PAINS scores 7 points (base, without multipliers).
7
Points
/peɪnz/
noun
1
An ache or bodily suffering, or an instance of this; an unpleasant sensation, resulting from a derangement of functions, disease, or injury by violence; hurt.
I had to stop running when I started getting pains in my feet.
2
The condition or fact of suffering or anguish especially mental, as opposed to pleasure; torment; distress
In the final analysis, pain is a fact of life.
3
(from pain in the neck) An annoying person or thing.