can't even move her arm or do anything/can't lift her arm; uncomfortable sleeping; blood pressure was so high from the pain; doctor thought the person who administered the vaccine put it in the bursa; pain in injection site; has been in excruciating pain; It feels like the bone is touching; breathing is hurting; This is a spontaneous report received from a contactable reporter (Consumer). The reporter is the patient.  A 45 year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), administered in arm left, administration date 25Mar2021 15:00 (Lot number: EP7534) at the age of 45 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Overweight" (unspecified if ongoing). There were no concomitant medications. The following information was reported: PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (medically significant) with onset 25Mar2021, outcome "unknown", described as "doctor thought the person who administered the vaccine put it in the bursa"; VACCINATION SITE PAIN (medically significant) with onset 25Mar2021, outcome "not recovered", described as "pain in injection site"; PAIN (medically significant) with onset 25Mar2021, outcome "unknown", described as "has been in excruciating pain"; BONE PAIN (non-serious) with onset 25Mar2021, outcome "unknown", described as "It feels like the bone is touching"; PAINFUL RESPIRATION (non-serious) with onset 25Mar2021, outcome "unknown", described as "breathing is hurting"; JOINT RANGE OF MOTION DECREASED (non-serious), outcome "unknown", described as "can't even move her arm or do anything/can't lift her arm"; SLEEP DISORDER (non-serious), outcome "unknown", described as "uncomfortable sleeping"; BLOOD PRESSURE INCREASED (non-serious), outcome "unknown", described as "blood pressure was so high from the pain". The events "doctor thought the person who administered the vaccine put it in the bursa", "pain in injection site", "has been in excruciating pain", "it feels like the bone is touching", "breathing is hurting", "can't even move her arm or do anything/can't lift her arm", "uncomfortable sleeping" and "blood pressure was so high from the pain" were evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of vaccination site pain, pain, bone pain, painful respiration, joint range of motion decreased, sleep disorder. Additional Information: Patient went to an urgent care and doctor said that the patient needs a cortisone shot. The urgent care doctor wanted to give the patient a cortisone shot in that area but the urgent care does not have cortisone shots. Patient took so much Motrin this weekend, whatever is in the house. Patient found an orthopedist to see on the afternoon of 29Mar2021 at 2:00pm. Patient can't even be seen at the primary care provider's office because of the insurance. All the patient heard was to go get the vaccine and that it was supposed to help prevent covid not do this to the patient. The patient is scared to get the second dose. The patient doesn't know if the patient is going to get the second dose of the vaccine if it is going to be like this. The injection was in her left arm and even has a picture of it, it's so close to where the bone is. Patient saw on television where they hold the skin and put the shot in, it was up so high and the person administering it didn't even pinch the patient's arm. The pain is like you're chewing ice on a root canal. The patient's arm was sore on Thursday, worse on Friday, and on Saturday it was excruciating. Patient took sleeping pills and a muscle relaxer. Patient's blood pressure was so high from the pain at the urgent care, usually the patient has low BP. Patient is scheduled for her second dose on 15Apr2021. Patient took Motrin 800 mg, it didn't help the pain. Patient took 0.5 tablets of sleeping aid Zolpidem. The patient took anything the patient could and it didn't help with the pain. There were no additional vaccines administered on the same date of the Pfizer suspect.  No follow-up attempts are possible. No further information is expected.