Ended up itching from the top of her head to her ankles and had been itching for three years; Infection; Pneumonia; arm felt really heavy; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 79-year-old female patient received bnt162b2, bnt162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 22Nov2022 as dose 5 (booster), single (Lot number: GJ5342) at the age of 79 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Osteoporosis" (unspecified if ongoing), notes: Comments: Osteoporosis does not take anything for that; "she has nodules in her lungs" (unspecified if ongoing); "emphysema" (unspecified if ongoing); "asthma" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: bnt162b2 (Dose: 1, Lot: EL9262, Expiration: unknown, NDC: unknown, Given in right arm), administration date: 27Jan2021, when the patient was 78-year-old, for Covid-19 immunization; bnt162b2 (Dose: 2, Lot: EN6200 (populated in formal field), Expiration: unknown, NDC: unknown, Given in left arm), administration date: 17Feb2021, when the patient was 78-year-old, for COVID-19 immunisation, reaction(s): "I ended up getting the worst itching from the top of my head all the way to my ankles where I was ripping my skin apart", "my arm felt really heavy, like it weighed a thousand pounds"; bnt162b2 (Dose: 3, Lot: FIT8021 or FIT8027, looks like 7 but could be a 1 for the last digit, there is a little thing at the top that could be a 7, reading off the vaccine card, Expiration: unknown, NDC: unknown), administration date: 21Oct2021, when the patient was 78-year-old, for COVID-19 immunisation; bnt162b2 (Dose: 4, Lot: very difficult to tell the way it is written very big, thinks lot number could be 1J9943 or 109943, then clarifies it is definitely a J for the second digit and confirms lot number is 1J9943, Expiration: unknown, NDC: unknown), administration date: 07Apr2022, when the patient was 79-year-old, for COVID-19 immunisation. The following information was reported: LIMB DISCOMFORT (non-serious) with onset 22Nov2022, outcome "recovered" (23Nov2022), described as "arm felt really heavy"; INFECTION (medically significant) with onset Mar2023, outcome "unknown"; PNEUMONIA (medically significant) with onset Mar2023, outcome "unknown"; PRURITUS (non-serious), outcome "recovering", described as "Ended up itching from the top of her head to her ankles and had been itching for three years". The events "infection", "pneumonia" and "arm felt really heavy" required physician office visit. The patient underwent the following laboratory tests and procedures: Computerised tomogram: (unspecified date) Unknown Results, notes: She has been getting CT scans once a year since she has nodules in her lungs; (Mar2023) Unknown Results, notes: found in her lower right lobe, what he thought may be some sort of infection or pneumonia; (Jun2023) Unknown Results, notes: found in her lower right lobe, what he thought may be some sort of infection or pneumonia. Therapeutic measures were taken as a result of infection, pneumonia, limb discomfort, pruritus.  Additional information: The patient was very small, tiny lady. She was interested in Abrysvo and asking if it had preservatives. Reported she had gotten all Pfizer covid shots. The second covid shot, her arm felt really heavy, seemed like it weighed 1000 pounds overnight and was gone the next morning. She got all of the Pfizer covid shots except the last two. She ended up itching from the top of her head to her ankles and had been itching for three years. It was like 100,000 red ants from her head to her ankles. She got a steroid taper for 10 days for the itching. She was on Dupixent, gets two shots at a time for her skin. The shots really hurt. Agent asked what caused the itching, caller stated she got 13 shots over the past 3 years and that included flu shots, B12 shots, and covid shots. Then stated B12 shots can cause dermatitis. Age at onset: Guesses she would have been 78 at the time she got her second shot and arm felt really heavy. HCP: he did not give her the shots, Arm felt really heavy: Time started at 5 or 6 in the evening after the shot. She took a Tylenol and slept the whole night and the next morning she was fine. Treatment: She had been on Dupixent which was started with two shots on 19May2023 and then now it was one shot which she gives herself, every two weeks. Outcome: Much better, at least 90-95% better. Testing: She had been getting CT scans once a year since she had nodules in her lungs. Took one CT scan in Mar2023 and one in Jun2023 since the doctor found in her lower right lobe, what he thought may be some sort of infection or pneumonia and she was given antibiotics. She was on Dupixent, gets two shots at a time for her skin. The shots really hurt. No further details since not a Pfizer product. Vaccine was not administered at military facility. Prior Vaccinations (within 4 weeks) was none.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300298845 same pt, diff dose;