feel achy; headache; tired; feel pretty lousy; horrible pain in my armpit; probably my lymph node reacting; This afternoon it started to climb to 99/My fever went up to 100.3 it is now 99.9; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 43-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 26Sep2022 at 16:15 as dose 4 (booster), single (Lot number: GJ5342) at the age of 43 years intramuscular, in left arm for COVID-19 immunisation. The patient's relevant medical history included: "Migraines" (unspecified if ongoing); "Penicillin and Cillin related antibiotics" (unspecified if ongoing). Concomitant medication(s) included: ASHLYNA taken for oral contraception; AIMOVIG; SUMATRIPTAN; ZYTREC; METOPROLOL; IBUPROFEN; AMITRIPTYLINE; PROBIOTICS; VITAMIN B [VITAMIN B COMPLEX]; MAGNESIUM; BUTTERBUR ROOT EXTRACT;FICUS CARICA;SENNA ALEXANDRINA FRUIT; VITAMIN D [COLECALCIFEROL]. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Batch/Lot No: EL3247, Location of injection: Arm Left, Route of Administration: Intramuscular), administration date: 23Feb2021, when the patient was 42-year-old, for COVID-19 immunization; BNT162b2 (DOSE 2, SINGLE, Batch/Lot No: EN6203, Location of injection: Arm Left, Route of Administration: Intramuscular), administration date: 16Mar2021, when the patient was 42-year-old, for COVID-19 immunization; BNT162b2 (DOSE 3 (BOOSTER), SINGLE, Batch/Lot No: FF2587, Location of injection: Arm Right, Vaccine Administration Time: 06:00 PM, Route of Administration: Intramuscular), administration date: 30Sep2021, when the patient was 42-year-old, for COVID-19 immunization, reaction(s): "very sore arm around noon", "I had fatigue/I'm still tired", "muscle aches", "headache", "slight nausea", "slightly elevated temperature of 99.4/slight fever". The following information was reported: PYREXIA (non-serious) with onset 27Sep2022, outcome "recovering", described as "This afternoon it started to climb to 99/My fever went up to 100.3 it is now 99.9"; AXILLARY PAIN (non-serious) with onset 27Sep2022, outcome "recovering", described as "horrible pain in my armpit"; LYMPHADENOPATHY (non-serious) with onset 27Sep2022, outcome "recovering", described as "probably my lymph node reacting"; MALAISE (non-serious) with onset 27Sep2022 at 08:00, outcome "recovering", described as "feel pretty lousy"; HEADACHE (non-serious) with onset 27Sep2022 at 08:00, outcome "recovering"; FATIGUE (non-serious) with onset 27Sep2022 at 08:00, outcome "recovering", described as "tired"; PAIN (non-serious) with onset 27Sep2022 at 12:00, outcome "recovering", described as "feel achy". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache, fatigue, pain, axillary pain, lymphadenopathy, pyrexia, malaise.  Additional information: In the morning of the date of report (about 16 hours after her shot), the patient woke up with a headache and she was tired, but she gets migraines anyway so she wasn't sure if it was the shot or not. The patient took her temperature, and it was normal. At about noon, the patient started to feel achy. She was on calls, but she took her temperature, and it was still normal. That afternoon it started to climb to 99 and the patient couldn't work any longer and went to sleep. She also started to experience horrible pain in her armpit, which she said was probably her lymph node reacting. Her fever went up to 100.3 it is now 99.9. The patient just felt pretty lousy, but she expected to. The patient also took ibuprofen to help.  Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101311831 same reporter/patient/vaccine, different dose/events;