I was very tired; I start kind of chills like feverish and then chills; feverish; I have the Johnson and Johnson vaccine back in 2021 and just it was the first booster yes/ Pfizer Booster Vaccine (BioNTech COVID-19 Bivalent Vaccine); My arm really hurt a lot/My left foot started hurting; my arm is really swollen; sick; I was just feeling terrible from the last couple of days; cramping; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 04May2023 as dose 2 (booster), single (Lot number: GL2042) at the age of 65 years, in left arm for covid-19 immunisation; pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 04May2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 65 years, in left arm for immunisation. The patient's relevant medical history included: "Guillain-Barre syndrome" (unspecified if ongoing); "Paralyzed" (unspecified if ongoing). Concomitant medication(s) included: PROZAC. Vaccination history included: janssen (DOSE 1), administration date: 31Jul2021, when the patient was 63-year-old, for COVID-19 immunization. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 04May2023, outcome "unknown", described as "I have the Johnson and Johnson vaccine back in 2021 and just it was the first booster yes/ Pfizer Booster Vaccine (BioNTech COVID-19 Bivalent Vaccine)"; CHILLS (non-serious) with onset 04May2023, outcome "unknown", described as "I start kind of chills like feverish and then chills"; FATIGUE (non-serious) with onset 04May2023, outcome "not recovered", described as "I was very tired"; PAIN IN EXTREMITY (non-serious) with onset 04May2023, outcome "not recovered", described as "My arm really hurt a lot/My left foot started hurting"; PYREXIA (non-serious) with onset 04May2023, outcome "unknown", described as "feverish"; FEELING ABNORMAL (non-serious) with onset May2023, outcome "unknown", described as "I was just feeling terrible from the last couple of days"; MUSCLE SPASMS (non-serious) with onset May2023, outcome "unknown", described as "cramping"; PERIPHERAL SWELLING (non-serious) with onset May2023, outcome "not recovered", described as "my arm is really swollen"; ILLNESS (non-serious) with onset May2023, outcome "unknown", described as "sick". Therapeutic measures were taken as a result of pain in extremity, peripheral swelling, fatigue, chills, pyrexia, illness, feeling abnormal, muscle spasms. Additional information: The patient took a small dosage of PROZAC and was not on any other medicine. The patient was very young when she was a child t was just all she had: Guillain-Barre syndrome GBS, the neurological disease and she was paralyzed and that was why she was very nervous because she was always afraid to get vaccines because she had the GBS. The patient had recovered fully from it so no that when she was six-year-old, so she recovered. She did not have any reoccurrence of GBS, she was fully cured. The patient had a blood test done last year and everything was great. The patient had these vaccines in the same arm in the left arm and she went home, and rested in, and drank lot of fluids. She mean her arm really hurt a lot and was very tired, and she start kind of chills like feverish and then chills, like she was sick, and she read that was normal when you are tired so she slept a lot and this was so strange because over the night the next day her left foot started hurting and it was on the top of her foot like near her big toe in that area and she was cramping and was losing and then the patient called, right away the pharmacy because she thought that was very odd as she did not hurt it or anything. The patient was not even out she was sleeping all the time and her niece thought that was very strange they thought that it was kind of a weird thing. The patient was really feeling out of it; was just feeling terrible from the last couple of days and her foot toe was still hurting a lot she just cannot understand because it was the left foot the same part." At the time of the report, the patient still felt, not if chilled not if fever or chills but she still felt her arm was really swollen then her foot you know where she had that constant throbbing of her foot. A low, tired still.  The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) has been requested and will be submitted if and when received.