Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Head discomfort, Musculoskeletal pain
Clinical narrative: cold; extreme fatigue; her head felt off/head has not been right, head has been pretty weird; have achiness in the back of my shoulders and in my buttocks; have achiness in the back of my shoulders and in my buttocks; the usual achiness my arms and legs; has extreme achiness in different parts of her body; It was awful; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 75-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 02Oct2022 as dose 4 (booster), single (Lot number: CDH9703) at the age of 75 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: J & J jansen vaccine (First dose, Lot: 1808982), administration date: 08Apr2021, when the patient was 73-year-old, for COVID-19 immunization; J & J jansen vaccine (Second dose, Lot: 2, then either a 1 or L, then either a 1 or I, then D21A so either: 21LD21A, 211D21A, 2LLD21A, 2L1D21A or 2LID21A; this was from the CDC vaccine record card and was handwritten, hard to read.), administration date: 27Nov2021, when the patient was 74-year-old, for COVID-19 immunization; BNT162b2 (Dose 3, First Pfizer booster, Lot: FM7553, NDC/Expiry: Unknown, this information is not on the CDC vaccine record card., Sore arm: Start date: 21May2022. Stop date maybe 22May2022 or 23May2022. Outcome: recovered completely.), administration date: 21May2022, when the patient was 74-year-old, for COVID-19 immunization, reaction(s): "Sore arm", "interchange of vaccine products".  The following information was reported: FEELING ABNORMAL (non-serious) with onset 2022, outcome "unknown", described as "It was awful"; FATIGUE (non-serious) with onset 03Oct2022, outcome "recovering", described as "extreme fatigue"; PAIN (non-serious) with onset 03Oct2022, outcome "recovering", described as "has extreme achiness in different parts of her body"; ARTHRALGIA (non-serious), MUSCULOSKELETAL PAIN (non-serious) all with onset 03Oct2022, outcome "recovering" and all described as "have achiness in the back of my shoulders and in my buttocks"; HEAD DISCOMFORT (non-serious) with onset 03Oct2022, outcome "recovering", described as "her head felt off/head has not been right, head has been pretty weird"; PAIN IN EXTREMITY (non-serious) with onset 03Oct2022, outcome "recovering", described as "the usual achiness my arms and legs"; NASOPHARYNGITIS (non-serious) with onset 19Nov2022, outcome "recovering", described as "cold". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of fatigue, arthralgia, musculoskeletal pain, pain in extremity, pain.  Additional information: The patient enquired if she should take the drug Paxlovid for the symptoms, patient got vaccinated and "because she had these symptoms for 8 weeks, did test negative before visiting a friend one month ago who is immunocompromised." Reported stated that her "head felt off" for the 1st night after receiving the Bivalent Booster shot and "it wasn't right". Patient stated "starting the next day, until today patient had intermittent fatigue and extreme achiness. Patient had achiness in the back of shoulders and in buttocks, plus the usual achiness arms and legs." Patient reported with that product: cold, head has not been right, head has been pretty weird. For event extreme achiness and fatigue reporter explained that she gets periods during the day, usually 2-3 times during the day that she had extreme achiness in different parts of her body; sometimes in the back of her shoulders; comes out of nowhere. This extreme achiness and fatigue come together just suddenly. Patient had to lie down for at least 45 minutes and then it recedes. Then goes about her day. Another unexpected time during the day patient will get extreme achiness; it has even gotten it in her buttocks, real extreme achiness; patient has also gotten it in common places like her legs or arms; but the shoulders or buttocks are very uncommon. For the first month of these events it was awful, patient was up taking care of her grandson with her daughter and patient was a wreck because events were unpredictable. Patient came back home and started taking lots of Vitamin C, more Vitamin D and Zinc and patient slowly started to feel like the fatigue and the extreme achiness was less intense for weeks 6 and 7, it was there but it was happening for 1-2 times daily, not more; and it wasn't as extreme. If patient had to lie down it was for more like 15-30 minutes not 45 minutes to 1 hour like before. Seems to get less severe after a month; but that was also when patient really was taking lots of Vitamin C. The omicron in the bivalent has really affected her whereas with the initial Pfizer Booster patient no bad side effects at all; so patient assumed it's the omicron in the Pfizer Bivalent Vaccine Booster that wasn't in the Pfizer Booster. Patient asked what can be done about it, should she take the drug for COVID, should she take that for this low level COVID in her body from the Pfizer Bivalent Vaccine Booster because it's awful.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201325316 same patient, different product(dose number) and different event;