs for relief that have not helped. They have scheduled to see a pain specialist in next week. At that time they really had not tried it to the vaccine at all. Costochondritis has been suggested and various other related spine issues and stuff. Stated her pain was getting severely and progressively worse and she could not sleep at night and stayed up all night. The pain pill given, it was just not lasting long enough and she only took it once a day and gets a little relief, but no sleep and up all night. Has been alternating heat and ice and it did not do it. They have not been able to sleep 80-90% of the nights and was up if not part but all night. It became worse as time gone on and they were desperate. They used the Salonpas and one burned her skin so they quit those about 2 weeks ago, sometime early June. The area has improved when she quit using those, but the skin was still sensitive and rough feeling. They had one medication prescribed when went to the emergency room, but she ran out of them and another medication. Was told she did not need to use the prescription ones and to used the over the counter ones and so they bought the Salonpas and it burned her. She was given anti-inflammatories and used Tylenol in the early stages and it helped a little bit, but not doing it now since given a pain medication. Unable to provide the name of anti-inflammatories or the Tylenol UPC, Lot, and expiries. Believes one of the anti-inflammatories may have been a supped up Ibuprofen, but could not recall, but it did not help. They believed the pain medication may have Codeine in it because it was only prescribed for a little bit at a time. It's one of those addicting type things. Has tried taking this pain medication in the evening to sleep, but that didn't work and she had so much pain in the morning. Has now been taking them in the morning and that lasts for 8 hours, but she was not allowed to take anymore until the next morning. The relevant tests were reported as none.  Follow-up attempts are needed. Further information is requested.