I was having some little bit of chest pain in my left heart which just comes and goes; I felt sort of nervous; shaky; I was having pain in the area/I had severe pain, severe pain; I went to bed and I woke up with severe pain all of the down my right arm, this arm to my right side of the neck; I went to bed and I woke up with severe pain all of the down my right arm, this arm to my right side of the neck; Shortness of breath; I had cramps in my legs, in my buttocks, from the top of my buttocks till under my toes. I am having cramps in my left and right hands; Tired; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  An 86-year-old patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 14Nov2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "I have a history of anaphylactic shock" (unspecified if ongoing), notes: I have a history of anaphylactic shock; "allergies to lot of medications" (unspecified if ongoing), notes: allergies to lot of medications; "allergies to lot of medications (Unspecified medications) and lot of foods" (unspecified if ongoing), notes: allergies to lot of medications (Unspecified medications) and lot of foods. The patient took concomitant medications. Vaccination history included: Flu vaccine (I used to take the flu vaccine (Unspecified Flu vaccine) and I stated getting more allergy reactions at the time), for Immunization, reaction(s): "allergy reactions"; Covid-19 vaccine (Dose 1, Single , I have had the 3 covid booster and covid shot and I haven't had any reaction at all), for Covid-19 immunization, reaction(s): "I haven't had any reaction at all"; Covid-19 vaccine (Dose 2, Single , I have had the 3 covid booster and covid shot and I haven't had any reaction at all), for Covid-19 Immunization, reaction(s): "I haven't had any reaction at all"; Covid-19 vaccine (Dose 3, Single , I have had the 3 covid booster and covid shot and I haven't had any reaction at all), for Covid-19 Immunization, reaction(s): "I haven't had any reaction at all". The following information was reported: ANGINA PECTORIS (medically significant), outcome "unknown", described as "I was having some little bit of chest pain in my left heart which just comes and goes"; NERVOUSNESS (non-serious), outcome "unknown", described as "I felt sort of nervous"; TREMOR (non-serious), outcome "unknown", described as "shaky"; PAIN (non-serious), outcome "unknown", described as "I was having pain in the area/I had severe pain, severe pain"; PAIN IN EXTREMITY (non-serious), NECK PAIN (non-serious), outcome "unknown" and all described as "I went to bed and I woke up with severe pain all of the down my right arm, this arm to my right side of the neck"; DYSPNOEA (non-serious), outcome "unknown", described as "Shortness of breath"; MUSCLE SPASMS (non-serious), outcome "unknown", described as "I had cramps in my legs, in my buttocks, from the top of my buttocks till under my toes. I am having cramps in my left and right hands"; FATIGUE (non-serious), outcome "unknown", described as "Tired". Therapeutic measures were taken as a result of angina pectoris, nervousness, tremor, pain, pain in extremity, neck pain, dyspnoea, muscle spasms, fatigue. Clinical course: Patient further stated, "Well, I had my covid booster (further not clarified hence, suspect captured as provided over call) yesterday morning, well about lunch time probably about 12.30. I have a history of anaphylactic shock and allergies to lot of medications (Unspecified medications) and lot of foods and I have had the 3 covid booster and covid shot and I haven't had any reaction at all. I used to take the flu vaccine (Unspecified Flu vaccine) and I stated getting more allergy reactions at the time and it said to get in touch with doctor. I received the shot yesterday, I had several other symptoms, with three shot there was nothing but with this but anyways I had this shot yesterday about 1 'O' clock. And then I felt sort of nervous and shaky and I was having pain in the area. I went to bed, my daughter was here, I do not know how but I went to bed and I woke up with severe pain all of the down my right arm, this arm to my right side of the neck. I was having some little bit of chest pain in my left heart which just comes and goes and chest pain and shortness of breath and then they gave me some medicines for allergies and a Tylenol (further clarifications unknown hence captured as suspect conservatively), I had doctor giving me Benadryl (further clarifications unknown hence captured as suspect conservatively) and muscle relaxant which was my regular medicine (Unspecified Medication). Then when I woke up the next time, I had severe pain, severe pain. I had cramps in my legs, in my buttocks, from the top of my buttocks till under my toes. And I am having cramps in my left and right hands and sometimes I do that when I am having allergic reaction. And I happened to be very tired."  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.