kidney stones; felt like passing out; both her arms hurt, and her hands hurt lightly; didn't sleep good at all that night; Chills; pain real bad in her kidneys; Nauseous; cold like symptoms; very achy from the top of her head to her toes/body aches; tired; lightheaded; her hands hurt lightly; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 70-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 18Oct2022 at 09:20 as dose 4 (booster), single (Lot number: 6H9697) at the age of 70 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: IBUPROFEN. Past drug history included: Dilaudid for Gallbladder disorder, reaction(s): "choking", notes: States they had to call a code blue on her after she got Dilaudid. A long time ago Her gallbladder gave her a hard time, so they gave that to her to help with pain, but it didn't do any good and she felt like choking. Vaccination history included: BNT162b2 (DOSE: 01, Lot number: unknown), administration date: 03Feb2021, when the patient was 68-year-old, for COVID-19 immunization; BNT162b2 (DOSE: 02, Lot number: EN6200), administration date: 24Feb2021, when the patient was 68-year-old, for COVID-19 immunization; BNT162b2 (Dose: 03, Lot number: FC3183), administration date: 02Oct2021, when the patient was 69-year-old, for COVID-19 immunization. The following information was reported: NEPHROLITHIASIS (medically significant), outcome "unknown", described as "kidney stones"; PRESYNCOPE (non-serious), outcome "recovering", described as "felt like passing out"; PAIN IN EXTREMITY (non-serious), outcome "recovering", described as "both her arms hurt, and her hands hurt lightly"; SLEEP DISORDER (non-serious), outcome "unknown", described as "didn't sleep good at all that night"; CHILLS (non-serious), outcome "unknown"; RENAL PAIN (non-serious), outcome "recovering", described as "pain real bad in her kidneys"; NAUSEA (non-serious), outcome "unknown", described as "Nauseous"; NASOPHARYNGITIS (non-serious), outcome "recovering", described as "cold like symptoms"; PAIN (non-serious), outcome "recovering", described as "very achy from the top of her head to her toes/body aches"; FATIGUE (non-serious), outcome "unknown", described as "tired"; DIZZINESS (non-serious), outcome "recovering", described as "lightheaded"; PAIN IN EXTREMITY (non-serious), outcome "recovering", described as "her hands hurt lightly". Therapeutic measures were taken as a result of nephrolithiasis, renal pain.  Clinical information: The patient got the last booster, the second booster of Omicron/something and had horrible side effects. Patient had called on the last 3, every time got one side effect. Patient stated that her husband also had it and is not good at all.  It was horrible. Patient had never felt like passing out, like wanting to just drop. It happened to patient and her husband. Had to sit up; something was just making her. They didn't sleep good at all that night. Patient stated both her arms hurt, got the booster in one but both hurt, and her hands hurt lightly. Around 12:00 midnight she started chills and pain real bad in kidneys, they hurt right now. Figures in another day or so will really get going. This was the first time she can really talk. At 2:00 am patient was in her chair and her husband got up to go to the bathroom and heard him so oh no and got to him as quick as she could, and he was starting to fall. His arm was stretched across the sink. He does have something on his brain that is shutting off blood circulation. He felt like his legs were giving out and his whole arm was on the sink, and he was dropping. Patient helped him get down to the floor because he felt like he was going to pass out. The patient then leaned against the wall because she felt like was going to pass out, so she sat down also, and they sat for a little while and got their bearings. Patient told her husband that they could crawl to the bedroom when they could. He has never had these symptoms before. He was very very tired and is currently sleeping and has been for a few hours. Patient was getting better faster than him and had ever felt pain in kidneys like this before, it's real low back they hurt. She was feeling nauseas and like cold symptoms, like a head cold at first with sniffles and she didn't have that with the other 3. These started about the same time as everything else started and is improving. Both patient and her husband had no fever. They were cold, weak or tired. Felt like they wanted to keep passing out their legs kept giving out. She didn't have that with the other 3.  Patient woke up this morning and felt lightheaded when got up, so sat down and was doing much better now and doesn't feel like passing out at all since around 5:30 am it went away. They got the booster dose at 9:20 am and about 10 hours later they started feeling like passing out. At 18:00 that night both of her arms started hurting and she didn't have that before either. That was improving and the feeling in her hands was coming back, each finger hurt but it's much better now. Patient had very achy from the top of her head to her toes and that started around midnight also and is much better today, she is not as achy. Patient's kidneys still bother her, lower back and took Ibuprofen and had been taking Pedialyte and that helps. If she gets tired, she sits down. The kidney pain started with the body aches and has gotten better, it's been lighter since 5:30 am. That pain concerned her because she gets kidney stones and didn't have it with the other 3 shots. Suspect Product: given in her left arm at 9:20 am, all of them have been in her left arm. Clarifies her card says Pfizer Covid 19 vaccine. Ibuprofen tablets 200mg as needed takes 1 every so often. Patient took one at 10:30 on 18Oct2022. Did take in the 2 weeks before the booster, she maybe took 2 times. Stated they had to call a code blue on her after patient got Dilaudid. A long time ago, many years ago. They kept her longer after Pfizer shots just in case. Patient did not had this time. Patient's gallbladder gave her a hard time, so they gave that to her to help with pain, but it didn't do any good and felt like choking. They gave stuff to reverse whatever that was. Vaccination facility type was reported was hospital. No additional vaccines administered on same date of the Pfizer Suspect. The did not receive prior Vaccinations (within 4 weeks). Family medical history relevant to adverse events: Patient's daughter had a lot of problems. Patient had kidney and heart problems, had 4 kids, has EDS and just a lot of problems. Patient got Omicron variety and gotten all her shots except the 2nd booster. Omicron put a damper on her heart and kidneys that showed up on bloodwork. Doesn't had details of the vaccines. Had reported on her in the past and was 43. Had originally called and asked why it would bother her kidneys so bad, it made hurt more. Had the Pfizer Covid 19 vaccines but not the last one because they told her to wait. Patient doesn't know if it's because she got Covid. Is that true you build immunity. Patient's daughter said she had so much built up, had Omicron really bad. Patient felt like passing out and wanted to sleep and sleep and sleep.