blood clots; excruciating pain in her left thumb, which then turned black, and then purple; excruciating pain in her left thumb, which then turned black, and then purple; Sore arm; pain in the area; big bubble under her skin; This is a spontaneous report from a contactable consumer (Patient). A 36-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: EW0182; Expiration Date: 31Jul2021) via an unspecified route of administration, administered in Arm Left on 06May2021 (Age at vaccination: 36-year-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient concomitant medications Multivitamin. The patient taken no medications at all just a Multivitamin. The patient experienced blood clots on an unspecified date, on 09May2021 the patient experienced excruciating pain in her left thumb, which then turned black, and then purple, on an unspecified date 2021, the patient experienced big bubble under her skin and pain in the area, on May2021, the patient experienced sore arm. The patient got her first dose of the vaccine on 06May2021. 3 days later, she had excruciating pain in her left thumb, which then turned black, and then purple. It dissipated after 2 days. Left arm was the side of the vaccination injection. Per agent, caller was asking if anyone else has reported this and what to do about her second dose. She reports that the caller had continuing pain to that thumb. Caller stated that she is not so concerned with what other people have reported. The patient called immediately about the issue with her finger to the Department of Health; she stated they didn't know what to tell her. Stated she had been calling for months, and she just got the phone number to contact Pfizer today. No one can seem to answer her question. The department of health said not to get her second shot until she was checked for blood clots to be sure she was not currently having issues. Caller said the problem was who is going to cover this. She stated that she didn't have this issue before her vaccine. She was told to go to the hospital, after which she says she went to a "Covid-denier" hospital, and they sent her an dollar 8,000 bill that she was "fully on the hook for. Asks, who was going to take care of what was going on with her hand. Her insurance company asked if she met her deductible. She called a physician's office, and they told her she needs to go to a hospital because they can't test for blood clots in the doctor's office. She stated that she wanted her vaccination so badly but doesn't want to die from a blood clot. Says that she "feels like she is up a creek without a paddle. That this has "been a nightmare. Stated that nobody knows everything, and this is obviously an extenuating circumstance. Says that she "has cried so much. Consumer said she called about the Pfizer COVID-19 vaccine she received a couple months ago. She said she had complications since then that have continued, and she had hoped they would just disappear, and she would be confident getting her second dose. She said that the problem was that the state she lives in says go to the hospitals if you have COVID or vaccine related issues, everyone has got your back, but her ins was not wanting to cover her getting checked out to see if she had blood clots or whatever and she would really like to get the second vaccine, but she did not know if it is safe for her to. The Patient had her complication 3 days after getting the vaccine dose, on 09May. Caller said what happened was she basically was sitting and watching TV with her husband which is not strenuous, and she suddenly had excruciating pain to the thumb on the side she got the vaccine dose, her left side, and her thumb turned black then purple. She said two days later this dissipated, but since then she felt like it was about to happen again, but it has not yet, it feels like circulatory, it happened every couple day. She said also when she got the shot the woman said they did not give them a roadmap for this and had told them to do our best, and she jabbed her arm and there was a big bubble under her skin. Caller said that the woman said that was probably fine and put the syringe out and there was blood running down her arm, which she knew about only because her 5-year-old witnessed it and started screaming because mommy was bleeding. She says her vaccine arm she felt in her arm immediately, pain in the area, and her husband got the same shot and did not experience a sore arm. She says other than that she was not symptomatic until when that happened with her thumb, and now she wants to go to get herself cleared to get the second dose to be fully vaccinated. She says that she did no treatment for the pain or black then purple thumb, other than lots of fluids and rest, and it went away. She said in the meantime she was blowing up the phone calling the Department of Health, but no one knew what to tell her, they didn't know of this being an AE and the worst part about it was no one tells her what to do to become fully vaccinated. The outcome of the events (Pain in thumb and skin discoloration) was recovered on 11May2021 and other events was unknown.  Follow-up attempts are completed. No further information is expected.