cannot feel normal; Irritability is constant/ irritability of sinus; very tired; cannot sleep during the night; had something effecting his brain and memory; palate area are all messed up/palate sinuses area are dried continuously; mucous trouble; Gets a strong feeling, like chemical in nose; had something effecting his brain and memory; cannot carry on public speaking or conversation/Had no issues speaking and now he does; palate sinuses area are dried continuously; throat & sinus pain as well as with his brain; throat & sinus pain as well as with his brain.; throat & sinus pain as well as with his brain; sinuses are dripping constant, continuous; coughing; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 78-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose 3 (booster), single (Batch/Lot number: unknown), in left deltoid (reported as left shoulder) for covid-19 immunisation. The patient's relevant medical history included: "Heart attack" (unspecified if ongoing), notes: Had 8 years ago; "Cancer" (unspecified if ongoing), notes: Had three forms of cancer currently he is cancer free; "heart trouble" (unspecified if ongoing); "blood thinner" (unspecified if ongoing), notes: blood thinner; "Blood pressure" (unspecified if ongoing), notes: Blood pressure; "High cholesterol" (unspecified if ongoing); "atmosphere allergies" (unspecified if ongoing); "food allergies" (unspecified if ongoing). Concomitant medication(s) included: CLOPIDOGREL taken for cardiac disorder, myocardial infarction, anticoagulant therapy (ongoing); LISINOPRIL taken for myocardial infarction, blood pressure abnormal (ongoing); ATORVASTATIN taken for blood cholesterol increased (ongoing); BABY ASPIRIN taken for anticoagulant therapy (ongoing). Vaccination history included: Covid-19 vaccine (Dose 1; Manufacturer Unknown, He is does not have vaccination card to provide lot/exp/NDC to provide details from these doses.), for COVID-19 immunization; Covid-19 vaccine (Dose 2; Manufacturer Unknown, He is does not have vaccination card to provide lot/exp/NDC to provide details from these doses.), for COVID-19 immunization. The following information was reported: COUGH (non-serious) with onset 13Feb2023, outcome "not recovered", described as "coughing"; PARANASAL SINUS HYPERSECRETION (non-serious) with onset 13Feb2023, outcome "recovering", described as "sinuses are dripping constant, continuous"; OROPHARYNGEAL PAIN (non-serious), HEADACHE (non-serious), outcome "not recovered" and all described as "throat & sinus pain as well as with his brain"; SINUS PAIN (non-serious), outcome "not recovered", described as "throat & sinus pain as well as with his brain."; FEELING ABNORMAL (non-serious), outcome "unknown", described as "cannot feel normal"; PARANASAL SINUS DISCOMFORT (non-serious), outcome "not recovered", described as "Irritability is constant/ irritability of sinus"; FATIGUE (non-serious), outcome "unknown", described as "very tired"; INSOMNIA (non-serious), outcome "not recovered", described as "cannot sleep during the night"; MEMORY IMPAIRMENT (non-serious), CEREBRAL DISORDER (non-serious), outcome "unknown" and all described as "had something effecting his brain and memory"; DRY MOUTH (non-serious), outcome "unknown", described as "palate area are all messed up/palate sinuses area are dried continuously"; SECRETION DISCHARGE (non-serious), outcome "unknown", described as "mucous trouble"; PAROSMIA (non-serious), outcome "unknown", described as "Gets a strong feeling, like chemical in nose"; SPEECH DISORDER (non-serious), outcome "unknown", described as "cannot carry on public speaking or conversation/Had no issues speaking and now he does"; SINUS DISORDER (non-serious), outcome "unknown", described as "palate sinuses area are dried continuously". The events "coughing", "throat & sinus pain as well as with his brain", "throat & sinus pain as well as with his brain." and "sinuses are dripping constant, continuous" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of cough, oropharyngeal pain, sinus pain, headache, paranasal sinus hypersecretion. Additional information: Patient reported that he'd been sick for 8 weeks and would like to know what is the reason. He stated that the "3rd one giving him a lot of trouble." He had constant coughing for 8 weeks now, almost. He reported throat & sinus pain as well as with his brain. His medical provider has tried treating him with medication; 2 courses of antibiotics and a lot of nose sprays, cough medication, prescription medicines for cough and nothing is helping him. It affected his throat and sinus and upper part of his throat, "sinuses are dripping constant, continuous." When mucus forms, he was coughing and some nights he continues to cough throughout the night and not sleeping well. He was a minister of the gospel. "I cannot preach, cancel all preaching x 3 months due to throat." He "cannot feel normal." "Irritability is constant." He cannot carry on a public conversation/speaking at all. He was staying home and was very tired. He cannot sleep during the night. He "catches some sleep in the early morning." Yesterday, he got up at 11:30 he reports. Last year same thing with his throat, he had constant irritation on his throat. Last year during March, April, and May, he said something was affecting his brain and his memory. He noted that he had a good memory and he had no problem speaking on Sunday AM and Sunday PM or Wednesday nights. He previously had no concerns with public speaking and now he "cannot do anything with throat and sinus." He wanted to know any solution to get irritability of sinus, "palate area are all messed up." He had consumed 2-300dollar of RICOLA (lot number: 20001225083, Expiry Date: 14Dec2025), throat lozengier, cough drops. His tongue was "almost burnt by taking so much Ricola continuously." "I don't have a good day the last 2 months. Same thing last year, April and May he says he had a lot of problems." His provider was "sick and tired of treating me, he said to go and see someone else. He cannot handle it anymore. My chest is clear. It is affecting sinus area and upper portion of throat."Constant sinus dripping and mucous trouble he never had before, "dripping every minute." He took an international mission trip and was miserable. However, reporter confirmed when events occurred. The last couple of days it had been really warm 78-80 degrees. The tension at sinuses area was a little less than the feeling within the last 6 weeks. When it's cold, he was miserable. He also added since the third dose he gets a strong feeling, like chemical in nose. It's like the smell of the Pfizer vaccine or feel of medicine coming into nose area from time to time. the last two days it (Sinuses are dripping constant and continuous) has not been as much due to warmer weather. The weather was like summer, very nice, late spring feeling. Right now it's very warm and dry, comfortable. However, all of a sudden when the night cold comes again, he feels bad again with throat. As a result he cannot talk well. His palate sinuses area are dried continuously. Last night, he slept a few hours. He could not go to bed around 2. The warmer days when it was hot outside, he felt better. The first time he reported these issues to his doctor the doctor informed him he had covid. He took a covid test and it showed he did not have covid. He was very active. Now he cannot travel anymore for speaking engagements. He had to cancel them until he feels comfortable and can speak without problems. He was glad we put this vaccine out. He got our vaccine due to the other ones having severe side effects. With atmosphere allergies, food allergies, and this dripping and everything it makes it difficult to survive, nothing like this has happened before. From time to time insurance pays for test and anytime take it says does not have covid and never had it. Patient mentioned he hopes he feels better soon.   The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.