Tinea Versicolor; Sacroiliitis; Tendinitis of left rotator cuff; Tear film insufficiency; Idiopathic osteoarthritis; Drug allergy; Allergic urticaria; Allergic rhinitis; Dysmenorrhea; Subacute Vaginitis; bnt162b2 dose 4; bnt162b2 dose 4; This is a spontaneous report received from contactable reporter(s) (Physician and Nurse).  A 43-year-old female patient received BNT162b2 (BNT162B2), on 29Mar2021 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 43 years for covid-19 immunisation. The patient's relevant medical history included: "Anxiety in acute stress reaction", start date: 23Mar2017 (ongoing); "Anxiety in acute stress reaction", start date: 23Mar2017 (ongoing); "Mild intermittent asthma without complication", start date: 23Mar2017 (ongoing); "Cysts of both ovaries", start date: 23Mar2017 (ongoing); "Seasonal allergic rhinitis due to pollen", start date: 23Mar2017 (ongoing); "Stress incontinence in female", start date: 23Mar2017 (ongoing); "Migraine without aura and without status migrainosus, not intractabl", start date: 23Mar2017 (ongoing); "ANA positive", start date: 28Mar2018 (ongoing); "Arthritis", start date: 28Mar2018 (ongoing); "Gastroesophageal reflux disease without esophagitis", start date: 19Feb2019 (ongoing); "Ganglion of left wrist", start date: 08Mar2019 (ongoing); "Neuralgia of right upper extremity", start date: 17Jul2019 (ongoing); "Neuralgia of left upper extremity", start date: 17Jul2019 (ongoing); "Cervical disc disorder with radiculopathy of mid-cervical region", start date: 16Aug2019 (ongoing); "Dyspnea", start date: 13May2020 (ongoing); "Bilateral foot pain", start date: 13May2020 (ongoing); "Metatarsal stress fracture of right foot", start date: 11Oct2020 (ongoing); "Metatarsalgia, left foot", start date: 11Oct2020 (ongoing); "Ganglion cyst of right foot", start date: 29Oct2020 (ongoing); "Hallux valgus, right", start date: 30Nov2020 (ongoing); "Hallux valgus, left", start date: 30Nov2020 (ongoing). The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (Dose 1, Lot number: EK5730), administration date: 18Dec2020, when the patient was 43-year-old, for COVID-19 Immunization; BNT162b2 (Dose 2, Lot number: EL9269), administration date: 24Feb2021, when the patient was 43-year-old, for COVID-19 Immunization, reaction(s): "inappropriate schedule of vaccine administered"; BNT162b2 (Dose 3, Lot number: FC3183), administration date: 01Mar2021, when the patient was 43-year-old, for COVID-19 Immunization. The following information was reported: OFF LABEL USE (non-serious), IMMUNISATION (non-serious) all with onset 29Mar2021, outcome "not recovered" and all described as "bnt162b2 dose 4"; DYSMENORRHOEA (non-serious) with onset 04May2021, outcome "not recovered", described as "Dysmenorrhea"; VAGINAL INFECTION (non-serious) with onset 04May2021, outcome "not recovered", described as "Subacute Vaginitis"; RHINITIS ALLERGIC (non-serious) with onset 25Aug2021, outcome "not recovered", described as "Allergic rhinitis"; URTICARIA (non-serious) with onset 25Aug2021, outcome "not recovered", described as "Allergic urticaria"; DRUG HYPERSENSITIVITY (non-serious) with onset 25Aug2021, outcome "not recovered", described as "Drug allergy"; OSTEOARTHRITIS (non-serious) with onset 25Aug2021, outcome "not recovered", described as "Idiopathic osteoarthritis"; LACRIMATION DECREASED (non-serious) with onset 25Aug2021, outcome "not recovered", described as "Tear film insufficiency"; ROTATOR CUFF SYNDROME (non-serious) with onset 25Aug2021, outcome "not recovered", described as "Tendinitis of left rotator cuff"; SACROILIITIS (non-serious) with onset 21Mar2022, outcome "not recovered"; TINEA VERSICOLOUR (non-serious) with onset 06Jul2022, outcome "not recovered", described as "Tinea Versicolor". Relevant laboratory tests and procedures are available in the appropriate section.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201023149 same reporter/patient/drug, different dose number/event;US-PFIZER INC-202201023148 same reporter/patient/drug, different dose number/event;