COLD; HEAD HAS NOT BEEN RIGHT, HEAD HAS BEEN PRETTY WEIRD; SHOULDER ACHINESS; FATIGUE; BUTTOCKS ACHINESS; LITTLE BIT SORE ARM/ACHINESS ARMS AND LEGS; REVACCINATION WITH DIFFERENT COVID-19 VACCINE; This spontaneous report received from a patient via other manufacturer (Pfizer) concerned a 74 year old female. The patient's weight was 62.6 kilograms, and height was 168 centimeters. No past medical history or concurrent conditions were reported. The patient previously received covid-19 vaccine ad26. cov2. s (Dose number in series 1) (suspension for injection, route of admin not reported, batch number: 1808982, expiry: Unknown) dose was not reported, 1 total, administered on 08-APR-2021 for covid-19 prophylaxis.  It was unknown whether the patient experienced any adverse events following vaccination with covid-19 vaccine ad26. cov2. s (Dose number in series 1). The patient received covid-19 vaccine ad26. cov2. s (Dose number in series 2) (suspension for injection, route of admin not reported, batch number: Unknown, expiry: Unknown) dose was not reported, 1 total, administered on 27-NOV-2021 for covid-19 prophylaxis. The batch number was not reported and has been requested. Age at time of vaccination 74 years old. No concomitant medications were reported. It was unknown whether the patient experienced any adverse events following vaccination with covid-19 vaccine ad26. cov2. s (Dose number in series 2). The patient also received pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 3) (form of admin, route of admin was not reported, batch number: FM7553, expiry: Unknown) dose was not reported, administered on 21-MAY-2022 for covid-19 prophylaxis which was associated with revaccination with different covid-19 vaccine.  On 21-MAY-2022, the patient had just a little bit of sore arm which was recovered on 22-MAY-2022 following vaccination with pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 3)  The patient also received pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 4) (form of admin, route of admin was not reported, batch number: CDH9703, expiry: Unknown) dose was not reported, administered at left arm on 02-OCT-2022 for covid-19 prophylaxis. On 03-OCT-2022, the patient had extreme fatigue and achiness and her head felt off for the first night after received the pfizer booster shot and it was not right (Dose number in series 4). She stated starting the next day, until today, she had intermittent fatigue and extreme achiness (Dose number in series 4). The achiness in the back of her shoulders and in buttocks, plus the usual achiness arms and legs (Dose number in series 4). She gets period during the day, usually two to three times during the day that she had extreme achiness in different parts of her body, sometimes in the back of her shoulders, comes out of nowhere (Dose number in series 4). This extreme achiness and fatigue come together just suddenly (Dose number in series 4). She has to lie down for at least 45 minutes and then it receded (Dose number in series 4). Then she goes about her day. Another unexpected time during the day she will get extreme achiness in her buttocks, common places like her legs or arms, but the shoulder or buttocks are very uncommon (Dose number in series 4). She started a lots of vitamin c, d and zinc and she slowly started to feel like the fatigue and the extreme achiness was less intense for week 6 or 7. It was happened 1 to 2 times daily. If she had to lie down it was for more like 15 to 30 minutes. The patient also stated that the head has not been right, head has been pretty weird (Dose number in series 4). On 19-NOV-2022, she had cold (Dose number in series 4). The patient asked that if she should take the drug paxlovid for the symptoms she has been had since she got vaccinated and because she had these symptoms for 8 weeks and she did covid-19 virus test which was negative before visiting a friend one month ago (OCT-2022) who was immunocompromised. The action taken with covid-19 vaccine ad26.cov2.s and tozinameran, was not applicable. The patient was recovering from fatigue, cold, head has not been right, head has been pretty weird, little bit sore arm/achiness arms and legs, shoulder achiness, and buttocks achiness, and the outcome of revaccination with different covid-19 vaccine was not reported. This report was non-serious. This case, involving the same patient is linked to 20221165697.