Fever (101.8 degree F); Headache/horrendous headache; Dry hives; She was so sick; Exhausted; Has no energy to get up; She prayed for death so bad.; 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 (BNT162B2), on 11May2022 as dose 4 (booster), single (Lot number: FM9952) at the age of 66 years for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: coviD-19 vaccine (Dose 1, MANUFACTURER UNKNOWN), administration date: 25Jan2021, when the patient was 65-year-old, for COVID-19 Immunization, reaction(s): "She got sick on the other shots"; coviD-19 vaccine (Dose 2, MANUFACTURER UNKNOWN), administration date: 15Feb2021, when the patient was 65-year-old, for COVID-19 Immunization, reaction(s): "She got sick on the other shots"; coviD-19 vaccine (Dose 3, MANUFACTURER UNKNOWN, 30135DA), administration date: 15Oct2021, when the patient was 65-year-old, for COVID-19 Immunization, reaction(s): "She got sick on the other shots". The following information was reported: URTICARIA (non-serious) with onset 11May2022, outcome "recovered" (12May2022), described as "Dry hives"; PYREXIA (non-serious) with onset 11May2022, outcome "recovered" (12May2022), described as "Fever (101.8 degree F)"; HEADACHE (non-serious) with onset 11May2022, outcome "recovering", described as "Headache/horrendous headache"; FATIGUE (non-serious) with onset May2022, outcome "unknown", described as "Exhausted"; ASTHENIA (non-serious) with onset May2022, outcome "unknown", described as "Has no energy to get up"; SUICIDAL IDEATION (life threatening) with onset May2022, outcome "unknown", described as "She prayed for death so bad."; ILLNESS (non-serious) with onset May2022, outcome "unknown", described as "She was so sick". The patient underwent the following laboratory tests and procedures: Body temperature: 101.8 Fahrenheit. Therapeutic measures were taken as a result of pyrexia.  Clinical Course:Patient received her second booster dose of the Pfizer-BioNTech COVID 19 Vaccine on 11May2022 and later she had fever (101.8 degree F) all night and took aspirin and had horrendous  headache and dry hives and almost called 911. She wants to know if these are common side effects due to the vaccine. Patient was so sick. Patient doesn't know if she can take any more now. Patient got sick on the other shots, but not this bad. This was really bad. Her friends went with her , and they didn't have a reaction so why is she having a reaction? Patient was scared. She got it at at(Facility address withheld).Patient reported her other side effects last time. Her reactions were nothing like this though. Patient was so exhausted right now and no energy to get up. The only difference is she got the COVID booster. Patient still has a headache, but it has improved. Patient hasn't experienced anything like this and  prayed for death so bad. Patient was pretty healthy and doesn't get why this happened with her. Patient also mentioned that this experience has been awful and can't do it again and asked if it could be safe for her to take any other medicines against COVID 19 instead of the vaccine. First COVID vaccine was given on 25Jan2021 at Facility withheld. 2nd COVID vaccine was Pfizer given on 15 Feb 2021, 3rd COVID vaccine was given on 15 Oct 2021, lot: 30135DA and 4th COVID dose was given on 11May2022, lot: FM9952. Other conditions were not provided. PQC present. Originating PQC request for lot number unknown reason was other, as neglected to ask the lot number. Transmitting. Potential AE and PQC and possible duplicate and referred patient to her health care provider for further assistance. Additional information was submitted. Investigations were not provided. Unspecified if COVID 19 vaccine booster a Pfizer product. COVID 19 vaccine booster manufacturer was unspecified. NDC number of COVID 19 vaccine booster was unknown. Expiry Date of COVID 19 vaccine booster was unknown. Other products were not provided and no reference number was provided. Patient cannot read the rest of the writing on the vaccine card.      .