massive, massive migraine headache; fatigue; nausea; Total flu like symptoms all over body; Still has some soreness on injection site and tenderness; Still has some soreness on injection site and tenderness; sick; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 71-year-old female patient received BNT162b2 (BNT162B2), on 08Apr2022 at 14:32 as dose 4 (booster), single (Lot number: FK9893) at the age of 71 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Fibromyalgia", start date: 1993 (unspecified if ongoing), notes: Fibromyalgia; "Angina attack" (unspecified if ongoing), notes: Angina attack; "Rheumatoid arthritis" (unspecified if ongoing), notes: Rheumatoid arthritis Diagnosed with years ago.; "Mild stroke TIA" (unspecified if ongoing), notes: Mild stroke TIA. The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, LOT NUMBER: EN6199, Route of administration: Left top arm, Time the Vaccination Was Given: 13:23, Vaccine Administered at Military Facility? no), administration date: 12Mar2021, when the patient was 69-year-old, for COVID-19 immunization; BNT162b2 (DOSE 2, SINGLE, LOT NUMBER: EW0164, Route of administration: left top arm, Time the Vaccination Was Given: 12:57, Vaccine Administered at Military Facility? no), administration date: 24Apr2021, when the patient was 69-year-old, for COVID-19 immunization; BNT162b2 (DOSE 3 (BOOSTER), SINGLE, Lot Number: 30155BA1, Route of administration: left top arm, Time the Vaccination Was Given: 12:01, Vaccine Administered at Military Facility? no), administration date: 25Oct2021, when the patient was 70-year-old, for COVID-19 immunization, reaction(s): "Had Soreness on injection site and tenderness", "Had Soreness on injection site and tenderness".  The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 08Apr2022, outcome "unknown", TENDERNESS (non-serious) with onset 08Apr2022, outcome "unknown" and all described as "Still has some soreness on injection site and tenderness"; INFLUENZA LIKE ILLNESS (non-serious) with onset 08Apr2022, outcome "recovered" (11Apr2022), described as "Total flu like symptoms all over body"; ILLNESS (non-serious) with onset 08Apr2022, outcome "unknown", described as "sick"; NAUSEA (non-serious) with onset 08Apr2022 at 14:32, outcome "recovered" (10Apr2022); FATIGUE (non-serious) with onset 08Apr2022 at 17:32, outcome "recovered" (10Apr2022); MIGRAINE (non-serious) with onset 08Apr2022 at 17:32, outcome "recovered" (11Apr2022), described as "massive, massive migraine headache".  Additional information: The caller is a consumer who received second booster Unknown Pfizer Vaccine last Friday, 08Apr2022 and has had side effects since. The caller's side effects have subsided now, the side effects subsided since yesterday morning, 13Apr2022. Second Booster: Three hours after receiving second booster vaccine started with massive, massive migraine headache on 08Apr2022, the caller started with a massive, massive migraine headache. The caller has had migraine headaches before in the past but not to this extent. The caller had fatigue, nausea, and total flu like symptoms all over body. The massive migraine went away on Monday night, 11Apr2022 and the caller recovered completely. Fatigue began at the same time as the migraine on 08Apr2022. All symptoms came down like a flood hammer. The caller has always had some fatigue from rheumatoid arthritis. The fatigue went away on Sunday, 10Apr2022 in the late afternoon or early evening. recovered completely.The nausea began on 08Apr2022, the same time the migraine and fatigue began. sick all evening on 8Apr2022 and through the weekend pretty much. The nausea went away on 10Apr2022. recovered completely from nausea. Total flu like symptoms all over body: This began on 08Apr2022 in the evening or afternoon and went away on 11Apr2022. recovered completely. Still has some soreness on injection site and tenderness: In the past was on Lipitor, the caller contracted Fibromyalgia so the caller knows what pain is like, but this was a lot different. was back when caller was 42 or 42.5 years old. The caller has healed of fibromyalgia for the most part. Still has some soreness on injection site and tenderness, the soreness is still there somewhat. The soreness on injection site and tenderness began on 08Apr2022 in the afternoon. Time the Vaccination Was Given: First dose: 1323, second dose: 1257, first booster dose: 1201, second booster dose: 1432  No follow-up attempts are possible. No further information is expected.