unbearable pain; couldn't move her arm; She could not sleep last night; Her arm felt sore; Pain is at the injection site; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 50 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 13Apr2021 (Lot number: EW0158) at the age of 50 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "diabetes" (unspecified if ongoing), notes: Verbatim: diabetes, diagnosed in 2014 or 2015; "stents in heart" (unspecified if ongoing), notes: Verbatim: stents in her heart, caller states these were put in 3 years ago in June. Concomitant medication(s) included: TYLENOL; METFORMIN taken for diabetes mellitus; ASPIRIN (E.C.) taken for cardiac disorder; NOVOLIN 10R; GLIPIZIDE taken for cardiac disorder; ATORVASTATIN taken for cardiac disorder. The following information was reported: PAIN (non-serious), outcome "unknown", described as "unbearable pain"; VACCINATION SITE MOVEMENT IMPAIRMENT (non-serious), outcome "unknown", described as "couldn't move her arm"; INSOMNIA (non-serious), outcome "unknown", described as "She could not sleep last night"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "Her arm felt sore"; VACCINATION SITE PAIN (non-serious), outcome "unknown", described as "Pain is at the injection site".  Additional information: Reporter received the Pfizer covid vaccine on 13Apr2021, only felt pain 5 hours later. She couldn't move her arm really last night and she was feeling a constant pain that she cant get rid of although she took Tylenol. Pain was at the injection site and runs down to her wrist. Reporter was was still experiencing unbearable pain. Reporter queried if this was normal. It had been 4 days so she was not sure how much longer the pain should be going on or if she should go to the emergency room. The first day the vaccine was injected, she could not move her arm. The next day, she had movement back. Now, starting at 6 am, she was having pain when she got up. Reporter adds the unbearable pain happened yesterday, too, but it did not hurt as much as it does today. She could not sleep last night and she had been awake since 6 am this morning with constant pain. Since she received the vaccine, she has had this pain but it was not as painful as it was now. Reporter describes the pain as going from right where the injection was down to her wrist, on her left side. The pain started around 4 hours after the vaccine was injected. She did not feel anything until 4 or 5 hours later after receiving vaccine. Her arm felt sore, and the facility where she got the injection said it might hurt a little bit. She could not move her arm much following the injection until the following day and had a little bit of pain. Reporter adds that she can move her arm now, but it was painful. Reporter took 2 Tylenols last night, and it did not work. Reporter adds she was a diabetic so she was on medications and had to be careful what she takes. She only took two Tylenols but it did not help. She can not sleep on her left side now because of the pain. Tylenol lot says S, she was not sure if it is an S or a 5, and then A091. Reporter adds it looks like an S so it was either SSA091 or S5A091. Reporter adds the writing on the bottle was really tiny. The expiration date was Jul2024. They are 5 mg tablets, Tylenol Extra Strength. She took two but they did not work. Reporter states she was diabetic so she wanted to make sure she is okay if she leaves her home or is around people. Reporter states that she takes insulin injections and regular pills she takes. She was diabetic and has two stents in her heart. Reporter adds there are no additional medications, except she takes Tylenol here and there if she had a headache but she did not take this in the 2 weeks prior. Time the Vaccination was given between 1 and 1:30 in the afternoon. Patient had not attended Physician office. Reporter wants to know if she should go to the emergency room, she can not stand the pain and the pain had not gone.  No follow-up attempts are possible. No further information is expected.