Disoriented; Unable to drive; Unable concentrate; Trouble speaking clearly; Cold all over body; Numbness; Tingling; Nauseated; Dizziness; Headache; Sore arm; Fatigue; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 28-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 15Sep2022 at 14:15 as dose 4 (booster), single (Lot number: GM9694) at the age of 28 years, in left arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 15Sep2022 as unk, single (Batch/Lot number: unknown), in right arm for immunisation. The patient's relevant medical history included: "Asthma" (unspecified if ongoing). Concomitant medication(s) included: SERTRALINE HCL; HYDROXYZINE; ALBUTEROL SULFATE. Vaccination history included: Covid-19 vaccine (DOSE 1, SINGLE, MANUFACTURER UNKNOWN, Lot Number: Unknown), for COVID-19 immunization; Covid-19 vaccine (DOSE 2, SINGLE, MANUFACTURER UNKNOWN, Lot Number: Unknown), for COVID-19 immunization; Covid-19 vaccine (DOSE 3 (BOOSTER), SINGLE, MANUFACTURER UNKNOWN, Lot Number: Unknown), for COVID-19 immunization. The following information was reported: FATIGUE (non-serious) with onset Sep2022, outcome "not recovered"; PAIN IN EXTREMITY (non-serious) with onset 15Sep2022, outcome "not recovered", described as "Sore arm"; HEADACHE (non-serious) with onset 16Sep2022 at 07:00, outcome "not recovered"; DIZZINESS (non-serious) with onset 17Sep2022, outcome "not recovered"; NAUSEA (non-serious) with onset 18Sep2022, outcome "not recovered", described as "Nauseated"; HYPOAESTHESIA (non-serious) with onset 18Sep2022, outcome "not recovered", described as "Numbness"; PARAESTHESIA (non-serious) with onset 18Sep2022, outcome "not recovered", described as "Tingling"; FEELING COLD (non-serious) with onset 19Sep2022, outcome "not recovered", described as "Cold all over body"; DISORIENTATION (non-serious) with onset 19Sep2022, outcome "not recovered", described as "Disoriented"; SPEECH DISORDER (non-serious) with onset 19Sep2022, outcome "not recovered", described as "Trouble speaking clearly"; DISTURBANCE IN ATTENTION (non-serious) with onset 19Sep2022, outcome "not recovered", described as "Unable concentrate"; IMPAIRED DRIVING ABILITY (non-serious) with onset 19Sep2022, outcome "not recovered", described as "Unable to drive". The events "sore arm", "headache", "dizziness", "numbness", "tingling", "nauseated", "cold all over body", "fatigue", "disoriented", "unable to drive", "unable concentrate" and "trouble speaking clearly" required physician office visit. Therapeutic measures were not taken as a result of pain in extremity, headache, dizziness, hypoaesthesia, paraesthesia, nausea, feeling cold, fatigue, disorientation, impaired driving ability, disturbance in attention, speech disorder.  Additional information: The patient did not received any other vaccines within 4 weeks prior to covid vaccination. Patient was not tested for covid post vaccination. The patient did not have any known allergies. Adverse event: Thursday 15Sep - sore arm Friday 16Sep - sore arms and headache Saturday-headache, dizziness Sunday -Headache, dizziness/numbness , tingling and nauseated Monday - Headache, nausea, dizziness/numbness, tingling/cold all over body, fatigue since Thursday. Since yesterday patient felt disoriented, unable to drive, unable to concentrate and trouble speaking clearly.