Bad headache; Arm hurt/ Arm pain; 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 76-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 20Nov2022 as dose 5 (booster), single (Lot number: GJ3275) at the age of 76 years for covid-19 immunisation. The patient's relevant medical history included: "Diabetic" (unspecified if ongoing), notes: Comments: Diabetic, takes medication for that.; "blood pressure" (unspecified if ongoing), notes: Takes blood pressure medication.; "She is so sensitive to medications" (unspecified if ongoing); "UTI" (unspecified if ongoing), notes: UTI and lot of times that makes it go up too. UTI which is not uncommon with being diabetic.; "Has a lot of allergic reactions, blocks out a couple of days each time for it" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Single, Lot number: EL3246), administration date: 21Jan2021, for Covid-19 Immunisation, reaction(s): "Bad headache", "Dizzy", "Bone pain"; BNT162b2 (Dose 2, Single, Lot number: EL9265), administration date: 11Feb2021, for Covid-19 Immunisation, reaction(s): "Bad headache", "Dizzy", "just ached all over"; BNT162b2 (Dose 3 (Booster), Single, LOT: FF2589), administration date: 08Oct2021, for COVID-19 immunisation, reaction(s): "Headache was awful", "Sick", "hardly eat", "she could hardly move", "pain was terrible"; BNT162b2 (Dose 4 (Booster), Single, LOT: FP4554), administration date: 29Jul2022, for Covid-19 immunisation, reaction(s): "got headache", "kind of ached like she had the flu but not too bad"; Flu shot (Last fall, got flu shot but, that wasn't connected to to the other Covid vaccines.), for Flu Immunisation. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 20Nov2022, outcome "recovered", described as "Arm hurt/ Arm pain"; HEADACHE (non-serious) with onset 20Nov2022, outcome "recovered" (20Nov2022), described as "Bad headache". Therapeutic measures were taken as a result of headache.  Additional information: Regarding Covid vaccines, caller stated she felt very protected. Knows that she had a lot of sensitivities to medications. Was pretty worried there would be some reaction. It was pretty strong so, she just blocked out a couple of days each time to get over it. Caller was very pleased with the vaccine. Knew there was going to be side effects. She was so sensitive to medications. Had a lot of allergic reactions, blocks out a couple of days each time for it. Patient takes medication for diabetes and blood pressure. Patient would like to know if ciprofloxacin made the blood sugar elevate. Patient had type 2 diabetic. The blood sugar levels had been more under control until the got the UTI and started ciprofloxacin. She noticed her blood sugar is elevated. She also took supplements due to her osteoporosis. Patient received the Pfizer covid vaccine as well as 3 boosters including Omicron, had really bad reactions but, did not get Covid. Mentioned other medications she had and comorbidities as well. Clarified with the caller, the details provided by the transferring agent. Reporter details: Zip Code: Provided and clarified as (Withheld). Primary / Prescribing Healthcare Professional Info: Full contact details were unknown. Was very pleased with the vaccine. Knew there was going to be side effects. She was so sensitive to medications. Ciprofloxacin: blood sugar elevated: Got really high on Friday, Saturday, Sunday, Monday and today, is not so bad. Had a UTI and a lot of times, that makes it go up too. Clarified, this started this past Friday, 17Feb2023. Outcome of event: Today, is a little high but, not too bad, is 145 today. It got really high Friday, Saturday was 198, which is very high. Sunday, was still very high, yesterday was high. Today is not as high. Clarified that it is better than when she first noticed it Friday. Treatment: Is on Rybelsus and Jardiance daily, for her blood sugar. Remembers talking to her husband and crying because one of her really good friend had just died from Covid. All she could think of was, is this what it felt like for her for those 2 weeks, this pain. Then, got Omicron booster 20Nov2022. Was at daughter's house, wanted to be around people, in case there was reaction again. Got headache, kind of ached little bit. Took Tylenol, took nap, got up, was fine, that same day, 20Nov2022. One thing, with Omicron, that she never had before was, that her arm hurt. Knows some people complain about arm pain but her arm never hurt. Never had that with any other shots, just the Omicron. Arm pain lasted a while but, wasn't debilitating or anything. Hurt for several days. Thought it was curious that she didn't have that for any of the other shots. Clarified that the arm pain started that same day that she got the Omicron booster, 20Nov2022. It was a young kid that gave it to her. The other nurses that gave it to her the other times, when they gave the vaccinations, it didn't hurt going in and didn't hurt afterward. Suspect products: Prior Vaccinations (within 4 weeks): No. Last fall, got flu shot but, that wasn't connected to the other Covid vaccines. Takes blood pressure medication. Family Medical History Relevant to Adverse Events (AEs): Daughter got the vaccine. With the second vaccine, she developed a rash that lasted, she thinks 6 moths, was pretty bad. Doctor told her not to get booster. Could not go to work because she had to have vaccine and booster in. Then, she got Covid and then she could go to work. Clarified it was the Pfizer Covid vaccine. Caller declined to complete report on daughter's experience with Covid vaccine. Adverse Events: AE required visit to: check all that apply: No. When caller asked to complete report on husband's experience, that he died after receiving Covid booster, she states ok but, does not think that had anything to do with his death. She only mentioned it because she had a friend who is an antivaxer, who was having a fit that they were getting the vaccine and the booster. She told caller the day after they took it, that it was going to kill him. Then, husband died. Neither one of them ever got Covid. Caller still wears a mask. Doctor suggested to caller that she get another booster because she is going on a trip. Since she got the last on end of Nov2022, though it wasn't necessary. Caller asks call handler if they agree with this.Caller advised to address any questions regarding any medical advice with provider. Told doctor she wasn't going to get it and agreed. Caller is very grateful for the vaccine, it was developed in a very timely manner. Knows it had been in the works a long time. People were saying it is experimental, that is so new. Wish more people had just gotten the vaccine and wore a mask, so we would not be dealing with this 3 years later. Follow-up (21Feb2023): This is a spontaneous follow-up report received from same contactable consumer. This consumer (patient) reported that: updated information included: classification added. PQC Details: Request Name: REQ-# Product: Ciprofloxacin, Verbatim Question. Inquiry: Caller would like to know if ciprofloxacin make blood sugar elevate. Caller does not have NDC# available, however confirmed that her prescription was for pills rather than injection format. DSU: Etransmitting possible duplicate AE (this report may contain additional information not shared during the warm-transfer, Reportm: #) Question: Caller would like to know if Pfizers ciprofloxacin also has drug interactions like the ciprofloxacin pills.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300077890 same product, patient, different AEs, different dose;