flu-like feeling; sore arm; body aches; fluish feeling; Fatigue; bronchitis sensation; Chest pain; cough; legs feel like they are going to collapse and get weak/generalized weakness; Difficulty breathing/patient reported shortness of breath; Headache; Hoarseness; chest tightening/Patient reported chest tightness; Malaise/ felt ill; fever over 102 degrees/fever; This is a spontaneous report received from contactable reporter(s) (Consumer or other non-HCP and Physician). The reporter is the patient.  A 67-year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 29Sep2021 (Lot number: 30135BA) at the age of 67 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Disability" (unspecified if ongoing), notes: Verbatim: Disability; "chronic pain" (unspecified if ongoing), notes: chronic pain; "Dysautonomia" (unspecified if ongoing), notes: IVIG for Dysautonomia. The patient took concomitant medications. Vaccination history included: Bnt162b2 (First dose: , Lot: EN6208, Expiration: unknown, She had very mild reaction with the first two covid doses, the usual sore arm and fatigued and then the next day it was gone, it was a minor reaction with first two doses.), administration date: 10Mar2021, when the patient was 67 years old, for Covid-19 immunization, reaction(s): "sore arm", "fatigued"; Bnt162b2 (Second dose: , Lot: ER8733, Expiration: unknown, She had very mild reaction with the first two covid doses, the usual sore arm and fatigued and then the next day it was gone, it was a minor reaction with first two doses.), administration date: 31Mar2021, when the patient was 67 years old, for Covid-19 immunization, reaction(s): "sore arm", "fatigued".  The following information was reported: INFLUENZA LIKE ILLNESS (non-serious), outcome "unknown", described as "flu-like feeling"; PYREXIA (non-serious) with onset 29Sep2021, outcome "recovered", described as "fever over 102 degrees/fever"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "sore arm"; MALAISE (non-serious) with onset 29Sep2021, outcome "recovered" (2021), described as "Malaise/ felt ill"; PAIN (non-serious), outcome "unknown", described as "body aches"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "fluish feeling"; FATIGUE (non-serious), outcome "unknown", described as "Fatigue"; CHEST DISCOMFORT (non-serious) with onset 29Sep2021, outcome "recovered" (2021), described as "chest tightening/Patient reported chest tightness"; CHEST PAIN (non-serious), outcome "unknown", described as "Chest pain"; COUGH (non-serious) with onset 29Sep2021, outcome "recovered" (2021), described as "cough"; BRONCHITIS (non-serious), outcome "unknown", described as "bronchitis sensation"; ASTHENIA (non-serious) with onset 29Sep2021, outcome "recovered", described as "legs feel like they are going to collapse and get weak/generalized weakness"; DYSPNOEA (non-serious) with onset 29Sep2021, outcome "recovered" (2021), described as "Difficulty breathing/patient reported shortness of breath"; HEADACHE (non-serious) with onset 29Sep2021, outcome "recovered" (2021), described as "Headache"; DYSPHONIA (non-serious) with onset 29Sep2021, outcome "recovered" (2021), described as "Hoarseness". The events "flu-like feeling", "fever over 102 degrees/fever", "sore arm", "malaise/ felt ill", "body aches", "fluish feeling", "fatigue", "chest tightening/patient reported chest tightness", "chest pain", "cough", "bronchitis sensation" and "legs feel like they are going to collapse and get weak/generalized weakness" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of pyrexia, malaise, chest discomfort, cough, asthenia, dyspnoea, headache, dysphonia.  Additional Information: By that evening after the booster dose, she started to feel flu-like and punky, started to run a fever. For 72 hours she ran a fever over 102 degrees. She felt the typical stuff like a sore arm, malaise, body aches, fluish feeling. Then around third day she could barely get out of bed due to the fatigue. The distress is where it went on for a couple weeks and felt ill and she did not get much of anything accomplished. The primary symptoms was chest tightening and chest pain, felt more like bronchial thing than a heart thing. Outcome: Fever and everything is gone. It is hard to tell since with her disability she has chronic pain. The chest tightening and chest ache are still intermittent and the fatigue has never lifted. Fatigue is a symptom of her disability but thinks it exacerbated her fatigue significantly. When her chest tightens she also has to cough, like a bronchitis sensation. When she inhales she can feel the chest tightness. Fatigue is a bit better, out of the last four days- the last three days were a waste since she was so fatigued that her legs feel like they are going to collapse and get weak, it is extreme. Her chest tightness varies from being extreme to mild. Clarifies she went to urgent care and was told to go to ER but she did not go to ER. Urgent care ran the X-rays and sonogram of the chest area and everything looked good. She was on a lot of medications and has been on them for years. She did not feel they are relevant to add. Prior Vaccinations (within 4 weeks): none. She had annual pneumonia and flu shot day before yesterday and had no reactions. She was recommended to be evaluated at Urgent care clinic. Not seen in the Emergency Department. No hospitalization and not admitted to an Intensive Care Unit. No multiorgan involvement:   Follow-up attempts are completed. No further information is expected.