All of a sudden I felt sore all over; chills; checked my temp 103.7; When I woke up the lymph nodes under my arm right breast and neck were all swollen and painful; When I woke up the lymph nodes under my arm right breast and neck were all swollen and painful; When I woke up the lymph nodes under my arm right breast and neck were all swollen and painful; When I woke up the lymph nodes under my arm right breast and neck were all swollen and painful; I've received 3 COVID shots 2 Pfizer 1 moderna; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 45-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 21Oct2022 at 15:30 as dose 4 (booster), single (Lot number: GJ2524) at the age of 45 years, in right arm for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: FLU VACCINE VII taken for immunisation, in Oct2022 as unk unk, single. Past drug history included: Known allergies: tetracycline, reaction(s): "Known allergies: Tetracycline", notes: Known allergies: Tetracycline. Vaccination history included: Bnt162b2 (Dose: 1, I've received 3 COVID shots 2 Pfizer 1 moderna), for COVID-19 immunization, reaction(s): "the lymph node under my armpit swelled up"; Bnt162b2 (Dose: 2, I've received 3 COVID shots 2 Pfizer 1 moderna), for COVID-19 immunization, reaction(s): "the lymph node under my armpit swelled up"; Moderna (Dose: 3, I've received 3 COVID shots 2 Pfizer 1 moderna), for COVID-19 immunization, reaction(s): "the lymph node under my armpit swelled up". The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 21Oct2022 at 15:30, outcome "unknown", described as "I've received 3 COVID shots 2 Pfizer 1 moderna"; PAIN (non-serious) with onset 22Oct2022 at 12:00, outcome "recovering", described as "All of a sudden I felt sore all over"; LYMPHADENOPATHY (non-serious) with onset 22Oct2022 at 12:00, outcome "recovering", LYMPH NODE PAIN (non-serious), SWELLING (non-serious), NECK PAIN (non-serious) all with onset 22Oct2022 at 12:00, outcome "unknown" and all described as "When I woke up the lymph nodes under my arm right breast and neck were all swollen and painful"; PYREXIA (non-serious) with onset 22Oct2022 at 12:00, outcome "recovered" (Oct2022), described as "checked my temp 103.7"; CHILLS (non-serious) with onset 22Oct2022 at 12:00, outcome "recovering". The events "all of a sudden i felt sore all over", "chills", "checked my temp 103.7" and "when i woke up the lymph nodes under my arm right breast and neck were all swollen and painful" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain, chills, pyrexia, lymphadenopathy, lymph node pain, swelling, neck pain.  Additional information: the patient received flu vaccine in in 4 weeks of suspect vaccination. On 21Oct2022 patient got a got the new COVID vaccine. Felt fine, not even a sore arm until 12 pm 22Oct2022. It was reported as all of a sudden I felt sore all over, chills and checked my temp 103.7 I took a shower and went to bed. I slept for 4 hours. When I woke up the lymph nodes under my arm, right breast and neck were all swollen and painful. My husband called out doctor. I took Tylenol and Motrin and tandem for the next 48 hours. This was the most extreme reaction I've yet to have in getting any of the COVID shots or boosters. The swelling in the lymph nodes still persist but is improving. I no longer have a fever. I have never tested positive for COVID. The patient did not had COVID prior vaccination.