soreness in arm at injection site; headache; forehead feels a little warm; a little of the fatigue; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 64-year-old female patient received bnt162b2 (BNT162B2), on 09Apr2022 as dose 4 (booster), single (Lot number: FK9895) at the age of 64 years for covid-19 immunisation. The patient's relevant medical history included: "tonsil" (unspecified if ongoing); "gastro issues" (unspecified if ongoing); "Appendix" (unspecified if ongoing); "migraines" (unspecified if ongoing); "fibromyalgia" (unspecified if ongoing); "dry eyes" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: bnt162b2 (Dose 1, single, Lot number: EW0150, Expiration date: 31Jul2021), administration date: 05Apr2021, when the patient was 63-year-old, for COVID-19 immunization, reaction(s): "Vaccination site pain", "Headache", "feeling hot", "Fatigue"; bnt162b2 (Dose 2, single, Lot number: EW0169, Expiration date: 31Aug2021), administration date: 26Apr2021, when the patient was 63-year-old, for COVID-19 immunization, reaction(s): "Vaccination site pain", "Headache", "Feeling hot", "Fatigue"; bnt162b2 (Dose 3 (booster), single, Lot number: FH8028, Expiration date: 31May2022, Anatomical site: unknown which arm, but she wants to say they all were on the left because that is her stronger arm.), administration date: 01Nov2021, when the patient was 64-year-old, for COVID-19 immunization, reaction(s): "Vaccination site pain", "Headache", "Feeling hot", "Fatigue". The following information was reported: FATIGUE (non-serious) with onset Apr2022, outcome "unknown", described as "a little of the fatigue"; FEELING HOT (non-serious) with onset Apr2022, outcome "unknown", described as "forehead feels a little warm"; HEADACHE (non-serious) with onset Apr2022, outcome "unknown"; VACCINATION SITE PAIN (non-serious) with onset Apr2022, outcome "unknown", described as "soreness in arm at injection site". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Caller stated that she went to (pharmacy name withheld) yesterday and received the Comirnaty 2023-2024 formula. Caller reported that she is experiencing "soreness on her arm at the injection site, has a little bit of a headache, and her forehead feels a little warm, however the rest of her body doesn't feel warm. All of her Covid vaccines were from Pfizer. She believes she experienced the same things with the previous ones. She received last Pfizer Covid vaccine prior to this one on 22Sep2022. Caller was asking if her reactions are normal?. Caller asked if every (pharmacy name withheld) standalone store was offering Pfizer Covid vaccinations as she wants to make sure her family members receive Pfizer covid vaccines. This isn't a fear of her safety phone call. She just wanted the gentle reminder that this was normal because she couldn't remember. She remember the soreness of the arm and remembered a little of the fatigue. She wasn't clear on the headache and is 98% certain it was normal, but she can't remember over a year ago what her symptoms were when she got the vaccination. She does trust Pfizer. When the whole thing started she was in (withheld) and she registered to get her vaccination. The state of (withheld) said register at the site and expect email. She was getting emails about the library board and county executives having a meeting, but she wasn't getting email about her appointment. She was showing up at grocery stores and pharmacies and waiting in line and there was never anything left over. Out of fear she called her doctor at the (withheld) who said for her to call a number and get a plane ticket and head over. From that first vaccine that came out, not counting yesterday, she has had a total of 5 vaccinations during Covid period and all were Pfizer. Honestly she was hoping it would be Pfizer, but anything is better than nothing. When she got to (withheld) and found out she was getting Pfizer she was elated. She was told yesterday that it was cleared that if she had Pfizer she could switch and get Moderna, but she didn't think so and she found a (withheld) to get Pfizer. She was determined she wouldn't get anything but Pfizer. she is a retiree and is covered under (withheld) and her secondary is (withheld). She doesn't have a primary doctor. She sees gastroenterologist for gastro issues. She sees preventive cardiologist for preventive care. For dry eyes she see optometrist. She just sees a doctor for whatever ales her. With all her vaccination a little over 5 hours after vaccination the soreness and fatigue and little mild headache started. She had no nausea or vomiting or dizziness, nothing like that. She thinks the reason she didn't have anything like that is because of the quality of the drug. She was extremely picky about where she gets her healthcare and the doctors that she sees. Received one dose on 01Nov2021. It was odd on her vaccine card this one only says Covid19 Vaccine and in a different language it says vaccine against Covid19 that is her translating. Caller was having a hard time reading the date on the vaccine card, but she thinks the date was 26Jun2021. On her vaccine card the dates are out of order. Another Pfizer Covid vaccine she got on 09Apr2022. Lot number: it is FX9895 OR FK9895, she thinks it is FX9895. Medical Conditions: she has other issues but nothing relevant. Had these issues prior to her vaccination yesterday and prior to taking first dose of Pfizer Covid vaccinations. Her gastro issue was not affected by the vaccinations. Her migraines were not affected by the vaccinations. She has fibromyalgia and it was not affected by the vaccinations. Her dry eyes were not affected. Nothing she had was affected by the vaccines. Caller clarified that she had gastro issues, migraines, fibromyalgia, and dry eyes prior to first dose of Covid vaccine. Because those issues were not affected was a main reason she wanted to stick with Pfizer. If it isn't broke don't fix it. Investigations: None. She was a blood 'O' positive and for what it was worth she can't prove anything as she was not a scientist, she can say prior to Covid and to prior to 05Apr2021 when she got first vaccination she had never got flu shot and never got the flu. She still has tonsil and appendix. She personally thinks that the reason she has not gotten the flu has a lot to do with clearly genetic code and possibly her blood type. The only reason she started getting the darn flu shot was because of Covid and they were saying to get both, so she has done it. Even once she got Covid vaccination and flu shot she has still not ever gotten the flu. She doesn't think her not getting the flu has anything to do with the flu vaccine, but her immune system is very strong against the flu and cold. Not visited to emergency room, physician office and intensive care unit.