sore throat; achiness/achy/achy feeling/always has a little bit of pain; sick; feeling bad; arm is extremely sore at the injection site; getting hard to swallow; scratchy throat; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 79-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 06Feb2023 as dose 4 (booster), single (Lot number: GJ6796, Expiration Date: 31Jan2024) at the age of 79 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "high blood pressure" (ongoing), notes: high blood pressure diagnosed long time ago; don't know when this was diagnosed.; "hyperthroid" (ongoing), notes: Thyroid was diagnosed a long time ago and she has been taking thyroid medicine for quite a while; "Fibromyalgia" (ongoing). The patient took concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Lot EL9262), administration date: 27Jan2021, when the patient was 77-year-old, for COVID-19 immunization; BNT162b2 (Dose 2, Lot EN6201), administration date: 24Feb2021, when the patient was 77-year-old, for COVID-19 immunization, reaction(s): "Dizziness/almost passed out"; BNT162b2 (Dose 3, Lot ALB4102 / 32030BD), administration date: 02Dec2021, when the patient was 78-year-old, for COVID-19 immunization. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 07Feb2023, outcome "not recovered", described as "arm is extremely sore at the injection site"; FEELING ABNORMAL (non-serious) with onset 07Feb2023, outcome "not recovered", described as "feeling bad"; DYSPHAGIA (non-serious) with onset Feb2023, outcome "not recovered", described as "getting hard to swallow"; THROAT IRRITATION (non-serious) with onset Feb2023, outcome "not recovered", described as "scratchy throat"; OROPHARYNGEAL PAIN (non-serious), outcome "not recovered", described as "sore throat"; PAIN (non-serious), outcome "unknown", described as "achiness/achy/achy feeling/always has a little bit of pain"; ILLNESS (non-serious), outcome "unknown", described as "sick". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of feeling abnormal, oropharyngeal pain, pain, illness, dysphagia, throat irritation, pain in extremity.  Additional information: Female patient wanted to know if her 2nd booster dose of the Pfizer COVID-19 Vaccine Bivalent caused her to have symptoms of feeling bad, sore throat, and achiness. she stated it made her sick. Patient had high blood pressure diagnosed long time ago; don't know when this was diagnosed but she went to her doctor on Tuesday for a regular check up and it was low and was 112 over 60 something, thyroid condition hyperthyroid; was diagnosed a long time ago and she has been taking thyroid medicine for quite a while. Called about the Pfizer, her fourth injection which was a booster and clarified that this would be her 2nd booster which she got on Monday and started feeling bad Tuesday and now she has a sore throat, feels bad and is achy and she does not know if that is a side effect of the medication regarding the injection. She reported because she does not feel like doing anything else. This 2nd booster was Monday 06Feb2023. Feeling bad: ongoing and thinks it is a little worse today and states she is worse today and has not been out of the apartment today. Sore throat: she had a scratchy throat but today it is sore and is so scratchy and is now a sore throat; clarified the sore scratchy throat began since this 2nd booster injection and is getting worse and it is getting hard to swallow. Her arm is extremely sore at the injection site which was her right arm which began yesterday and is worse today than yesterday. Multiple attempts by this agent to clarify the full name of the Pfizer vaccines but caller unable to clarify further so details are captured as stated by the caller. Her vaccine patient card is handwritten and the 2nd shot she got, she had almost an immediate reaction to that but did not realize that is what it was until later and the reaction was that she got dizzy, had to be driven home and was in a chair at the store; she had gone to physical therapy and went to and almost passed out and someone had to come get her. The last booster which is her 2nd booster dose was on Monday 06Feb2023 and it was Pfizer Bivalent with lot GJ6796; states there is static on the phone line; for this 2nd booster dose bivalent, it has expiry date 31Jan2024 and no NDC is written on the card; she has two different cards and one is with three of her vaccines and one is with this last one. Almost did not get this most recent one wished had not gotten it and it says Bivalent. for this shot, they were there at her apartment complex and there was only three of us that got the shot; the facility was called outreach; unknown type of facility but it is not a military facility. She thought her third shot she got was for the third dose. For this current 2nd booster dose, the time she had it administered was unknown but was probably about 10:30am or 11:00am because she waited and drank coffee then went for it. AE did not required visit to Emergency Room; Physician Office; Intensive Care Unit; if admitted to ICU, duration of stay. she has not been outside. The event does not require the initiation of new medication/other treatment/ procedure. The achy feeling, she does not know when this began but probably always has a little bit of pain but nothing like this; she has fibromyalgia but does not know what pain this is; the fibromyalgia was diagnosed a long time ago but she has never been treated for it. Has been seeing physician's assistance.