She had chills; Coughing on the phone and she said she has congestion and she is getting cleared of that by taking some Nyquil nighttime cold medication and said it's like she had the flu; back hurts; Coughing; congestion; both her knees need to be replaced and she can't hardly walk; her whole body aches.; Started feeling nauseated; her arm hurt from her shoulder all the way down to her fingers; numbness in her fingers and fingertips; She didn't want to eat; all she did was just sleep; 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 75-year-old female patient received BNT162b2 (BNT162B2), on 31May2022 at 10:35 as dose 4 (booster), single (Lot number: FM0173) at the age of 75 years, in left arm for covid-19 immunization. The patient's relevant medical history included: "Covid", start date: 2021 (unspecified if ongoing); "COVID", start date: 2020 (unspecified if ongoing), notes: she had Covid the latter part of 2020. The patient's concomitant medications were not reported. Vaccination history included: covid-19 vaccine (Dose: 1, NDC: Unknown, Lot EN6200, Expiration: Unknown, Dose given: Unknown, Time given: Unknown, Anatomical Location: Left shoulder, Given at the Health department), administration date: 13Mar2021, when the patient was 74-year-old, for COVID-19 immunization; BNT162b2 (Dose: 2, NDC: Unknown, Lot: EP7534, Expiration: Unknown, Dose given: Unknown, Time given: Unknown, Location: Left shoulder, Given at the Health department), administration date: 01Apr2021, when the patient was 74-year-old, for COVID-19 immunization; covid-19 vaccine (Dose: 3, Manufacturer: Unknown, Date given: 22Nov2021, NDC: Unknown, Lot: FH8030, Expiration: 28Feb2022, Dose given: Unknown, Time given: Unknown, Location: Left shoulder, Given at the Med center), administration date: 22Nov2021, when the patient was 75-year-old, for COVID-19 immunization. The following information was reported: DECREASED APPETITE (non-serious) with onset 31May2022, outcome "recovering", described as "She didn't want to eat"; NAUSEA (non-serious) with onset 31May2022, outcome "recovering", described as "Started feeling nauseated"; SOMNOLENCE (non-serious) with onset 31May2022, outcome "recovering", described as "all she did was just sleep"; PAIN IN EXTREMITY (non-serious) with onset 31May2022, outcome "recovering", described as "her arm hurt from her shoulder all the way down to her fingers"; PAIN (non-serious) with onset 31May2022, outcome "recovering", described as "her whole body aches."; HYPOAESTHESIA (non-serious) with onset 31May2022, outcome "recovering", described as "numbness in her fingers and fingertips"; CHILLS (non-serious), outcome "recovering", described as "She had chills"; INFLUENZA LIKE ILLNESS (non-serious), outcome "recovering", described as "Coughing on the phone and she said she has congestion and she is getting cleared of that by taking some Nyquil nighttime cold medication and said it's like she had the flu"; BACK PAIN (non-serious), outcome "unknown", described as "back hurts"; COUGH (non-serious), outcome "unknown", described as "Coughing"; NASAL CONGESTION (non-serious), outcome "unknown", described as "congestion"; GAIT INABILITY (non-serious), outcome "unknown", described as "both her knees need to be replaced and she can't hardly walk". Therapeutic measures were taken as a result of nasal congestion. Additional information:31May2022 that afternoon and she came home and started feeling nauseated and at night her arm hurt from her shoulder all the way down to her fingers and she had numbness in her fingers and fingertips.  She said she had an appointment at 11:00. She said symptoms have improved and she was to sick to talk to anyone and they wanted her to go to the hospital and to the emergency room. This is the first day she is able to get up and get around.  She didn't want to eat and all she did was just sleep. She had chills and the same effects like she was given Covid.  This is the first day she has felt better and she is hoping it keeps improving..  She couldn't use her left shoulder the next morning and she had to put warm packs and alcohol on her shoulder. Coughing on the phone and she said she has congestion and she is getting cleared of that by taking some Nyquil nighttime cold medication and said it's like she had the flu. She confirmed she had Covid before receiving Covid-19 vaccines  No follow up attempts possible. No further information is expected