Next day flu like symptoms no fever.; Tight sore throat; painful to swallow; headache anxious; cold chills; mouth felt like it was prickly; itchy throat continued to increase in pain; itchy throat continued to increase in pain; pallet of mouth seemed to swell; eyes throughout this were itchy and dry; eyes throughout this were itchy and dry; This is a spontaneous report received from contactable reporter(s) (Nurse). The reporter is the patient.  A 67-year-old female patient (not pregnant) received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 24Sep2023 at 14:30 as dose 4 (booster), single (Lot number: HG4628) at the age of 67 years, in left arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), on 24Sep2023 as dose 1, single (Batch/Lot number: unknown), in left deltoid for immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing); "cardiac issues" (unspecified if ongoing). Concomitant medication(s) included: LANTASIM; METFORMIN; TRULICITY; VENLAFAXINE; B12 [CYANOCOBALAMIN]. Vaccination history included: Covid-19 vaccine (DOSE 1; Manufacturer unknown), for Covid-19 Immunization; Covid-19 vaccine (DOSE 2; Manufacturer unknown), for Covid-19 Immunization; Covid-19 vaccine (DOSE 3 (BOOSTER); Manufacturer unknown), for Covid-19 Immunization. The following information was reported: THROAT TIGHTNESS (non-serious) with onset 24Sep2023 at 16:30, outcome "not recovered", described as "Tight sore throat"; CHILLS (non-serious) with onset 24Sep2023 at 16:30, outcome "not recovered", described as "cold chills"; EYE PRURITUS (non-serious), DRY EYE (non-serious) all with onset 24Sep2023 at 16:30, outcome "not recovered" and all described as "eyes throughout this were itchy and dry"; TENSION HEADACHE (non-serious) with onset 24Sep2023 at 16:30, outcome "not recovered", described as "headache anxious"; THROAT IRRITATION (non-serious), OROPHARYNGEAL PAIN (non-serious) all with onset 24Sep2023 at 16:30, outcome "not recovered" and all described as "itchy throat continued to increase in pain"; PARAESTHESIA ORAL (non-serious) with onset 24Sep2023 at 16:30, outcome "not recovered", described as "mouth felt like it was prickly"; ODYNOPHAGIA (non-serious) with onset 24Sep2023 at 16:30, outcome "not recovered", described as "painful to swallow"; MOUTH SWELLING (non-serious) with onset 24Sep2023 at 16:30, outcome "not recovered", described as "pallet of mouth seemed to swell"; INFLUENZA LIKE ILLNESS (non-serious) with onset 25Sep2023, outcome "not recovered", described as "Next day flu like symptoms no fever.". Therapeutic measures were taken as a result of throat tightness, odynophagia, tension headache, chills, paraesthesia oral, throat irritation, oropharyngeal pain, mouth swelling, eye pruritus, dry eye, influenza like illness.  Additional information: Two hours after receiving injections began having a tight sore throat, painful to swallow, no shortness of breath, headache anxious, cold chills, mouth felt like it was prickly, itchy throat continued to increase in pain, pallet of mouth seemed to swell. Eyes throughout this were itchy and dry. still no shortness of breath. Took 2 Benadryl symptoms began to improve. next day flu like symptoms no fever. The patient had no Covid prior vaccination. The patient was not tested for COVID post vaccination. The patient had no known allergies.