they never told her about the inactive ingredients of the vaccine, and she believed those ingredients were the reason of her side effects; couldn't sleep; thought she had a bladder infection; 48 hours after receiving her fourth dose of the Pfizer-BioNTech Covid 19 Vaccine, she has been experiencing inflammation; horrible pain 48 hours after the last injection/ excruciating pain; horrible bladder pain; can barely eat anything/ couldn't eat or drink; constantly urinating; extremely high number of white blood cells in urine without an infection; This is a spontaneous report received from a contactable reporter (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 55-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 07Oct2022 (in the morning, exact time unknown) as dose 4 (booster), single (Lot number: GJ6665) at the age of 56 years, in arm (either left or right arm) for covid-19 immunisation. The patient's relevant medical history included: "interstitial cystitis" (unspecified if ongoing), notes: prior to receiving any doses of the vaccine; "Hunner's ulcers" (unspecified if ongoing), notes: prior to receiving any doses of the vaccine; "extreme allergies to preservatives and medications" (unspecified if ongoing), notes: prior to receiving any doses of the vaccine; "allergies to inactive ingredients and preservatives" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Lot number: 8734 (as only seen on vaccination card), anatomical site of injection: either left or right arm, time: in the morning, exact time unknown), administration date: 02Apr2021, when the patient was 54-year-old, for COVID-19 Immunization, reaction: "did not have side effects"; BNT162b2 (DOSE 2, SINGLE, Lot number: TW0162, anatomical site of injection: opposite arm from the 1st time, time: in the morning, exact time unknown), administration date: 23Apr2021, when the patient was 54-year-old, for COVID-19 Immunization, reaction: "did not have side effects"; BNT162b2 (DOSE 3 (BOOSTER), SINGLE, Lot number: FH8027, anatomical site of injection: either left or right arm, time: in the morning, exact time unknown), administration date: 26Nov2021, when the patient was 55-year-old, for COVID-19 Immunization, reaction: "did not have side effects". The following information was reported: BLADDER PAIN (non-serious) with onset 07Oct2022, outcome "not recovered", described as "horrible bladder pain"; INFLAMMATION (non-serious) with onset 09Oct2022, outcome "not recovered", described as "48 hours after receiving her fourth dose of the Pfizer-BioNTech Covid 19 Vaccine, she has been experiencing inflammation"; PAIN (non-serious) with onset 09Oct2022, outcome "not recovered", described as "horrible pain 48 hours after the last injection/ excruciating pain"; DECREASED APPETITE (non-serious) with onset Oct2022, outcome "not recovered", described as "can barely eat anything/ couldn't eat or drink"; POLLAKIURIA (non-serious) with onset Oct2022, outcome "not recovered", described as "constantly urinating"; WHITE BLOOD CELL COUNT INCREASED (non-serious) with onset Oct2022, outcome "not recovered", described as "extremely high number of white blood cells in urine without an infection"; REACTION TO EXCIPIENT (non-serious), outcome "unknown", described as "they never told her about the inactive ingredients of the vaccine, and she believed those ingredients were the reason of her side effects"; INSOMNIA (non-serious), outcome "unknown", described as "couldn't sleep"; CYSTITIS (non-serious), outcome "unknown", described as "thought she had a bladder infection". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: The patient was calling about the last injection that she received of the Pfizer COVID vaccine. There were horrible side effects the patient was continuing to have and calling to see if there was a doctor in the state for treating people. The patient normally never accepts any injections, but it was the patient's understanding that the Pfizer COVID vaccine would not have any inactive ingredients or preservatives in the injection. The patient had horrible pain 48 hours after the last injection. The patient learned that there was a list of chemicals in the injection she never heard of before, just the 1st chemical listed that she could understand was potassium chloride; she said if she had known potassium chloride was in the injection, she never would have accepted the injection. This last vaccine that the patient had received was a very different vaccine than the first dose she received. She told the doctor and 3 people at the facility that she would not be getting a flu shot. The patient cannot accept injections due to allergies to inactive ingredients and preservatives. The patient confirmed that she had interstitial cystitis with Hunner's ulcers and extreme allergies to preservatives in medications prior to receiving any doses of the vaccine, but after the vaccine, the side effects had skyrocketed, she can barely eat anything, constantly urinating, and in excruciating pain. The patient confirmed that the 3 prior doses were also the Pfizer COVID vaccine, all 4 doses had been the Pfizer COVID vaccine and all doses were administered at the same facility. The patient was told to get a vaccine, and was told that the more people who get the vaccine, the less likely to mutate, so all were supposed to participate in getting vaccinated. Since having the vaccine, the patient had an extremely high number of white blood cells in urine without an infection. The patient has had these urinalysis' done multiple times from the beginning, because at first she thought she had a bladder infection, and did not think after waking up 48 hours after the latest dose of the vaccine that her horrible bladder pain would be continuing to this date, never crossed her mind that the vaccine would be doing this to her. The patient had the 3 doses of the vaccine prior and did not have these side effects prior to getting the 4th dose. The vaccination facility was at the pharmacy or drug store. The vaccine was not administered at the military facility. The patient had no other vaccinations within four weeks prior to the first administration date of the suspect vaccine. She had not received any additional vaccines, nothing had changed since her 1st dose, then everything changed in her life after the 4th dose. The patient required a pharmacologist or a specialist regarding the inactive ingredients of the vaccine. She also knew that some universities were doing research with the reported adverse events of the vaccine and would like to know which universities were doing it. She would like the reports of people that have reported similar adverse events as her in order to make a decision of what type of treatment would be the best for her. The patient would also like to know how long the inactive ingredients were going to be in her body. She complained that Pfizer should know if universities were doing specific research of the Pfizer-BioNTech Covid 19 Vaccine and that the information should be shared with all the people. They never told her about the inactive ingredients of the vaccine, and she believed those ingredients were the reason of her side effects. It had been 6 weeks since she received the vaccine and she's still in horrible condition. She couldn't sleep, eat or drink because of her side effects. She mentioned she has medical condition and also had heard that people have died because of the vaccine. The patient assessed the events as non-serious.