Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Body aches; Fatigued/fatigue is more intense; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 60-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 16Sep2022 as dose 4 (booster), single (Lot number: GH9694) at the age of 60 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "breast cancer" (unspecified if ongoing); "Finished radiation" (unspecified if ongoing). Concomitant medication(s) included: ARIMIDEX. Vaccination history included: BNT162b2 (Dose:01; Lot Number: EW0183; Location: left arm), administration date: 27May2021, when the patient was 59-year-old, for COVID-19 Immunization, reaction(s): "Body aches and fatigue/these are the same symptoms that she had with her previous doses of the Pfizer COVID Vaccines", "Body aches and fatigue/these are the same symptoms that she had with her previous doses of the Pfizer COVID Vaccines"; BNT162b2 (Dose:02; Lot Number: EW0183; Location: left arm), administration date: 23Jun2021, when the patient was 59-year-old, for COVID-19 Immunization, reaction(s): "Body aches and fatigue/these are the same symptoms that she had with her previous doses of the Pfizer COVID Vaccines", "Body aches and fatigue/these are the same symptoms that she had with her previous doses of the Pfizer COVID Vaccines"; BNT162b2 (Dose:03; Lot Number: FK9893; Location: left arm), administration date: 22Apr2022, when the patient was 60-year-old, for COVID-19 Immunization, reaction(s): "Body aches and fatigue/these are the same symptoms that she had with her previous doses of the Pfizer COVID Vaccines", "Body aches and fatigue/these are the same symptoms that she had with her previous doses of the Pfizer COVID Vaccines", "Finished radiation that caused an infection", "Lost about 5 pounds", "I was not eating and dehydrated", "I was not eating and dehydrated". The following information was reported: PAIN (non-serious) with onset 2022, outcome "unknown", described as "Body aches"; FATIGUE (non-serious) with onset 2022, outcome "unknown", described as "Fatigued/fatigue is more intense". Additional information: Patient stated she received her booster dose with the Pfizer BioNTech COVID-19 vaccine bivalent on 16Sep2022. She will receive her first shipment of Ibrance tablets tomorrow (patient mentioned she assumed she will be receiving the tablets). She asked if there was any grace period between receiving the vaccine and starting the medication (Ibrance). She mentioned that her doctor told her to start the medication (Ibrance) when she feel better. Stated that she read online to be aware when receiving vaccines. She also mentioned being radiated and gotten an infection, it did knocked her for 3 weeks, she was not eating and dehydrated, she just want to be gentle with her body (medical history). Her doctor told her to get the new Pfizer Booster Dose, and she just wanted to know the protocol. She mentioned that the only other medication she has been on for 1 month now was Arimidex. She mentioned "somewhere I read, maybe with Pharmacist, with that particular Ibrance, you took 3 weeks on and 1 week off, so you may get want to get do your next booster on that week off."; she then asked, "Does Ibrance lead to other blood type of cancers?"; stated she knew she should not eat grapefruit, but was asking about turmeric and raw fish since she tends to use a lot of turmeric in her food. She was told by her pharmacist that if she has a fever of 100.4 degree F or higher, she should go to Urgent Care, she asked if she should do that immediately, what if it's at 3:00 am in the morning, could she just wait until the morning to go. She also asked "should I purchase a blood oxygen monitor, because I guess it affects the oxygen content in the blood."; she asked "if my oxygen level is affected, is it ongoing? am I always gonna be fatigued, or is this something that could happened and is this is why they have to check my blood? or is the neutropenia something that always happens?". She also stated that she had a complete blood count on like 1 month or 2 ago and asked if that was too far way or should she get another one prior to starting. She stated that she has not started taking the Ibrance yet. Since she got the new booster vaccine she wanted to double check about starting it. Stated that she had the new vaccine on Friday, 15Sep2022 and that the first shipment of her Ibrance was coming to her home. She was just wondering if there was a grace period that she should wait since she was still feeling the effects of the vaccine. She experienced Body aches and fatigue for a couple of days. These were the same symptoms that she had with her previous doses of the Pfizer Covid Vaccines. Stated that it was nothing major and that with this Bivalent booster dose of the vaccine the fatigue was more intense. Prior to this dose of the vaccine, she had just finished radiation that caused an infection. Due to that infection she had stopped eating and had lost about 5 pounds. Stated that the fatigue this time with the vaccine was just more intense. Since she has never taken Ibrance, the caller was anxious that she will get over these symptoms and possible have new ones to deal with when she started the Ibrance. States that she has some questions about Ibrance also before she starts it. She has not received or started Ibrance yet, her first shipment should be arriving tomorrow. She stated that all of her vaccines were administered in her left arm due to her breast cancer. History: About three weeks prior to receiving the Bivalent Covid Booster Vaccine she had radiation to her spine and an infection. She was prescribed an unspecified antibiotic, unspecified anti-nausea medication, and an unspecified throat numbing medication related to the radiation and subsequent infection. Patient had no prior vaccinations (within 4 weeks). She stated that overall everything was pretty calm for her. Stated that she wasn't really calling to report her symptoms after the vaccines. She knew she was getting the Ibrance soon and will be starting it and just was wondering if she should have grace time in between the vaccine and the Ibrance.  Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201174124 same patient, different vaccine(different dose), different event;US-PFIZER INC-202201174115 same patient, different vaccine(different dose), different event;US-PFIZER INC-202201174123 same patient, different vaccine(different dose), different event;