almost immediately feeling stomach queasy; stomach issues like a gas feeling; intestinal pain; fever; fatigue; achy; occasional issues with stomach and intestine; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 63-year-old female patient received BNT162b2 (BNT162B2), as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose: 1st, Date: 26Jan2021, Anatomical Site of injection: Arm Left, Batch/Lot number: Pfizer BioNTech EL9261), administration date: 26Jan2021, when the patient was 63-year-old, for COVID-19 Immunization, reaction(s): "When I got the shot, I felt something shoot into the arm and it felt a little startling or shocking to the body", "feeling numb in my left pinky & a little in the ring finger plus a strange feeling (achy) in right arm/light numbness on outside of my left leg from the knee down to the ankle", "feeling numb in my left pinky & a little in the ring finger plus a strange feeling (achy) in right arm/lighter soreness up the outside of my left forearm", "The pinkies feel swollen when I bend them", "soreness at the injection site", "back of neck at the spine began feeling odd and maybe the middle of my spine"; BNT162b2 (Dose: 2nd, Date: 22Feb2021, Anatomical Site of injection: Arm Left, Batch/Lot number: Pfizer BioNTech E19269), administration date: 22Feb2021, when the patient was 63-year-old, for COVID-19 Immunization, reaction(s): "after the 2nd shot, I felt the odd feeling behind my neck again", "for 2nd shot due to patient experienced breast seemed tender for a few weakened", "I was tired for the 2days after"; BNT162b2 (Dose: 3rd, Date: 22Oct2021, Anatomical Site of injection: Arm Left, Batch/Lot number: Pfizer BioNTech FF2590), administration date: 22Oct2021, when the patient was 63-year-old, for COVID-19 Immunization. The following information was reported: NAUSEA (non-serious), outcome "unknown", described as "almost immediately feeling stomach queasy"; FLATULENCE (non-serious), outcome "unknown", described as "stomach issues like a gas feeling"; GASTROINTESTINAL PAIN (non-serious), outcome "unknown", described as "intestinal pain"; PYREXIA (non-serious), outcome "unknown", described as "fever"; FATIGUE (non-serious), outcome "unknown"; PAIN (non-serious), outcome "unknown", described as "achy"; GASTROINTESTINAL DISORDER (non-serious), outcome "unknown", described as "occasional issues with stomach and intestine".  Additional information: Prior Vaccinations (within 4 weeks) was None. The patient said she had reactions to the 2nd vaccine and the 1st booster. She had a significant reaction to the 2nd booster including almost immediately feeling stomach queasy. She continued to have stomach issues like a gas feeling for about a week. She had intestinal pain that was significant for about 5-6 days. She had a fever plus fatigue - achy on the wed after her Monday booster. She had symptoms for a week and still occasional issues with stomach and intestine, a bit after that.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.