her forehead feels a little warm; soreness on her arm at the injection site; has a little bit of a headache; 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 66-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 28Sep2023 as dose 5 (booster), single (Lot number: HG4629) at the age of 66 years, in left arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), on 28Sep2023 as dose number unknown, 0.5 ml single (Lot number: 370266, Expiration Date: 19Apr2024) intramuscular, in left arm for immunisation; diphtheria vaccine toxoid, pertussis vaccine acellular 3-component, tetanus vaccine toxoid (BOOSTRIX), on 28Sep2023 as unknown dose number, single (Lot number: 54CP2, Expiration Date: 11Jan2026) intramuscular, in right arm for immunisation. The patient's relevant medical history included: "tonsil" (ongoing); "gastro issues" (unspecified if ongoing), notes: not affected by the vaccinations; "Appendix" (ongoing); "migraines" (unspecified if ongoing), notes: not affected by the vaccinations; "fibromyalgia" (unspecified if ongoing), notes: not affected by the vaccinations; "dry eyes" (unspecified if ongoing), notes: not affected by the vaccinations. There were no concomitant medications. Vaccination history included: bnt162b2 (Dose 1; left arm; Lot number: EW0150, Expiration date: 31Jul2021), administration date: 05Apr2021, when the patient was 63-year-old, for Covid-19 immunization, reaction(s): "tenderness in the arm at the injection site", "her forehead feels a little warm", "headache", "fatigue"; bnt162b2 (Dose 2; left arm; lot number: EW0169, Expiration date: 31Aug2021), administration date: 26Apr2021, when the patient was 63-year-old, for Covid-19 Immunization, reaction(s): "tenderness in the arm at the injection site", "her forehead feels a little warm", "headache", "fatigue"; bnt162b2 (Dose 3 (Booster); Lot number: FH8028, Expiration date: 31May2022, left arm), administration date: 01Nov2021, when the patient was 64-year-old, for Covid-19 Immunization, reaction(s): "tenderness in the arm at the injection site", "her forehead feels a little warm", "headache", "fatigue"; bnt162b2 (Dose 4 (Booster); Lot number: GH9703, Expiration date: 30Jun2023; left arm), administration date: 24Sep2022, when the patient was 65-year-old, for Covid-19 immunization, reaction(s): "tenderness in the arm at the injection site", "her forehead feels a little warm", "headache", "fatigue". The following information was reported: FATIGUE (non-serious) with onset 28Sep2023, outcome "unknown"; HEADACHE (non-serious) with onset 28Sep2023, outcome "recovering", described as "has a little bit of a headache"; FEELING HOT (non-serious) with onset 28Sep2023, outcome "not recovered", described as "her forehead feels a little warm"; VACCINATION SITE PAIN (non-serious) with onset 28Sep2023, outcome "recovering", described as "soreness on her arm at the injection site". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of vaccination site pain, headache.  Additional information: Patient received the Comirnaty 2023-2024 formula between 1PM and 4PM and reported that she was 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. By the evening by like 8 or 9 she started feeling fatigue and a little bit of a headache. She knew the difference between a little bit of a headache and a migraine. This was not a migraine. She was kind of back to normal. When she woke up at 7AM she still felt it. She only took the one Motrin. She had light breakfast and has been lying down. She has been resting. 20% of the headache was left. It was very mild and not throbbing. The warmth she never felt like a full-blown fever, only warmth on her forehead. Usually when she gets that she has low grade headache or low-grade fever and just her forehead feels warm. The warmth on the forehead was still there. Neither the headache nor the warmth on the forehead have been anything that would have caused her to go to the hospital. The warmth on the forehead also started late 28Sep2023. Soreness at injection started 4-5 hours after the injection. The soreness at injection has subsided. Overnight she could roll over and get out of bed, but she could feel the pain on her left arm. All she did was take one Motrin at 1AM and went to sleep again. By the time she woke up again at 7AM, it was still sore, but she can put weight on her arm. If she touched or pressed down, it was a little tender. She specifically remembered when she got each of her Covid vaccinations, the five she mentioned, she remembered she would get them in the morning. She would fly to (withheld) and the driver would take her to clinic and then he would take her back to airport. If she got vaccinated at 8:30AM or 9AM by 2PM when she got back to airport, she would get tenderness in the arm at the injection site. 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 is extremely picky about where she gets her healthcare and the doctors that she sees. 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. 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 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. She sees gastroenterologist for gastro issues. She sees preventive cardiologist for preventive care. For dry eyes, she sees optometrist. She just sees a doctor for whatever ails her. It was noted that on her vaccine card the dates are out of order. Another Pfizer Covid vaccine she got on 09Apr2022 with lot number FX9895 OR FK9895, she thinks it is FX9895. The events did not require a visit to Emergency Room, Physician Office and Intensive Care Unit. She would like to thank Pfizer as a whole for keeping her healthy and as long as Pfizer exist and makes vaccines for Covid she will continue to stick with Pfizer.