sore arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  An 81-year-old female patient received BNT162b2 (BNT162B2), as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (DOSE 1, SINGLE; Lot number: ER8730, Anatomical location: Left Deltoid, Intramuscular), administration date: 04Mar2021, when the patient was 80-year-old, for COVID-19 immunisation; BNT162b2 (DOSE 2, SINGLE; Lot number: EN6206, Anatomical location: Left Deltoid, Intramuscular), administration date: 25Mar2021, when the patient was 80-year-old, for COVID-19 immunisation; td (Vaccine Type: DT/DTP/DTaP/Td, Vaccine: Td , Date given: 18Oct2010, Manufacturer: Unknown), administration date: 18Oct2010, when the patient was 70-year-old, for Immunization; TDap (Vaccine Type: DT/DTP/DTaP/Td, Vaccine: Tdap, Date given: 24Apr2017, Next imm due: N/A, Manufacturer: Smithkline/ 5B33E, Injection site: LD (Left Deltoid), IM (Intramuscular), Provider: (Name withheld), Clinic: (Clinic name withheld), immunization), administration date: 24Apr2017, when the patient was 76-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 24Nov2006, Manufacturer: Unknown), administration date: 24Nov2006, when the patient was 66-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 15Nov2007, Manufacturer: Unknown), administration date: 15Nov2007, when the patient was 67-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 10Nov2008, Manufacturer: Unknown), administration date: 10Nov2008, when the patient was 68-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 28Sep2009, Manufacturer: Unknown), administration date: 28Sep2009, when the patient was 69-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 18Oct2010, Manufacturer: Unknown), administration date: 18Oct2010, when the patient was 70-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 24Oct2016, Manufacturer: Smithkline/ 359J9, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 24Oct2016, when the patient was 76-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 05Oct2017, Manufacturer: Unknown, Manufacturer: Smithkline/ 222FX, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 05Oct2017, when the patient was 77-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 04Oct2018, Manufacturer: Unknown, Manufacturer: Smithkline/ 3PM59, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 04Oct2018, when the patient was 78-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 04Oct2019, Manufacturer: Unknown, Manufacturer: Smithkline/ MB9YJ, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 04Oct2019, when the patient was 79-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 18Sep2020, Manufacturer: Unknown, Manufacturer: Smithkline/ MH5BH, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 18Sep2020, when the patient was 80-year-old, for Immunisation; influenza (Vaccine Type: Influenza, Vaccine: Influenza, Date given: 22Sep2021, Manufacturer: Unknown, Manufacturer: Smithkline/ Z3MK7~, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 22Sep2021, when the patient was 81-year-old, for Immunisation; pnu-23 (PNEUMOVAX 23 [PNEUMOCOCCAL VACCINE], Vaccine Type: PCV, Vaccine: PNU-23, Date given: 24Nov2006, Manufacturer: Unknown), administration date: 24Nov2006, when the patient was 66-year-old, for Immunisation; pnu-13 (PNEUMOCOCCAL 13 VALENT VACCINE, Vaccine Type: PCV, Vaccine: PNU-13, Date given: 24Oct2016, Next imm due: 21May2090, Manufacturer: Unknown/ N47827, Injection site: RD (Right Deltoid), IM (Intramuscular)), administration date: 24Oct2016, when the patient was 76-year-old, for Immunisation; zoster  shingrix (Vaccine Type: Other , Vaccine: Zoster Unspecified, Date given: 17Jun2010, Manufacturer: Merck/0146Z, Injection site: RA (Right Arm), SQ (Subcutaneous)), administration date: 17Jun2010, when the patient was 70-year-old, for Immunisation; zoster recombinant (Vaccine Type: Other , Vaccine: Zoster recombinant, Date given: 19Sep2019, Manufacturer: Smithkline /9LG54, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 19Sep2019, when the patient was 79-year-old, for Immunisation; shingrix (Zoster recombinant   SHINGRIX, Vaccine Type: Other , Vaccine: Zoster recombinant, Date given: 20Nov2019, Manufacturer: Smithkline /1336146166, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 20Nov2019, when the patient was 79-year-old, for Immunisation; BNT162b2 (Covid-19, date: 30Nov2021, Lot number: FF2593, Injection site: LD, IM), administration date: 30Nov2021, when the patient was 81-year-old, for Immunisation. The following information was reported: PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "sore arm".  Additional information: The patient got first booster in 2021. Got flu shot on 17Sep2022. The patient had a sore arm for a few months after the first booster. On 17Sep2022 Flu shot gave me painful joint and muscles for 24 hours. Variant booster on 19Oct2022 at around 2:30 in afternoon made feel more tired and not well for about a week and day. The patient did not know how should the patient get this last booster if the patient was on a blood thinner. She uses preservatives 2 times a day her PCP has told her those ingredients are blood thinner.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.