felt sick like with Covid; Huge, red area where injection was, swollen, has a lump and hot; Arm is really sore and painful/Painful lump in arm; hard, swollen, lump, huge red area on her injection site; hard, swollen, lump, huge red area on her injection site; hard, swollen, lump, huge red area on her injection site; hard, swollen, lump, huge red area on her injection site; severe muscle and joint pain; extreme chills; headache; nausea; overall just wiped out, extreme fatigue; joint pain; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 61-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 27Oct2022 as dose 3 (booster), single (Lot number: GJ6665) at the age of 61 years for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 2, SINGLE, Lot number: Says lot number is FG3527, the 2 could be Z), administration date: 22Nov2021, for COVID-19 Immunization; Johnson and johnson covid vaccine (DOSE 1, SINGLE), for COVID-19 Immunization, reaction(s): "sick". The following information was reported: CHILLS (non-serious) with onset 28Oct2022, outcome "recovered" (30Oct2022), described as "extreme chills"; HEADACHE (non-serious) with onset 28Oct2022, outcome "recovered" (30Oct2022); ARTHRALGIA (non-serious) with onset 28Oct2022, outcome "recovered" (30Oct2022), described as "joint pain"; NAUSEA (non-serious) with onset 28Oct2022, outcome "recovered" (30Oct2022); FATIGUE (non-serious) with onset 28Oct2022, outcome "recovered" (30Oct2022), described as "overall just wiped out, extreme fatigue"; MYALGIA (non-serious) with onset 28Oct2022, outcome "recovered" (30Oct2022), described as "severe muscle and joint pain"; VACCINATION SITE INDURATION (non-serious) with onset 29Oct2022, outcome "unknown", VACCINATION SITE SWELLING (non-serious), VACCINATION SITE MASS (non-serious), VACCINATION SITE ERYTHEMA (non-serious) all with onset 29Oct2022, outcome "not recovered" and all described as "hard, swollen, lump, huge red area on her injection site"; ILLNESS (non-serious), outcome "unknown", described as "felt sick like with Covid"; VACCINATION SITE WARMTH (non-serious), outcome "not recovered", described as "Huge, red area where injection was, swollen, has a lump and hot"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "Arm is really sore and painful/Painful lump in arm".  Additional information: Caller requested for medical treatment recommendation for the side effect she experienced after getting the Pfizer biontech covid-19 Bivalent booster Gray cap vaccine. Consumer stated that she received her Pfizer biontech covid-19 Bivalent booster Gray cap vaccine last 27Oct2022 and noticed 2 days later (29Oct2022) a hard, swollen, lump, huge red area on her injection site. No other conditions and investigations. When caller got the shot, was odd, shot didn't hurt at all, but the next day felt sick like with Covid, knows how that feels because caller had Covid before. Clarified and confirmed caller had Covid prior to having any vaccine doses. Calling to report caller had severe muscle and joint pain, extreme chills, headache, nausea, overall just wiped out, extreme fatigue. Huge, red area where injection was, swollen, has a lump and hot: Then started feeling better but not callers arm, arm is getting terrible, huge, red area where injection was, swollen, has a lump and hot, doesn't know what to do for that, can Pfizer help with suggestions? Arm is really sore and painful. Hoping arm will continue getting better, but red spot started out the size of probably a quarter and now red spot is probably the size, can't think, maybe the size of a Coke can, the circumference of a Coke can. Painful lump in arm is why caller is calling, never had that happen before, caller gets sore after any kind of shot, but has never seen the red, warmth, or lump. Start date of adverse event: Does not think really started bothering caller until that night, woke up that morning sick and terrible, so guess would say arm started the next day, Saturday, 29Oct2022. Was bright red at first when started but is paler, so does not know if that means anything, as it has spread the color is more pink instead of bright red. Upon further clarifying, caller clarified that the vaccine caller was calling in regards to is the new vaccine, had the booster before, thinks this one caller just received is the new Pfizer vaccine. Upon further clarification, caller said caller never had this vaccine, whatever Pfizer just came out with. Caller had an original vaccine, then a booster vaccine, this was callers 3rd COVID shot total since last year. Confirmed this was callers 3rd dose total. Upon further attempting to clarify which vaccine caller received and is calling about, caller looked at vaccination card and clarified and confirmed caller received the Pfizer BioNTech COVID-19 vaccine bivalent for callers 3rd dose. COVID-19 vaccine bivalent placed in formal field. 1st dose was Johnson and Johnson COVID vaccine, was the 1 shot and done thing, was terrible, got really sick, but didn't get the arm issue. First COVID shot caller had caller went to race track to get done. Then the 2 booster doses, confirmed 2nd dose and 3rd dose, were at the doctors office. Doctor recommended the Pfizer vaccine. What happens to this information, Caller was not making a complaint or anything. Does not want to file a complaint against callers doctor, loves callers doctor, shot didn't hurt at all, just concerned about arm, the last shot was painful too but not hard, red, and hot.  No follow-up attempts are possible. No further information is expected.