cough; Caller states just sore arm and tiredness maybe after all of her COVID-19 vaccines; Caller states just sore arm and tiredness maybe after all of her COVID-19 vaccines; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 66-year-old female patient received BNT162b2 (BNT162B2), on 20Apr2022 at 10:00 as dose 4 (booster), single (Lot number: FJ9943) at the age of 66 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "migrane" (unspecified if ongoing), notes: she takes the Nurtec for migraine and has recently felt the beginning of one coming., Comments: Migraine Caller states she has been getting migraines for a long time.; "Arthritis" (unspecified if ongoing), notes: Comments: Arthritis Caller states she was diagnosed with arthritis 2 years ago.; "palpitations" (unspecified if ongoing); "Prediabetes" (unspecified if ongoing). Concomitant medication(s) included: BYSTOLIC taken for palpitations (ongoing); LIVALO (ongoing); METFORMIN taken for glucose tolerance impaired (ongoing). Vaccination history included: BNT162b2 (Dose: 1, Manufacturer: Pfizer, Lot number: EL8982), administration date: 25Jan2021, when the patient was 64-year-old, for COVID-19 immunization, reaction(s): "Covid-19", "sore arm", "tiredness"; BNT162b2 (Dose: 2, Manufacturer: Pfizer, Lot number: ENU200), administration date: 15Feb2021, when the patient was 65-year-old, for COVID-19 immunization, reaction(s): "Covid-19", "Sore arm", "tiredness"; BNT162b2 (Dose: 3, Manufacturer: Pfizer, Lot number: FC3184), administration date: 10Oct2021, when the patient was 65-year-old, for Covid-19 immunization, reaction(s): "Covid-19", "tiredness", "Sore arm". The following information was reported: PAIN IN EXTREMITY (non-serious), FATIGUE (non-serious) all with onset 2022, outcome "unknown" and all described as "Caller states just sore arm and tiredness maybe after all of her COVID-19 vaccines"; COUGH (non-serious) with onset 2022, outcome "unknown". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Agent reports she has a consumer on line reporting she has been taking Paxlovid and has had the beginning of a migraine. Caller also reported she has been prescribed Dexamethasone. She reports she has had her 4th booster of Pfizer COVID-19 vaccine and recently got COVID. Caller also reported her brother also had the Pfizer COVID-19 vaccine and has gotten COVID and her son also has COVID. Agent reports the caller had a drug interaction question which was addressed. Caller clarifies the details provided by transfer agent. Caller states she got COVID a week after her 4th booster dose of the COVID-19 vaccine and clarifies a week or week and a half. She states she received the COVID-19 vaccine on Wednesday and had symptoms the following Thursday. Caller states her brother had his 4th booster dose of the COVID-19 Vaccine but she doesn't know the exact dates he got the booster. She states her brother got the booster dose of COVID-19 a week or so before her and tested positive yesterday for COVID and he just started Paxlovid today. Caller states her son also has COVID and has had his 3rd booster dose of the COVID-19 vaccine but hasn't gotten his 4th booster dose. She states her son received COVID from 2 kids that are unvaccinated. She states her other grandson after one shot of the COVID-19 vaccine got COVID and then got his second shot of the COVID-19 vaccine. Caller states she does not have the details on shots. Positive for COVID after 4th COVID-19 vaccine booster dose: Caller states her symptoms started on Thursday and she tested positive on Friday, 29Apr2022. She didn't know when to test again but will test again tomorrow after she finishes her Paxlovid. She states that was a question she had as well. Caller states she is still having symptoms but her symptoms have definitely improved. Caller states just sore arm and tiredness maybe after all of her COVID-19 vaccines. She states the first one was probably the worst.  No follow-up attempts are possible. No further information is expected.