interchange of vaccine product; felt so bad, it was negative but first they come positive; felt so bad, it was negative but first they come positive; I have not felt good since I got it; I felt so bad; my toes hurt, they just ache all the time, it's extremely painful; I am waking up at odd hours at night with toe pain; Fever; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient.  A 54-year-old patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 29Nov2022 as dose number unknown (booster), single (Lot number: GJ6739) at the age of 54 years for covid-19 immunization; elasomeran (MODERNA COVID-19 VACCINE), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunization. The patient's relevant medical history included: "have type 1 diabetes" (unspecified if ongoing), notes: Yes, I have type 1 diabetes (Captured as provided) and heart disease; "heart disease" (unspecified if ongoing), notes: Yes, I have type 1 diabetes (Captured as provided) and heart disease. The patient took concomitant medications. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (medically significant), outcome "unknown", described as "interchange of vaccine product "; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "felt so bad, it was negative but first they come positive"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "I have not felt good since I got it; I felt so bad"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "my toes hurt, they just ache all the time, it's extremely painful; I am waking up at odd hours at night with toe pain"; PYREXIA (non-serious), outcome "unknown", described as "Fever". The patient underwent the following laboratory tests and procedures: Blood test: (29Nov2022) the lab test was all normal, notes: I have blood test the same day I had the vaccine and the lab test was all normal; Full blood count: (unspecified date) all that's normal; Glycosylated haemoglobin: (unspecified date) all that's normal; Hepatic enzyme abnormal: (unspecified date) all that's normal; Lab work: Consumer stated, "Yes, I have and its all normal: (unspecified date) all normal, notes: Lab work: Consumer stated, "Yes, I have and its all normal; Metabolic function test: (unspecified date) all that's normal; SARS-CoV-2 test: (unspecified date) Negative, notes: felt so bad, it was negative but first they come positive; (unspecified date) Positive; Thyroid function test: (unspecified date) all that's normal. Therapeutic measures were taken as a result of pain in extremity. Clinical information: Consumer stated, I have the vaccine on 29Nov (Received Pfizer COVID-19 Bivalent vaccine), prior to that I had have the Moderna vaccine(COVID-19 vaccine)but they told me I could go ahead and have the Pfizer Bivalent(suspect captured as Pfizer COVID-19 Bivalent vaccine) because my pharmacy was out of the Moderna. Consumer stated, Yeah, I had the Moderna. I already got it on 29Nov, and I will be honest with you I have not felt good since I got it. I went and got a Covid test. I felt so bad, it was negative but first they come positive then they said oh no we did wrong one we did the Covid vaccine and you have it before it. What bothers me the most is my toes hurt, they just ache all the time, it's extremely painful and then I get fever on occasion. I mean I don't know it's because this. Height and Weight: Consumer stated, "I am 5'6 and weigh probably about 154 or so. Consumer stated, "Yes, I have and it's all normal. I have blood test the same day I had the vaccine, and the lab test was all normal. I had everything done my A1C, liver enzyme, thyroid panel, CMP, CBC all that's normal but that was before I got the shot, right before I got it. Treatment: Consumer stated, "Like its 4 O' clock in the morning and this toe pain, it was horrible. I just took Tylenol. I do take blood thinners, I don't know you if you need to know that because I have the heart disease.