pursed breathing; muscle ache in scapular area; left arm, that's where the pain is; pain back area; pain across the chest area; shoulder pain; pain from her armpit; This is a spontaneous report from a contactable consumer or other non-health care professional (Patient). A 48-years-old female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6205, Expiration Date: 30Jun2021), via an unspecified route of administration, administered in Arm Left on 09Mar2021 09:00 (at the age of 48 years) single for covid-19 immunization. Medical history included ongoing spina bifida and High blood pressure from an unknown date and unknown if ongoing. Concomitant medication(s) included Tizanidine (Tablet 4mg) 1 tablet every 8 hours as needed by mouth taken for an unspecified indication, start and stop date were not reported. There was no History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) with no Additional Administered Vaccines list all vaccines administered on same date with the Pfizer vaccine considered as suspect. Patient did not have any Prior Vaccinations within 4 weeks of vaccination. On 09Mar2021 patient experienced pain in left arm, back area and across the chest area - Feels pursed breathing sometime. muscle ache in scapular area. Caller was reporting that yesterday she got her first Covid shot, it was yesterday morning and she was doing fine but she started getting muscle ache. Some muscle ache where shot is but more so across from her armpit to chest area. In her shoulder and mainly across her chest and in the same area on her back. It's gotten worse and worse, and she knows the vaccine can cause muscle pains. It also hurts to breathe in.  She reports she has spina bifida and is a wheelchair user. She has had some muscle pain in that area in the past but not like this before. She started to have the muscle ache/pain, soreness yesterday after she received the shot. In the left arm, that's where the pain is. The pain was not like going around from her chest to her back, it's just in her back on that same side in the scapular area. Occurred more so, a few hours afterwards. That was another reason she was calling. Yesterday she took some Tylenol and the nurse that gave her the Covid 19 vaccine said they weren't told NOT to take ibuprofen or anything, she reports that nurse had taken ibuprofen when she got her Covid 19 vaccine, but another nurse was telling her patients, because caller was listening, not to take ibuprofen and to take just Tylenol with the Covid 19 vaccine. Yesterday caller took Tylenol, which is another reason she was calling because she uses a wheel chair and it was hurting so much and for her to be able to get around and everything this morning she took 800mg of ibuprofen and she took her muscle relaxer that she is already prescribed.  Commented she probably she should have taken less. She reports the print is so tiny on Covid vaccine card sticker. Treatment: Tylenol 500mg 2 tablets yesterday by mouth and it didn't do anything. Expires May2022 Number provided by caller from bottle 0HV1334. She thinks it's a zero, it has a line through it. Ibuprofen 200mg each, coated tablets. 800mg this morning by mouth. Expires Nov2023 Number provided by caller from bottle. P122941.Tylenol 500mg 2 tablets yesterday by mouth and it didn't do anything. Expires May2022 Number provided by caller from bottle 0HV1334. She thinks it's a zero, it has a line through it. Ibuprofen 200mg each, coated tablets. 800mg this morning by mouth. Expires Nov2023 Number provided by caller from bottle. P122941.While reporting on the COVID 19 Vaccine, caller mentioned details about Tylenol which was used a treatment. yesterday she got her first Covid shot, it was yesterday morning and she was doing fine but she started getting muscle ache. Some muscle ache where shot is but more so across from her armpit to chest area. In her shoulder and mainly across her chest and in the same area on her back. It's gotten worse and worse and she knows the vaccine can cause muscle pains. Caller stated she took Tylenol 500mg 2 tablets yesterday by mouth and it didn't do anything. Expires May2022 0HV1334 (she thinks it's a zero, it has a line through it) she received the 1st dose of the vaccine yesterday morning. She was fine after getting the vaccine, but not until she started having muscle pain from the side of her arm. She got the pain from her armpit and on to her back. She felt like it got worse and worse. The outcome of event pursed breathing was unknown while outcome of the rest of the events was not recovered.   No follow-up attempts are possible. No further information is expected.