She said she got Pfizer Bivalent Covid-19 booster vaccine same time with flu vaccine yesterday; last night she had some chills; she has arm pain and on one side she received the flu vaccine and Bivalent vaccine on the other side; does not feel good; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 29Sep2022 at 11:30 as dose number unknown (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 29Sep2022 at 11:30 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary immunization series completed but manufacturer unknown), for COVID-19 Immunization. The following information was reported: MALAISE (non-serious) with onset Sep2022, outcome "unknown", described as "does not feel good"; VACCINATION SITE PAIN (non-serious) with onset Sep2022, outcome "not recovered", described as "she has arm pain and on one side she received the flu vaccine and Bivalent vaccine on the other side"; CHILLS (non-serious) with onset 29Sep2022, outcome "recovered" (Sep2022), described as "last night she had some chills"; PRODUCT USE ISSUE (non-serious) with onset 29Sep2022 at 11:30, outcome "unknown", described as "She said she got Pfizer Bivalent Covid-19 booster vaccine same time with flu vaccine yesterday".  Additional information: She said she got the Pfizer Bivalent Covid-19 booster vaccine same time with the flu vaccine yesterday and last night she had some chills and main thing is she has arm pain on each side.  She wants to know if she can take Aleve about 24 hours out from having the booster?. Caller said she had booster at 11:30. Caller said she is not going through a report. Caller said the chills are gone and she did not want to add anything detrimental to efficacy of the drug and she bundled up and toughed it out and she has arm pain and on one side she received the flu vaccine and Bivalent vaccine on the other side. She is a side sleeper and so no way to get comfortable and she kept waking up. She said she has a simple question can she take Aleve 24 hours out from receiving the Bivalent vaccine along with the flu shot? Caller said if gets disconnected she is done and not calling back. She does not feel good. Caller said she just needs permission. Dose/Dosage Form: Gray cap, Original/Omicron BA.4/BA.5 (Bivalent), more than equals to12 years - 15/15 mcg per dos. She experienced chills last night which are gone now but has currently pain in both arms. She asks if she can take a leave for 24 hours. Caller said she had chills and also did not sleep well last night because she is a side sleeper. She got the Bivalent booster yesterday at about 11:30 in the morning on one arm and the flu vaccine on another. She said they recommended to get those at the same time. Now she experiences pain on both arms and wants to know if she can take a leave for 24 hours. She clarified she was asking if she can take Advil, the ibuprofen.  Follow-up (30Sep2022): This is a spontaneous follow-up report received from a non-contactable consumer. Program Id. This consumer (patient) reported that: Updated Information included: Reporter title was updated  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.