left arm pain for 4 days; general malaise; did not feel like self; couldn't sleep; 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 73-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 11Nov2022 as dose 5 (booster), single (Lot number: GJ6796, Expiration Date: 31Jul2023) at the age of 73 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "hip replacement" (unspecified if ongoing), notes: Caller called Pfizer before because caller had to go to a dentist appointment and because caller had hip replacement caller usually takes 4 antibiotics, no specific product names provided, prior to the visit, and that would have been Monday and caller had the vaccine on Friday so called Pfizer to get information. The patient took concomitant medications. Vaccination history included: Bnt162b2 (1st dose:, Says Pfizer BioNTech COVID-19 vaccine 30mcg/0.3mL, Lot number: EN5318, Expiration date: 31May2021, NDC number: Unknown), for COVID-19 immunization; Bnt162b2 (2nd dose:, Says Pfizer BioNTech COVID-19 vaccine 30mcg/0.3mL, Lot number: EN6203, Expiration date: 30Jun2021, NDC number: Unknown), for COVID-19 immunization; Bnt162b2 (3rd dose:, Booster 1, Lot number: FF2588. Handwritten on card without a sticker because caller went to a different hospital for this dose., Expiration date: 28Sep2021 caller believes., NDC number: Unknown), for COVID-19 immunization; Bnt162b2 (4th dose:, Booster 2, Lot number: FK9895, Expiration date: 31May2022, NDC number: Unknown), for COVID-19 immunization. The following information was reported: INSOMNIA (non-serious) with onset Nov2022, outcome "unknown", described as "couldn't sleep"; FEELING ABNORMAL (non-serious) with onset Nov2022, outcome "recovering", described as "did not feel like self"; MALAISE (non-serious) with onset Nov2022, outcome "recovering", described as "general malaise"; PAIN IN EXTREMITY (non-serious) with onset Nov2022, outcome "recovering", described as "left arm pain for 4 days".  Additional information: Caller stated she received Pfizer covid 19 bivalent booster on 11Nov2022 in her left arm. Caller stated she had arm pain for 4 days. Caller stated for the first 3 days she had general malaise, stayed in the bed and did not feel like herself. Caller stated she now feels back to herself, and her arm finally mostly is back to itself. Caller stated she is scheduled to get a flu shot Saturday. Caller asked should she use a different arm and is there a bad interaction between the covid vaccine and the flu vaccine a week and a day apart. Caller called Pfizer before because caller had to go to a dentist appointment and because caller had hip replacement caller usually takes 4 antibiotics, no specific product names provided, prior to the visit, and that would have been Monday and caller had the vaccine on Friday so called Pfizer to get information. Called dentist and dentist said caller could skip the antibiotics this time because the visit would be an easier reason caller was going, would be okay without taking the antibiotics. Caller was calling before because wanted to know if there was an interaction with taking the antibiotics so close to getting the vaccine, caller did not take the antibiotics, made decision after talking to dentist that it was okay to not take the antibiotics. Was told by Pfizer that Pfizer didn't see anything written about caller's question. Providing information from vaccination card. Upon clarifying, caller clarified and confirmed this dose was caller's 5th dose total and clarified and confirmed that the Pfizer bivalent vaccine was the Pfizer BioNTech COVID-19 bivalent vaccine, but caller always has the arm pain, always happens that way, not a new experience for caller. Confirmed caller's 4 prior doses were all the Pfizer BioNTech COVID-19 vaccine.