fatigue; swelling; pain; arm pain; Headache; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID.  A 79-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 21Sep2022 as dose 5 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "hemorrhagic stroke", start date: 2014 (unspecified if ongoing), notes: He had a hemorrhagic stroke in 2014.; "concussion" (unspecified if ongoing), notes: He did have a concussion 4-5 years ago from playing softball. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, Husband got all five Covid-19 shots from Pfizer. The primary and booster doses.), for COVID-19 immunization; Bnt162b2 (DOSE 2, Husband got all five Covid-19 shots from Pfizer. The primary and booster doses.), for COVID-19 immunization; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE, Husband got all five Covid-19 shots from Pfizer. The primary and booster doses.), for COVID-19 immunization; Bnt162b2 (DOSE 4 (BOOSTER), SINGLE, Husband got all five Covid-19 shots from Pfizer. The primary and booster doses.), for COVID-19 immunization. The following information was reported: HEADACHE (non-serious) with onset 22Sep2022, outcome "unknown"; FATIGUE (non-serious), outcome "unknown"; SWELLING (non-serious), outcome "unknown"; PAIN (non-serious), outcome "unknown"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "arm pain". The event "headache" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache.  Additional information: Wife on the line calling in regards to husband. Husband got all five Covid-19 shots from Pfizer. The primary and booster doses. Took the bivalent vaccine on 21Sep2022. After that, he experienced headache, fatigue, and swelling. Patient experienced only a low level headache which he still had. Says its was a pain level of 3, not a migraine. He doesn't had a history of migraines. Takes Plavix. Only takes Tylenol, but really tries to avoid Tylenol if he can. Went to the doctor, but CDC or VAERS doesn't seem to have any details on the length and details of the headaches that she can find. The headache was probably the third most common side effect. It lists arm pain, fatigue, and headache. She knows headaches are common, but she was wanting to know the length and duration. Some places said 36 hours, but that was liek an average. CDC said adverse effects can last up to 14 days.He had no side effects to any of the doses. studies from (Withheld) showed Pfizer was more effective than Moderna. He just had a very small headache, its just irritating. Pulses at times for 9-10s seconds and then lets off for 30-60 seconds. Marginally getting better. Headache ebbs and flows. Hasn't gotten worse though. Had to go get an x-ray to get to an MRI. Just really needs to know if there are people reporting longer durations of the headache. He had a concussion 4-5 years ago from playing softball. The headache was on the right side by the back of his temple. Not on both sides. Just wanted to know that there are people complaining that it lasted longer than 7 days. Any information on who more likely to had headaches a little longer. He had hemorrhagic stroke was 2014. Was very mild. He was back playing softball in 2 months. Going to keep tabs on the headache. If it gets worse, going for the x-ray. Should they wait it out a little longer. She believed in the vaccines and know that she had a 20% chance of dying from a break through case. But, that's an 80% chance of living.Caller mentioned that her husband received the Pfizer-BioNTech Covid 19 Vaccine Bivalent on 21Sep and the day after that he started to had some headaches (referred as pulses on the right side of the temple that happens every 18 seconds, 30 second or 60 seconds) all day long ever since. They visited his doctor on September 24th and his doctor doesn´t know how long this will last. She wanted to know if there´s any information for the duration that people had reported for this adverse event. She mentioned that in the fact sheet of the product, there no relevant information for this. She stated he was holding off until Monday and then he was getting an xray. That will be day 11. The shot was on the 21st. The headache started on the 22nd- he woke up with it. He's 79 and still plays softball. The other vaccines had no side effects.   The information on the batch/lot number for [BNT162B2, BNT162B2 OMI BA.4-5] has been requested and will be submitted if and when received.