experiencing heart palpitations; pain/he doesnt have a heater, he asked if cold temperature could make the pain worst; 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 29-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; metoprolol tartrate (METOPROLOL TARTRATE), (Batch/Lot number: unknown) at 25 mg daily, oral for hypertension; haloperidol (HALDOL), (Batch/Lot number: unknown) at 100 mg (100 mg (every four weeks)), intramuscular for mental disorder. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing); "Psychiatric disorder NOS" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose 1, single), administration date: Apr2021, for COVID-19 Immunization; Bnt162b2 (Dose 2, single), administration date: Apr2021, for COVID-19 Immunization. The following information was reported: PALPITATIONS (non-serious), outcome "unknown", described as "experiencing heart palpitations"; PAIN (non-serious), outcome "unknown", described as "pain/he doesnt have a heater, he asked if cold temperature could make the pain worst". The action taken for metoprolol tartrate and haloperidol was unknown.  Additional Information: Consumer calling about COVID-19 vaccine bivalent, he would like to know if he can get it with what is wrong with him, if it is ok to take it. He is gonna be having company and is not trying to get COVID. He clarifies that what was wrong with him is he has heart palpitations, takes Metoprolol for high blood pressure and takes Haldol for psych meds. It is also cold in his house because the furnace is blown, so if he gets chills that would be bad, so he was wanting to know if it is ok to mix up, ok to for him to get the vaccine today or should he wait? Caller says he takes Metoprolol 25mg every day for high blood pressure, Haldol 100mg intramuscularly every four weeks, and he got it today injected into his right arm. He doesn't have his vaccine card with him for his previous COVID-19 vaccines that he got in Mar2021, he got two Pfizer shots. He clarifies he got them in Apr2021, the Pfizer primary shots, NDC/LOT/EXP unknown, his vaccine card is at home.  Follow-up (31Jan2023): This is a spontaneous follow-up report received from a contactable consumer.  Updated information included: Reporter information (name, contact details, reporter was patient himself) was added and additional correspondence reporter (other HCP) added. Patient information (date of birth, age, weight, race and height) was added. Medical history of Blood pressure high and Psychiatric disorder NOS was added. Historical vaccine added for dose 1 and 2. Co-suspect BNT162B2, BNT162B2 OMI BA.4-5 was added. Best doctor details were added. Vaccination facility country was added. Co-suspect Metoprolol (coding as non-Pfizer, indication, dose, dose description, frequency, route of administration) updated. For Co-suspect Haldol (indication, dose, description, route of administration) was added. Event of Sensitivity to weather change was removed.  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.