joint pain; fatigue; fever; chills; nausea; vomiting; severe aches; stiffness; injection site redness; I still feel sick; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 68-year-old female patient (not pregnant) received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 01Nov2023 at 08:30 as dose 1, single (Lot number: Ho9876) at the age of 68 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Lung cancer" (unspecified if ongoing), notes: survivor for 16 years; "Left pneumonectomy" (unspecified if ongoing), notes: chemo treatment 16 years ago.; "Chemo treatment" (unspecified if ongoing), notes: 16 years ago; "Known allergies: Poultry" (unspecified if ongoing); "Known allergies: Iodine" (unspecified if ongoing); "Known allergies: Shellfish" (unspecified if ongoing). Concomitant medication(s) included: ACYCLOVIR [ACICLOVIR]; ROSUVASTATIN; ALPRAZOLAM; COQ10 [UBIDECARENONE]; VIT D [COLECALCIFEROL]. Vaccination history included: Covid-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for COVID-19 immunization, reaction(s): "strong response"; Covid-19 vaccine (DOSE 2; MANUFACTURER UNKNOWN), for COVID-19 immunization, reaction(s): "strong response"; Covid-19 vaccine (DOSE 3; MANUFACTURER UNKNOWN), for COVID-19 immunization, reaction(s): "strong response"; Covid-19 vaccine (DOSE 4; MANUFACTURER UNKNOWN), for COVID-19 immunization, reaction(s): "strong response"; Covid-19 vaccine (DOSE 5; MANUFACTURER UNKNOWN), for COVID-19 immunization, reaction(s): "strong response"; Covid-19 vaccine (DOSE 6; MANUFACTURER UNKNOWN), for COVID-19 immunization, reaction(s): "strong response". The following information was reported: MALAISE (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering", described as "I still feel sick"; CHILLS (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering"; FATIGUE (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering"; PYREXIA (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering", described as "fever"; VACCINATION SITE ERYTHEMA (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering", described as "injection site redness"; ARTHRALGIA (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering", described as "joint pain"; NAUSEA (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering"; PAIN (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering", described as "severe aches"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering", described as "stiffness"; VOMITING (non-serious) with onset 02Nov2023 at 01:00, outcome "recovering". Therapeutic measures were not taken as a result of arthralgia, fatigue, pyrexia, chills, nausea, vomiting, pain, musculoskeletal stiffness, vaccination site erythema, malaise.  Additional information: Patient had a strong response with her previous shots, but she felt fine in 48 hours. The patient had no other vaccines in four weeks. The patient experienced long lasting side effects. She was already on day 6 from vax and still have joint pain and fatigue. In the first 48 hours, fever, chills, nausea, vomiting, severe aches and stiffness and injection site redness. She still feel sick. The patient was not COVID tested post vaccination.